Disease Management

Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: The objective was to develop a clinical practice guideline on the management of neck pain-associated disorders (NADs) and whiplash-associated disorders (WADs). This guideline replaces 2 prior chiropractic guidelines on NADs and WADs. METHODS: Pertinent systematic reviews on 6 topic areas (education, multimodal care, exercise, work disability, manual therapy, passive modalities) were assessed using A Measurement Tool to Assess Systematic Reviews (AMSTAR) and data extracted from admissible randomized controlled trials.

Author(s): 
Bussières, André E.
Stewart, Gregory
Al-Zoubi, Fadi
Decina, Philip
Descarreaux, Martin
Hayden, Jill
Hendrickson, Brenda
Hincapié, Cesar
Pagé, Isabelle
Passmore, Steven
Srbely, John
Stupar, Maja
Weisberg, Joel
Ornelas, Joseph
Publication Title: 
European Spine Journal: Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society

PURPOSE: To develop an evidence-based guideline for the management of grades I-III neck pain and associated disorders (NAD). METHODS: This guideline is based on recent systematic reviews of high-quality studies. A multidisciplinary expert panel considered the evidence of effectiveness, safety, cost-effectiveness, societal and ethical values, and patient experiences (obtained from qualitative research) when formulating recommendations. Target audience includes clinicians; target population is adults with grades I-III NAD <6 months duration.

Author(s): 
Côté, Pierre
Wong, Jessica J.
Sutton, Deborah
Shearer, Heather M.
Mior, Silvano
Randhawa, Kristi
Ameis, Arthur
Carroll, Linda J.
Nordin, Margareta
Yu, Hainan
Lindsay, Gail M.
Southerst, Danielle
Varatharajan, Sharanya
Jacobs, Craig
Stupar, Maja
Taylor-Vaisey, Anne
van der Velde, Gabrielle
Gross, Douglas P.
Brison, Robert J.
Paulden, Mike
Ammendolia, Carlo
David Cassidy, J.
Loisel, Patrick
Marshall, Shawn
Bohay, Richard N.
Stapleton, John
Lacerte, Michel
Krahn, Murray
Salhany, Roger
Publication Title: 
BMJ open

OBJECTIVES: Optimal control of type 2 diabetes is challenging in many patient populations including in South Asian patients. We systematically reviewed studies on the effect of diabetes management interventions targeted at South Asian patients with type 2 diabetes on glycaemic control. DESIGN: Systematic review of MEDLINE, EMBASE and CINAHL databases for randomised controlled trials (RCTs) and pre-post-test studies (January 1990 to February 2014). Studies were stratified by where interventions were conducted (South Asia vs Western countries).

Author(s): 
Bhurji, N.
Javer, J.
Gasevic, D.
Khan, N. A.
Publication Title: 
Medical Care

BACKGROUND: Heart disease, stroke, and chronic obstructive pulmonary disease (COPD) are the leading causes of death and disability worldwide. Although individuals with these conditions have been reported to benefit from yoga, its effectiveness remains unclear. OBJECTIVE: To perform a systematic review of the effectiveness of yoga on exercise capacity, health related quality of life (HRQL), and psychological well-being for individuals with chronic disease and describe the structure and delivery of programs.

Author(s): 
Desveaux, Laura
Lee, Annemarie
Goldstein, Roger
Brooks, Dina
Publication Title: 
BMJ open

OBJECTIVES: Optimal control of type 2 diabetes is challenging in many patient populations including in South Asian patients. We systematically reviewed studies on the effect of diabetes management interventions targeted at South Asian patients with type 2 diabetes on glycaemic control. DESIGN: Systematic review of MEDLINE, EMBASE and CINAHL databases for randomised controlled trials (RCTs) and pre-post-test studies (January 1990 to February 2014). Studies were stratified by where interventions were conducted (South Asia vs Western countries).

