BMJ : British medical journal
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Randomized Controlled Trial Multicenter Study Comparative Study
Randomised controlled trial of a short course of traditional acupuncture compared with usual care for persistent non-specific low back pain.
To determine whether a short course of traditional acupuncture improves longer term outcomes for patients with persistent non-specific low back pain in primary care. ⋯ Weak evidence was found of an effect of acupuncture on persistent non-specific low back pain at 12 months, but stronger evidence of a small benefit at 24 months. Referral to a qualified traditional acupuncturist for a short course of treatment seems safe and acceptable to patients with low back pain.
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Randomized Controlled Trial Multicenter Study
A randomised controlled trial of acupuncture care for persistent low back pain: cost effectiveness analysis.
To evaluate the cost effectiveness of acupuncture in the management of persistent non-specific low back pain. ⋯ A short course of traditional acupuncture for persistent non-specific low back pain in primary care confers a modest health benefit for minor extra cost to the NHS compared with usual care. Acupuncture care for low back pain seems to be cost effective in the longer term.
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Randomized Controlled Trial Multicenter Study Comparative Study
Immediate computed tomography or admission for observation after mild head injury: cost comparison in randomised controlled trial.
To compare the costs of immediate computed tomography during triage for admission with those of observation in hospital in patients with mild head injury. ⋯ Patients with mild head injury attending an emergency department can be managed more cost effectively with computed tomography rather than admission for observation in hospital.
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Randomized Controlled Trial Multicenter Study
Prevention of postoperative nausea and vomiting by metoclopramide combined with dexamethasone: randomised double blind multicentre trial.
To determine whether 10 mg, 25 mg, or 50 mg metoclopramide combined with 8 mg dexamethasone, given intraoperatively, is more effective in preventing postoperative nausea and vomiting than 8 mg dexamethasone alone, and to assess benefit in relation to adverse drug reactions. ⋯ The addition of 50 mg metoclopramide to 8 mg dexamethasone (given intraoperatively) is an effective, safe, and cheap way to prevent postoperative nausea and vomiting. A reduced dose of 25 mg metoclopramide intraoperatively, with additional postoperative prophylaxis in high risk patients, may be equally effective and cause fewer adverse drug reactions.
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Randomized Controlled Trial Multicenter Study
A cost effectiveness analysis within a randomised controlled trial of post-acute care of older people in a community hospital.
To assess the cost effectiveness of post-acute care for older people in a locality based community hospital compared with a department for care of elderly people in a district general hospital, which admits patients aged over 76 years with acute medical conditions. ⋯ Post-acute care for older people in a locality based community hospital is of similar cost effectiveness to that of an elderly care department in a district general hospital.