Background: Cranial electrical stimulation (CES) is increasingly popular as a treatment, yet its clinical benefit is unclear.
Purpose: To review evidence about the benefits and harms of CES for adult patients with chronic painful conditions, depression, anxiety, and insomnia.
Data Sources: Several databases from inception to 10 October 2017 without language restrictions and references from experts, prior reviews, and manufacturers.
Background: The correct perioperative management of antiplatelet therapy (APT) in patients undergoing non-cardiac surgery (NCS) is often debated by clinicians. American College of Cardiology (ACC) and American Heart Association (AHA) guidelines recommend postponing elective NCS at least 3 months after stent implantation. Regardless of the timing of surgery, ACC/AHA guidelines recommend continuing at least ASA throughout the perioperative period and ideally continuing dual APT (DAPT) therapy "unless surgery demands discontinuation.
View Article and Find Full Text PDFBackground: Rural areas have historically struggled with shortages of healthcare providers; however, advanced communication technologies have transformed rural healthcare, and practice in underserved areas has been recognized as a policy priority. This systematic review aims to assess reasons for current providers' geographic choices and the success of training programs aimed at increasing rural provider recruitment.
Methods: This systematic review (PROSPERO: CRD42015025403) searched seven databases for published and gray literature on the current cohort of US rural healthcare practitioners (2005 to March 2017).
Importance: Acute low back pain is common and spinal manipulative therapy (SMT) is a treatment option. Randomized clinical trials (RCTs) and meta-analyses have reported different conclusions about the effectiveness of SMT.
Objective: To systematically review studies of the effectiveness and harms of SMT for acute (≤6 weeks) low back pain.
Background: Several risk factors are associated with multiple sclerosis (MS) progression and may be amenable to intervention.
Objective: To systematically review the evidence for interventions targeting risk factors for MS progression.
Methods: We searched six databases and existing reviews till March 2015 and consulted with experts to identify randomized controlled trials (RCTs) of interventions targeting MS risk factors (PROSPERO 2015:CRD42015016461).
Background: The presenting symptoms and rate of progression of multiple sclerosis (MS) are very heterogeneous. The diverse clinical manifestations and the clinical course of the disease may vary with modifiable risk factors.
Objective: To systematically review modifiable risk factors and exposures associated with MS progression.
Background: This evidence map describes the volume and focus of Tai Chi research reporting health outcomes. Originally developed as a martial art, Tai Chi is typically taught as a series of slow, low-impact movements that integrate the breath, mind, and physical activity to achieve greater awareness and a sense of well-being.
Methods: The evidence map is based on a systematic review of systematic reviews.
Importance: Bariatric surgery is associated with sustained weight loss and improved physical health status for severely obese individuals. Mental health conditions may be common among patients seeking bariatric surgery; however, the prevalence of these conditions and whether they are associated with postoperative outcomes remains unknown.
Objective: To determine the prevalence of mental health conditions among bariatric surgery candidates and recipients, to evaluate the association between preoperative mental health conditions and health outcomes following bariatric surgery, and to evaluate the association between surgery and the clinical course of mental health conditions.
Importance: Serious, preventable surgical events, termed never events, continue to occur despite considerable patient safety efforts.
Objective: To examine the incidence and root causes of and interventions to prevent wrong-site surgery, retained surgical items, and surgical fires in the era after the implementation of the Universal Protocol in 2004.
Data Sources: We searched 9 electronic databases for entries from 2004 through June 30, 2014, screened references, and consulted experts.
Background: One driver of increasing health care costs is the use of radiologic imaging procedures. More appropriate use could improve quality and reduce costs.
Purpose: To review interventions that use the computerized clinical decision-support (CCDS) capabilities of electronic health records to improve appropriate use of diagnostic radiologic test ordering.
Background: Patient portals tied to provider electronic health record (EHR) systems are increasingly popular.
Purpose: To systematically review the literature reporting the effect of patient portals on clinical care.
Data Sources: PubMed and Web of Science searches from 1 January 1990 to 24 January 2013.