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Cochrane Quality and Productivity topics

National Institute for Health and Clinical Excellence (NICE)

"NICE summary of review conclusions

Evidence shows that gabapentin used alone for individuals with acute nociceptive pain is not as effective as other available drugs, and should not be used as a first-line treatment. Reducing or stopping the use of gabapentin as a single first-line agent in the treatment of acute postoperative pain is likely to improve the quality of patient care and increase productivity by ensuring that more effective and less expensive first-line analgesic ...

Cochrane Quality and Productivity topics

National Institute for Health and Clinical Excellence (NICE)

"NICE summary of review conclusions

Pre-transfusion medication with paracetamol or hydrocortisone combined with diphenhydramine (not currently used as an antihistamine in the UK) is not supported by sufficient good quality evidence. Consideration could be given to using pre-transfusion medications only within the context of a research or audit project.

The Implications for practice section of the Cochrane review stated:

We found no evidence that pre-transfusion ...

Cochrane Quality and Productivity topics

National Institute for Health and Clinical Excellence (NICE)

"NICE summary of review conclusions

Use of miniport as opposed to standard ports for laparoscopic cholecystectomy is not currently supported by sufficient good quality evidence. Consideration could be given to using it only within the context of a research or audit project. Reducing or stopping the use of miniports instead of standard ports for laparoscopic cholecystectomy is likely to have an impact on both quality of patient care and productivity.

The Implications for ...

Cochrane Quality and Productivity topics

National Institute for Health and Clinical Excellence (NICE)

"NICE summary of review conclusions

Tracheal gas insufflation for the prevention of morbidity and mortality in mechanically ventilated newborn infants is not supported by sufficient good quality evidence. Consideration could be given to using it only within the context of a research or audit project. Reducing or stopping tracheal gas insufflation for the prevention of morbidity and mortality in mechanically ventilated newborn infants, outside of a research context, is currently ...

Cochrane Quality and Productivity topics

National Institute for Health and Clinical Excellence (NICE)

"NICE summary of review conclusions

The evidence from the systematic review of clinical trials suggests that high dose rate intracavity brachytherapy is comparable with low dose rate brachytherapy in improving tumour control and survival rates for women with cervical carcinoma. The incidence of small bowel complications was slightly higher with high dose rate intracavity brachytherapy but the disadvantage of this complication may be outweighed by the advantages of high dose rate ...