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Cochrane Quality and Productivity topics

National Institute for Health and Clinical Excellence (NICE)

NICE summary of Cochrane review conclusions Evidence shows that mechanical bowel preparation is not effective for improving outcomes in patients undergoing elective colorectal surgery and should not be used routinely. It should be reserved for procedures in which intraoperative colonoscopy might be performed or close visualisation of the bowel mucosa is needed. Stopping or reducing the routine use of mechanical bowel preparation in patients undergoing elective colorectal surgery is likely ...

Cochrane Quality and Productivity topics

National Institute for Health and Clinical Excellence (NICE)

NICE summary of review conclusions Limited evidence suggests that oral nimodipine demonstrates increased benefits by reducing the risks of poor outcome and secondary ischaemia, with only modest risks. Evidence shows that the harms of intravenous calcium antagonists for aneurysmal subarachnoid haemorrhage may outweigh the benefits. The intravenous administration of calcium antagonists should not be offered for routine use, given the limited evidence to support its use, higher costs and ...

Cochrane Quality and Productivity topics

National Institute for Health and Clinical Excellence (NICE)

Evidence shows that biofeedback for treating functional faecal incontinence is not effective in children and should not be used. NICE has previously recommended against the use of biofeedback to treat functional constipation; but biofeedback also demonstrates no efficacy in non-retentive functional incontinence. It is appropriate to focus resources on interventions for which there is evidence of efficacy, including other behavioural interventions and laxative use.

Cochrane Quality and Productivity topics

National Institute for Health and Clinical Excellence (NICE)

NICE summary of Cochrane review conclusions. Bariatric surgery for non-alcoholic steatohepatitis in obese patients 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 bariatric surgery for non-alcoholic steatohepatitis in obese patients is likely to improve quality of patient care and result in productivity savings by avoiding unnecessary operations. The ‘Implications for ...

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 brachytherapy, ...