Critical Pathways

Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

BACKGROUND: In the nationwide German Acupuncture Trials (GERAC), verum acupuncture, mirroring the Traditional Chinese Medicine (TCM) acupuncture style, was tested against sham acupuncture and guideline standard therapy for the entities classified in the West as chronic low back pain (LBP) and gonarthrosis (GON). OBJECTIVE: The objective was to develop broadly consensual acupuncture and control protocols for the treatment of LBP and GON in the GERAC trials. METHODOLOGY: Extensive literature study and consultation with acupuncture experts were consulted.

Author(s): 
Molsberger, Albrecht F.
Streitberger, Konrad
Kraemer, Juergen
Brittinger, Carmen Schade
Witte, Steffen
Boewing, Gabriele
Haake, Michael
Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

BACKGROUND: In the nationwide German Acupuncture Trials (GERAC), verum acupuncture, mirroring the Traditional Chinese Medicine (TCM) acupuncture style, was tested against sham acupuncture and guideline standard therapy for the entities classified in the West as chronic low back pain (LBP) and gonarthrosis (GON). OBJECTIVE: The objective was to develop broadly consensual acupuncture and control protocols for the treatment of LBP and GON in the GERAC trials. METHODOLOGY: Extensive literature study and consultation with acupuncture experts were consulted.

Author(s): 
Molsberger, Albrecht F.
Streitberger, Konrad
Kraemer, Juergen
Brittinger, Carmen Schade
Witte, Steffen
Boewing, Gabriele
Haake, Michael
Publication Title: 
BMC health services research

BACKGROUND: For the treatment of chronic back pain, it has been theorized that integrative care plans can lead to better outcomes than those achieved by monodisciplinary care alone, especially when using a collaborative, interdisciplinary, and non-hierarchical team approach. This paper describes the use of a care pathway designed to guide treatment by an integrative group of providers within a randomized controlled trial.

Author(s): 
Maiers, Michele J.
Westrom, Kristine K.
Legendre, Claire G.
Bronfort, Gert
Publication Title: 
Palliative Medicine

BACKGROUND: Hospital is the most common place of cancer death but concerns regarding the quality of end-of-life care remain. AIM: Preliminary assessment of the effectiveness of the Liverpool Care Pathway on the quality of end-of-life care provided to adult cancer patients during their last week of life in hospital. DESIGN: Uncontrolled before-after intervention cluster trial. SETTINGS/PARTICIPANTS: The trial was performed within four hospital wards participating in the pilot implementation of the Italian version of the Liverpool Care Pathway programme.

Author(s): 
Costantini, Massimo
Pellegrini, Fabio
Di Leo, Silvia
Beccaro, Monica
Rossi, Carla
Flego, Guia
Romoli, Vittoria
Giannotti, Michela
Morone, Paola
Ivaldi, Giovanni P.
Cavallo, Laura
Fusco, Flavio
Higginson, Irene J.
Publication Title: 
Current Opinion in Supportive and Palliative Care

PURPOSE OF REVIEW: Studies in different countries and settings of care have reported the quality of care for the dying patients as suboptimal. Care pathways have been developed with the aim of ensuring that dying patients and their family members received by health professionals the most appropriate care. This review presents and discusses the evidence supporting the effectiveness of the end-of-life care pathways. RECENT FINDINGS: Two Cochrane systematic reviews updated at June 2013 did not identify studies that met minimal criteria for inclusion.

Author(s): 
Costantini, Massimo
Alquati, Sara
Di Leo, Silvia
Publication Title: 
Journal of Rehabilitation Research and Development

Severe pain is highly prevalent, with rates of 40% to 70% in patients with advanced cancer, liver disease, heart failure, human immunodeficiency virus, and renal failure. Wide variations in pain assessment and reporting methods and the measurement of multiple symptoms should be addressed in future studies. Regarding psychological approaches, determining whether hypnotherapy or other individual psychotherapeutic interventions reduce pain and/or psychological distress in a palliative care population is difficult.

Author(s): 
Chang, Victor T.
Sorger, Brooke
Rosenfeld, Kenneth E.
Lorenz, Karl A.
Bailey, Amos F.
Bui, Trinh
Weinberger, Lawrence
Montagnini, Marcos
Publication Title: 
Family Practice

PURPOSE: Acute upper respiratory infections (URI) are the second most common diagnosis in primary care offices. As treatments have limited effectiveness, patient counseling regarding expectations for the course of the URI is an important aspect of care. It is unknown how accurate patients, clinicians or questionnaires such as the Wisconsin Upper Respiratory Symptom Survey (WURSS) instrument are at predicting URI severity and duration, and whether these predictions should be used to counsel patients.

Author(s): 
Longmier, E.
Barrett, B.
Brown, R.
Publication Title: 
BMC health services research

BACKGROUND: For the treatment of chronic back pain, it has been theorized that integrative care plans can lead to better outcomes than those achieved by monodisciplinary care alone, especially when using a collaborative, interdisciplinary, and non-hierarchical team approach. This paper describes the use of a care pathway designed to guide treatment by an integrative group of providers within a randomized controlled trial.

Author(s): 
Maiers, Michele J.
Westrom, Kristine K.
Legendre, Claire G.
Bronfort, Gert
Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

BACKGROUND: In the nationwide German Acupuncture Trials (GERAC) verum acupuncture, based on Traditional Chinese Medicine (TCM), was to be tested against sham acupuncture for the entities classified in the West as "migraine" (MIG) and "tension-type headache" (TTH). However, there were no generally accepted guidelines on how to perform a consistent verum or sham treatment. OBJECTIVE: To design broadly consensual verum and sham acupuncture treatment protocols for MIG and TTH for the GERAC. METHODOLOGY: Extensive literature study and consultation with acupuncture experts.

Author(s): 
Molsberger, Albrecht F.
Boewing, Gabriele
Diener, Hans Christoph
Endres, Heinz G.
Kraehmer, Nils
Kronfeld, Kai
Zenz, Michael
Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

BACKGROUND: In the nationwide German Acupuncture Trials (GERAC), verum acupuncture, mirroring the Traditional Chinese Medicine (TCM) acupuncture style, was tested against sham acupuncture and guideline standard therapy for the entities classified in the West as chronic low back pain (LBP) and gonarthrosis (GON). OBJECTIVE: The objective was to develop broadly consensual acupuncture and control protocols for the treatment of LBP and GON in the GERAC trials. METHODOLOGY: Extensive literature study and consultation with acupuncture experts were consulted.

Author(s): 
Molsberger, Albrecht F.
Streitberger, Konrad
Kraemer, Juergen
Brittinger, Carmen Schade
Witte, Steffen
Boewing, Gabriele
Haake, Michael

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