Outcome Assessment (Health Care)

Publication Title: 
Movement Disorders: Official Journal of the Movement Disorder Society

The objective of this review is to assess the clinical evidence for or against acupuncture as a treatment for Parkinson's disease (PD). We searched the literature using 17 databases from their inception to September 2007 (searched again 3rd January 2008), without language restrictions. We included all randomized clinical trials (RCTs) regardless of their design. Methodological quality was assessed using the Jadad score. Eleven RCTs met all inclusion criteria.

Author(s): 
Lee, Myeong Soo
Shin, Byung-Cheul
Kong, Jae Cheol
Ernst, Edzard
Publication Title: 
Musculoskeletal Care

OBJECTIVES: To document physiotherapy provision for patients with knee osteoarthritis (OA) in relation to the United Kingdom (UK) recently published National Institute of health and Clinical Excellence (NICE) guidelines for osteoarthritis. DESIGN: Questionnaire survey of chartered physiotherapists. METHOD: 300 postal questionnaires were distributed to Physiotherapy Departments requesting information regarding source of referrals, treatment aims, preferred methods of treatment and service delivery.

Author(s): 
Walsh, Nicola E.
Hurley, Michael V.
Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

BACKGROUND: The Cochrane Collaboration, an international not-for-profit organization that prepares and maintains systematic reviews of randomized trials of health care therapies, has produced reviews summarizing much of the evidence on Traditional Chinese Medicine (TCM). Our objective was to review the evidence base according to Cochrane systematic reviews. METHODS: In order to detect reviews focusing on TCM, we searched the titles and abstracts of all reviews in Issue 4, 2008 of the Cochrane Database of Systematic Reviews.

Author(s): 
Manheimer, Eric
Wieland, Susan
Kimbrough, Elizabeth
Cheng, Ker
Berman, Brian M.
Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

OBJECTIVE: The purpose of this review is to evaluate the effectiveness of using acupuncture treatment for temporomandibular disorders (TMD) of muscular origin according to research published in the last decade. METHODS: The information was gathered using the MEDLINE, EMBASE, CINAHL, and CISCOM databases.

Author(s): 
La Touche, Roy
Angulo-Díaz-Parreño, Santiago
de-la-Hoz, Jose Luis
Fernández-Carnero, Josue
Ge, Hong-You
Linares, María Teresa
Mesa, Juan
Sánchez-Gutierrez, Jesús
Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

BACKGROUND: Outcome assessment can support the therapeutic process by providing a way to track symptoms and functionality over time, providing insights to clinicians and patients, as well as offering a common language to discuss patient behavior/functioning. OBJECTIVES: In this article, we examine the patient-based outcome assessment (PBOA) instruments that have been used to determine outcomes in acupuncture clinical research and highlight measures that are feasible, practical, economical, reliable, valid, and responsive to clinical change.

Author(s): 
Khorsan, Raheleh
York, Alexandra
Coulter, Ian D.
Wurzman, Rachel
Walter, Joan A. G.
Coeytaux, Remy R.
Publication Title: 
Pain Practice: The Official Journal of World Institute of Pain

OBJECTIVES: There is controversy as to whether or not acupuncture is more effective than placebo. To help clarify this debate, we synthesized the evidence gathered from systematic reviews on the pooled data of high-quality randomized controlled trials comparing acupuncture to sham acupuncture for chronic pain.

Author(s): 
Hopton, Ann
MacPherson, Hugh
Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

INTRODUCTION: Traditional Chinese Medicine (TCM), a modern interpretation of Chinese medicine, developed in the 1950s. It differentiates biomedical diseases into patterns. Each pattern comprises symptom/signs that have their own unique treatment protocol. Most TCM research has used fixed formula treatments for Western-defined diseases with outcomes often measured using objective biomedical markers. More recently, a number of trials have attempted to accommodate TCM clinical practice within the framework of rigorous evidence-based medical research.

Author(s): 
Berle, Christine A.
Cobbin, Deirdre
Smith, Narelle
Zaslawski, Christopher
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Osteoarthritis (OA) is a disease that affects synovial joints, which mainly causes degeneration and destruction of hyaline cartilage. To date, no curative treatment for OA exists. The primary goals for OA therapy are to relieve pain, maintain or improve functional status, and minimize deformity. Transcutaneous electrical nerve stimulation (TENS) is a noninvasive modality in physiotherapy that is commonly used to control both acute and chronic pain arising from several conditions. A number of trials evaluating the efficacy of TENS in OA have been published.

Author(s): 
Osiri, M.
Welch, V.
Brosseau, L.
Shea, B.
McGowan, J.
Tugwell, P.
Wells, G.
Publication Title: 
American Journal of Preventive Medicine

OBJECTIVE: To conduct a systematic review of controlled trials for adolescent smoking cessation. METHODS: Online bibliographic databases were searched as of June 2002, and reference lists from review articles and the selected articles were also reviewed for potential studies. The methodology and findings of all retrieved articles were critically evaluated. Data were extracted from each article regarding study methods, intervention studied, outcomes measured, and results.

Author(s): 
Garrison, Michelle M.
Christakis, Dimitri A.
Ebel, Beth E.
Wiehe, Sarah E.
Rivara, Frederick P.
Publication Title: 
BMC medical research methodology

BACKGROUND: The reasoning behind evaluating medical interventions is that a hierarchy of methods exists which successively produce improved and therefore more rigorous evidence based medicine upon which to make clinical decisions. At the foundation of this hierarchy are case studies, retrospective and prospective case series, followed by cohort studies with historical and concomitant non-randomized controls. Open-label randomized controlled studies (RCTs), and finally blinded, placebo-controlled RCTs, which offer most internal validity are considered the most reliable evidence.

Author(s): 
Walach, Harald
Falkenberg, Torkel
Fønnebø, Vinjar
Lewith, George
Jonas, Wayne B.

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