Outcome and Process Assessment (Health Care)

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

OVERVIEW AND METHODS: This paper discusses those medical conditions in which clinical trials of acupuncture have been conducted, and where meta-analyses or systematic reviews have been published. It focuses on the general conclusions of these reviews by further examining official reviews conducted in the United States, United Kingdom, Europe, and Canada each of which examined available systematic reviews.

Author(s): 
Birch, Stephen
Hesselink, Jan Keppel
Jonkman, Fokke A. M.
Hekker, Thecla A. M.
Bos, Aat
Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

There is almost universal agreement that the quality of clinical trials of acupuncture is poor. There is an urgent need to improve their quality. The author develops here a list of 45 criteria important in the design, implementation, and writing up of controlled clinical acupuncture trials. This list has been compiled after examining the quality assessment criteria used in meta-analyses and systematic reviews of acupuncture, general publications on clinical trial designs and methodological considerations specific to acupuncture trials.

Author(s): 
Birch, Stephen
Publication Title: 
Physical Therapy

BACKGROUND: Clinical course and outcome connected to rehabilitation after hip or knee arthroplasty have been studied extensively, but few studies have assessed the content of team rehabilitation care for these patients. OBJECTIVE: The purpose of this study was to provide a thorough description of the structure, process, and outcome of team rehabilitation care for patients with hip or knee arthroplasty for osteoarthritis. DESIGN: This was a multicenter, longitudinal observational study.

Author(s): 
Grotle, Margreth
Garratt, Andrew M.
Klokkerud, Mari
Løchting, Ida
Uhlig, Till
Hagen, Kåre B.
Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

BACKGROUND: There have been several systematic reviews attempting to evaluate the efficacy of possible treatments for myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) and fibromyalgia (FM). However, information regarding the efficacy of complementary and alternative medicine (CAM) has not been comprehensively or systematically covered in these reviews, despite its frequent use in the patient community. PURPOSE: The purpose of this study was to systematically review and evaluate the current literature related to alternative and complementary treatments for ME/CFS and FM.

Author(s): 
Porter, Nicole S.
Jason, Leonard A.
Boulton, Aaron
Bothne, Nancy
Coleman, Blair
Publication Title: 
Prescrire International

(1) Acupuncture has been assessed in hundreds of published comparative trials involving thousands of patients in a variety of situations. (2) Most of these trials are handicapped by their poor methodological quality. (3) Systematic reviews have found evidence of specific benefit in the treatment of nausea and vomiting, both postoperatively and during pregnancy. Unfortunately, the practical implications of these results are limited, notably because various methods were used to stimulate the relevant acupuncture points (needle insertion, finger pressure, electrical stimulation).

Publication Title: 
Acupuncture in Medicine: Journal of the British Medical Acupuncture Society

For 10 years, our unit has intensively researched the efficacy and safety of acupuncture. This is a brief summary of our work in this area. Specifically, it deals with the development of a sham needle, with various systematic reviews and prospective studies in the area of safety, and with our clinical trials and systematic reviews on efficacy. We also hope in the future that we will be able to contribute to the understanding of acupuncture as a therapeutic modality.

Author(s): 
Ernst, E.
Publication Title: 
Physical Therapy

BACKGROUND: Clinical course and outcome connected to rehabilitation after hip or knee arthroplasty have been studied extensively, but few studies have assessed the content of team rehabilitation care for these patients. OBJECTIVE: The purpose of this study was to provide a thorough description of the structure, process, and outcome of team rehabilitation care for patients with hip or knee arthroplasty for osteoarthritis. DESIGN: This was a multicenter, longitudinal observational study.

Author(s): 
Grotle, Margreth
Garratt, Andrew M.
Klokkerud, Mari
Løchting, Ida
Uhlig, Till
Hagen, Kåre B.
Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

BACKGROUND: There have been several systematic reviews attempting to evaluate the efficacy of possible treatments for myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) and fibromyalgia (FM). However, information regarding the efficacy of complementary and alternative medicine (CAM) has not been comprehensively or systematically covered in these reviews, despite its frequent use in the patient community. PURPOSE: The purpose of this study was to systematically review and evaluate the current literature related to alternative and complementary treatments for ME/CFS and FM.

Author(s): 
Porter, Nicole S.
Jason, Leonard A.
Boulton, Aaron
Bothne, Nancy
Coleman, Blair
Publication Title: 
Journal of Oral Rehabilitation

This systematic review (SR) synthesises recent evidence and assesses the methodological quality of published SRs in the management of temporomandibular disorders (TMD). A systematic literature search was conducted in the PubMed, Cochrane Library, and Bandolier databases for 1987 to September 2009. Two investigators evaluated the methodological quality of each identified SR using two measurement tools: the assessment of multiple systematic reviews (AMSTAR) and level of research design scoring.

Author(s): 
List, T.
Axelsson, S.
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

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