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Cochrane Quality and Productivity topics

Evidenceaid

The authors found that immunisation outreach, either alone or in conjunction with non-monetary incentives or health education, was likely to have increased full vaccination uptake among children under the age of five years. Health education may result in more children receiving three doses of the diphtheria-tetanus-pertussis (DTP3) vaccine. The use of specially designed immunisation cards may increase DTP3 uptake. However, reminder interventions such as phone calls and text messages had little ...

Evidencias COVID-19

Evidence Aid

Systemic JAK inhibitors reduced all-cause mortality in hospitalized patients with moderate to severe COVID-19 infection. Treatment with JAK inhibitors may prevent clinical deterioration and decrease the risk of serious adverse events. JAK inhibitors had little or no impact on the rate of adverse events or the rate of hospital-acquired infections. The authors did not identify any studies evaluating JAK inhibitors in people with asymptomatic or mild COVID-19. Further research was needed on the ...

Less Is More Collection - JAMA Network

Less is More JAMA collection

In this Cochrane systematic review, the authors searched for randomised controlled trials that compared wound cleansing with tap, distilled, or boiled water to no cleansing or to cleansing with other solutions (such as cooled boiled water or saline). It was unclear whether cleansing with tap water, distilled water, cooled boiled water, saline, or no cleansing had an effect on the number of wounds that became infected. It was also unclear whether they have an effect on wound healing, costs, ...

NICE

NICE

Evidence from clinical trials and observational studies suggests that the procedure reduces the risk of lymphoedema after axillary node dissection in people with breast cancer. It also suggests that there are no major safety concerns. While there are some limitations in the evidence, overall it is considered adequate. So, it can be used with special arrangements for breast cancer. The evidence for the procedure's efficacy in other cancers is more limited. Also, there are some safety concerns ...

Less Is More Collection - JAMA Network

Less is More JAMA collection

It is recommended to stop prioritizing “discharge before noon” as a goal to improvehospital flow, and focus on patient‐specific discharge goals. Hospital systems should use a systems‐based approach, includingqueuing theory and mathematical modeling, to optimize patient flow. It is recommended, then, to design and perform thoughtful multicenter studies to evaluate theimpact of various interventions on hospital flow. Prioritizing “discharge before noon” is another example of a ...