Author(s): 
Bhurji, N.
Javer, J.
Gasevic, D.
Khan, N. A.
Publication Title: 
Clinical and Experimental Allergy: Journal of the British Society for Allergy and Clinical Immunology

Evidence suggests that living with asthma is linked with psychological and behavioural factors including self-management and treatment adherence, and therefore, there is a reasonable hypothesis that nonpharmacological treatments may improve health outcomes in people living with this condition. A systematic review of randomized controlled trials (RCTs) of nonpharmacological interventions for adults with asthma was designed. Databases searched included The Cochrane Airways Group Register of trials, CENTRAL and Psychinfo. The literature search was conducted until May 2014.

Author(s): 
Yorke, J.
Fleming, S.
Shuldham, C.
Rao, H.
Smith, H. E.
Publication Title: 
Australian Family Physician

BACKGROUND: Neck pain is a common presentation in general practice. Nevertheless, recommendations for the investigation and management of neck pain lack a strong evidence base and are predominantly extrapolated from low back pain studies. OBJECTIVE: This review provides an investigation and treatment paradigm to help primary care physicians assess and manage cervical spine pain. DISCUSSION: Although sinister causes of neck pain are rare, clinicians must be mindful of red flags that may indicate serious pathology.

Author(s): 
Teichtahl, Andrew J.
McColl, Geoffrey
Publication Title: 
Annales Francaises D'anesthesie Et De Reanimation

Analgesia and hypnosis are two separate entities and should result in distinct assessment and management for patients admitted to an intensive care unit (ICU). Those patients are exposed to moderate-severe pain and they are likely to remember pain as one bothersome experience. Any cause of patient discomfort is sought with the priority given to pain and adequate analgesia. Assessing pain must rely upon the use of clinical scoring systems, although these instruments are still underused in ICU.

Author(s): 
Payen, J.-F.
Chanques, G.
Publication Title: 
European Spine Journal: Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society

PURPOSE: To develop an evidence-based guideline for the management of grades I-III neck pain and associated disorders (NAD). METHODS: This guideline is based on recent systematic reviews of high-quality studies. A multidisciplinary expert panel considered the evidence of effectiveness, safety, cost-effectiveness, societal and ethical values, and patient experiences (obtained from qualitative research) when formulating recommendations. Target audience includes clinicians; target population is adults with grades I-III NAD <6 months duration.

Author(s): 
Côté, Pierre
Wong, Jessica J.
Sutton, Deborah
Shearer, Heather M.
Mior, Silvano
Randhawa, Kristi
Ameis, Arthur
Carroll, Linda J.
Nordin, Margareta
Yu, Hainan
Lindsay, Gail M.
Southerst, Danielle
Varatharajan, Sharanya
Jacobs, Craig
Stupar, Maja
Taylor-Vaisey, Anne
van der Velde, Gabrielle
Gross, Douglas P.
Brison, Robert J.
Paulden, Mike
Ammendolia, Carlo
David Cassidy, J.
Loisel, Patrick
Marshall, Shawn
Bohay, Richard N.
Stapleton, John
Lacerte, Michel
Krahn, Murray
Salhany, Roger
Publication Title: 
Journal of Pain and Symptom Management

CONTEXT: Most cancer patients suffer from both the disease itself and symptoms induced by conventional treatment. Available literature on the clinical effects on cancer patients of acupuncture, Tuina, Tai Chi, Qigong, and Traditional Chinese Medicine Five-Element Music Therapy (TCM-FEMT) reports controversial results. OBJECTIVES: The primary objective of this meta-analysis was to evaluate the effect of acupuncture, Tuina, Tai Chi, Qigong, and TCM-FEMT on various symptoms and quality of life (QOL) in patients with cancer; risk of bias for the selected trials also was assessed.

Author(s): 
Tao, Wei-Wei
Jiang, Hua
Tao, Xiao-Mei
Jiang, Ping
Sha, Li-Yan
Sun, Xian-Ce

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