British medical bulletin
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British medical bulletin · Jun 2023
Management of complex regional pain syndrome in trauma and orthopaedic surgery-a systematic review.
Complex regional pain syndrome (CRPS) is a neurological pain disorder that is challenging to diagnose and manage, resulting in increased morbidity and costs. It most commonly occurs following traumatic injury, such as a fracture, crush injury or surgery. Recent research has evaluated the efficacy of treatments which have contradicted previous hypotheses. This systematic review summarizes these findings to improve clinician's decision-making. ⋯ There are few high-quality studies that inform the best treatment modalities for CRPS. Though emerging treatments show promise, further research is needed.
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Chronic low back pain, common from the sixth decade, negatively impacts the quality of life of patients and health care systems. Recently, mesenchymal stem cells (MSCs) have been introduced in the management of degenerative discogenic pain. The present study summarizes the current knowledge on the effectiveness of MSCs in patients with discogenic back pain. ⋯ Further research should define the most effective procedure, trying to standardize a single method.
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British medical bulletin · Apr 2023
ReviewImplementing brief and low-intensity psychological interventions for children and young people with internalizing disorders: a rapid realist review.
Many children fail to receive the mental health treatments they need, despite strong evidence demonstrating efficacy of brief and low-intensity psychological interventions. This review identifies the barriers and facilitators to their implementation. ⋯ Longitudinal studies can identify methods and processes for enhancing long-term implementation and considers ways to monitor and evaluate uptake into routine practice.
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British medical bulletin · Apr 2023
Return to sport or work following surgical management of scapholunate ligament injury: a systematic review.
This systematic review aims to compare the rate and time to return to sport or work following surgical interventions for isolated scapholunate ligament (SLL) injury. ⋯ Prospective, randomized, primary studies are needed to establish optimal treatment for acute isolated SLL injuries.
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British medical bulletin · Apr 2023
ReviewMethods of assessing value for money of UK-based early childhood public health interventions: a systematic literature review.
Economic evaluation has an important role to play in the demonstration of value for money of early childhood public health interventions; however, concerns have been raised regarding their consistent application and relevance to commissioners. This systematic review of the literature therefore aims to collate the breadth of the existing economic evaluation evidence of these interventions and to identify the approaches adopted in the assessment of value. ⋯ Future resource allocations decisions regarding early childhood public health interventions may benefit from consistency in the evaluative frameworks and health outcomes captured, as well as consistency in approaches to incorporating non-health costs and outcomes, incorporating equity concerns and the use of appropriate time horizons.