International journal of clinical practice
-
Int. J. Clin. Pract. · Oct 2021
ReviewOverview on the target population and methods used in care pathway projects: A narrative review.
There is evidence that the efficiency and effectiveness of care processes can be improved in all countries. Care pathways (CPs) are proposed as a method to improve the quality of care by reducing variation. During the last decades, CPs have been intensively used in practice. The objective of this study is to examine the study designs for investigating CPs, for which pathologies CPs are used and what the reported indicators to measure the impact of CPs are. ⋯ Based on the relative low number of identified studies compared with the number of CP projects in organisations, we conclude that the CP knowledge is not only found in the literature. We, therefore, argue that (inter)national scientific societies should not only focus on searching and spreading evidence on the content of care but also enhance their knowledge sharing initiatives on the organisation of care processes.
-
Int. J. Clin. Pract. · Oct 2021
ReviewPrognostic impact of comorbidity measures on outcomes following acute coronary syndrome: a systematic review.
To identify existing comorbidity measures and summarise their association with acute coronary syndrome (ACS) outcomes. ⋯ The review summarised different comorbidity measures and reported that higher comorbidity scores were associated with worse ACS outcomes. The CCI is the most widely measure of comorbid burden and shows additive value to clinical risk scores in use.
-
Int. J. Clin. Pract. · Oct 2021
Meta AnalysisOpen nephroureterectomy compared to laparoscopic in upper urinary tract urothelial carcinoma: A Meta-Analysis.
We performed a meta-analysis to evaluate the effects of open nephroureterectomy compared with laparoscopic nephroureterectomy on postoperative results in upper urinary tract urothelial carcinoma subjects. ⋯ Laparoscopic nephroureterectomy in subjects with upper urinary tract urothelial carcinoma may have a longer operation time, shorter hospital stay, lower blood loss, transfusion need and overall complication compared with open nephroureterectomy. Further studies are required to validate these findings.
-
Int. J. Clin. Pract. · Oct 2021
ReviewCommunity pharmacists' management of minor ailments in developing countries: A systematic review of types, recommendations, information gathering and counselling practices.
To conduct a systematic review of the management of minor ailments by community pharmacists in developing countries, and to identify the specific minor ailments encountered, the medications recommended or requested and the information gathering and counselling practices. ⋯ Community pharmacists' encounter with and management of minor ailments appear extensive in developing countries and probably present an opportunity to contribute significantly to reduce disease burden and enhance public health. However, the management process is currently unstructured, unguided by a specific protocol and vary in the quality of recommendations, information gathering and counselling practices.
-
Int. J. Clin. Pract. · Oct 2021
Randomized Controlled TrialComparative evaluation of intravenous dexketoprofen and paracetamol in the management of pain induced by sore throat.
Sore throat is one of the most prevalent causes of emergency visits. The chief purpose of this clinical report is to investigate the effectiveness of intravenous (IV) dexketoprofen and paracetamol drugs relative to each other in relieving the pain induced by sore throat in emergency visits. ⋯ In emergency department, IV dexketoprofen and paracetamol reduced sore throat pain equally, providing similar analgesic efficacy.