BMJ : British medical journal
-
Meta Analysis
Comprehensive geriatric assessment for older adults admitted to hospital: meta-analysis of randomised controlled trials.
To evaluate the effectiveness of comprehensive geriatric assessment in hospital for older adults admitted as an emergency. ⋯ Comprehensive geriatric assessment increases patients' likelihood of being alive and in their own homes after an emergency admission to hospital. This seems to be especially true for trials of wards designated for comprehensive geriatric assessment and is associated with a potential cost reduction compared with general medical care.
-
Review Comparative Study
Comparative assessment of implantable hip devices with different bearing surfaces: systematic appraisal of evidence.
To determine comparative safety and effectiveness of combinations of bearing surfaces of hip implants. ⋯ There is limited evidence regarding comparative effectiveness of various hip implant bearings. Results do not indicate any advantage for metal on metal or ceramic on ceramic implants compared with traditional metal on polyethylene or ceramic on polyethylene bearings.
-
Randomized Controlled Trial Comparative Study
Overnight closed loop insulin delivery (artificial pancreas) in adults with type 1 diabetes: crossover randomised controlled studies.
To compare the safety and efficacy of overnight closed loop delivery of insulin (artificial pancreas) with conventional insulin pump therapy in adults with type 1 diabetes. ⋯ These two small crossover trials suggest that closed loop delivery of insulin may improve overnight control of glucose levels and reduce the risk of nocturnal hypoglycaemia in adults with type 1 diabetes. Trial registration ClinicalTrials.gov NCT00910767 and NCT00944619.
-
To develop a formula for allocating resources for commissioning hospital care to all general practices in England based on the health needs of the people registered in each practice ⋯ A model was developed that performed well by international standards, and could be used for allocations to practices for commissioning. The best formulas, however, could predict only about 12% of the variation in next year's costs of most inpatient and outpatient NHS care for each individual. Person-based diagnostic data significantly added to the predictive power of the models.