Nederlands tijdschrift voor geneeskunde
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Ned Tijdschr Geneeskd · Jan 2013
Multicenter Study Meta Analysis[Improved end-of-life care for patients with dementia: greater family satisfaction and possibly greater end-of-life comfort].
To analyse possible trends in families' evaluations of the quality of end-of-life care and the quality of dying in dementia. ⋯ We found a positive trend of increased satisfaction with end-of-life care. Families also reported a possible increase in residents' end-of-life comfort. Ongoing surveillance of outcomes measuring end-of-life quality is important in view of the increasing healthcare budget constraints.
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Ned Tijdschr Geneeskd · Jan 2010
Review Meta Analysis[Treatment of tension type headache: paracetamol and NSAIDs work: a systematic review].
Tension-type headache (TTH), also known as tension headache or muscle contraction headache is the most commonly experienced type of headache. Our aim was to evaluate the effectiveness of interventions in patients with TTH. ⋯ The evidence in this review suggests that NSAIDs and acetaminophen are both effective for short-term pain relief in patients with TTH. No specific type of NSAID was clearly more effective than others, but ibuprofen showed fewer side effects. There is insufficient evidence to either support or refute the effectiveness of preventive medication, physiotherapy, (spinal) manipulation, EMG biofeedback or cognitive behavioural treatment in patients with TTH.
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Ned Tijdschr Geneeskd · Dec 2007
Meta Analysis[Cinnamon: not suitable for the treatment of diabetes mellitus].
To identify published studies evaluating the effects of cinnamon on glycaemic control. ⋯ Based on the currently available evidence, cinnamon should not be recommended for the improvement ofglycaemic control.
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Ned Tijdschr Geneeskd · Sep 2007
Meta Analysis[Relationship between volume and quality of care for surgical interventions; results of a literature review].
To examine the relationship between the number of procedures performed per hospital or per surgeon and health care outcomes. ⋯ Volume appears to be related to quality for some surgical procedures. The magnitude of the relationship differs depending on the procedure. For technically less complex procedures, organisation within the hospital appears to have a greater influence on the differences between hospitals than the performing surgeon.
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Ned Tijdschr Geneeskd · Nov 2006
Review Meta Analysis[From the Cochrane Library: wearing compression stockings during long-distance flights reduces the risk of asymptomatic deep-vein thrombosis].
A recent Cochrane systematic review assessed the effects of wearing compression stockings during long-distance flights on the risk of deep-vein thrombosis (DVT). Ten randomised trials were included, 9 of which compared wearing compression stockings on both legs during the whole flight (at least 7 hours) with not wearing compression stockings. ⋯ Wearing stockings had a significant impact in reducing oedema of the lower legs. No significant adverse effects of wearing stockings were reported.