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Cochrane Quality and Productivity topics

National Institute for Health and Clinical Excellence (NICE)

This Cochrane review concludes that there is no convincing evidence to support the routine use of abdominal drains in patients under-going gastrectomy for gastric cancer. The four trials included in the review recruited a total of 438 patients and were of moderate methodological quality. No statistically significant differences were observed between those with and without abdominal drains with regards to the primary outcomes of mortality and post-operative complications, however this evidence ...

Cochrane Quality and Productivity topics

National Institute for Health and Clinical Excellence (NICE)

NICE summary of review conclusions This Cochrane systematic review concluded that there is insufficient evidence to support the routine replacement of patients’ peripheral intravenous catheters every 72 to 96 hours. Clinical teams should inspect catheter insertion sites for signs of infection at each shift change and adopt a policy of replacing catheters only when clinically indicated. Such a policy would lead to significant cost savings and prevent unnecessary discomfort for patients ...

Cochrane Quality and Productivity topics

National Institute for Health and Clinical Excellence (NICE)

NICE summary of review conclusions The review of trials of routine Doppler ultrasound of the baby’s vessels in pregnancy identified five studies involving more than 14,000 women and babies. The studies were not of high quality and were all undertaken in the 1990s. They showed that the use of routine umbilical artery Doppler ultrasound, or a combination of umbilical and uterine artery Doppler ultrasound in lowrisk or unselected populations benefits neither mother nor baby and should not ...

The Canadian Task Force for Preventive Health Care Guidelines

Public Health Agency of Canada, PHAC

The recommendation applies only to children aged 1 to 4 years who are not at high risk for developmental delay, have no signs suggestive of a developmental delay and whose parents or clinicians have no concerns about development. Thus, this recommendation applies to children for whom there is no concern about failure to sequentially acquire age-appropriate developmental milestones for gross and fine motor, social/emotional, language, and cognitive domains. Milestone ages should be based on the ...

The Canadian Task Force for Preventive Health Care Guidelines

Public Health Agency of Canada, PHAC

These recommendations apply to adults aged 18 years and older who are not suspected of having lung cancer. These recommendations do not apply to individuals who have a history of lung cancer, or suspected lung cancer. The CTFPHC based the recommendations on the overall balance between the possible benefits and harms of screening for lung cancer, weighing the potential benefits of early disease detection against the harms of overdiagnosis and invasive follow up testing.