CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
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Randomized Controlled Trial Comparative Study Clinical Trial
Effectiveness of notification and group education in modifying prescribing of regulated analgesics.
To compare the effectiveness of group education and notification with that of notification alone in modifying prescribing of regulated analgesics. ⋯ Group education and notification of prescriber status as well as notification alone significantly reduced prescribing of regulated analgesics. Hence, feedback on a physician's prescribing pattern may be a practical and less costly alternative to direct educational intervention in moderating the prescribing of regulated analgesics. The results do not, however, imply that notification is as effective as education in improving overall patient care. A follow-up study comparing the duration of the effect of the educational intervention with that of notification alone is warranted.
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Randomized Controlled Trial Clinical Trial
Systematic intervention for elderly inpatients with delirium: a randomized trial.
To assess a systematic intervention in cases of delirium in elderly inpatients. ⋯ The beneficial effects of systematic detection and intervention in cases of delirium in elderly inpatients were small.
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Randomized Controlled Trial Multicenter Study Clinical Trial
Canadian National Breast Screening Study: 1. Breast cancer detection and death rates among women aged 40 to 49 years.
To evaluate the efficacy of the combination of annual screening with mammography, physical examination of the breasts and the teaching of breast self-examination in reducing the rate of death from breast cancer among women aged 40 to 49 years on entry. ⋯ The study was internally valid, and there was no evidence of randomization bias. Screening with yearly mammography and physical examination of the breasts detected considerably more node-negative, small tumours than usual care, but it had no impact on the rate of death from breast cancer up to 7 years' follow-up from entry.
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Randomized Controlled Trial Multicenter Study Clinical Trial
Canadian National Breast Screening Study: 2. Breast cancer detection and death rates among women aged 50 to 59 years.
To evaluate the efficacy of annual mammography over and above annual physical examination of the breasts and the teaching of breast self-examination among women aged 50 to 59 on entry. ⋯ The study was internally valid, and there was no evidence of randomization bias. Screening with yearly mammography in addition to physical examination of the breasts detected considerably more node-negative, small tumours than screening with physical examination alone, but it had no impact on the rate of death from breast cancer up to 7 years' follow-up from entry.
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Randomized Controlled Trial Comparative Study Clinical Trial
Management of urinary retention after surgical repair of hip fracture.
To compare the use of indwelling catheters and intermittent catheterization in the management of urinary retention after surgical repair of hip fractures. ⋯ Satisfactory voiding resumes earlier with the use of intermittent catheterization, if begun at the onset of urinary retention and repeated at regular intervals, than with the use of an indwelling catheter in elderly patients who have undergone surgical repair of hip fractures.