Review
Public, Environmental & Occupational Health
Xiaoyu Li, Qiao Yuan, Liangrong Geng, Zhiqi Chen, Rui Zhang, Liqun Guo, Shujin Yue
Summary: This study assesses the quality of CPGs for ostomy care and analyzes the current status and challenges of guideline development. The findings indicate that the overall quality of the assessed CPGs is good, but there is still room for improvement, particularly in terms of applicability.
FRONTIERS IN PUBLIC HEALTH
(2022)
Review
Anesthesiology
Jake S. Engel, Jason Tran, Noha Khalil, Emily Hladkowicz, Manoj M. Lalu, Allen Huang, Camilla L. Wong, Brian Hutton, Jugdeep K. Dhesi, Daniel I. McIsaac
Summary: This systematic review aimed to identify and synthesize clinical practice guidelines (CPGs) for perioperative care specific to frail older adults. The study found that despite the increasing number of frail patients, there is a lack of guidelines addressing frailty-specific perioperative care. Therefore, high-quality primary research is needed to establish future guidelines.
BRITISH JOURNAL OF ANAESTHESIA
(2023)
Article
Orthopedics
Deepa Jeevanantham, Venkadesan Rajendran, Zachary McGillis, Line Tremblay, Celine Lariviere, Andrew Knight
Summary: This guideline provides recommendations for physical therapists managing multiple myeloma patients based on physiological markers, complete patient presentation, and the stage of medical treatment. Developed through a systematic review and consensus process, these guidelines aim to optimize rehabilitation outcomes by filling an important knowledge gap in the field.
Article
Medicine, General & Internal
Anne Seyferth, Meghan N. Cichocki, Chien-Wei Wang, Yun-Ju Huang, Yi-Wei Huang, Jung-Sheng Chen, Chang-Fu Kuo, Kevin C. Chung
Summary: This cohort study on patients with rheumatoid arthritis (RA) found downstream associations with rheumatologist referral and receiving disease-modifying antirheumatic drugs (DMARDs), as well as varied associations between meeting quality care markers and patient characteristics. These findings suggest that prioritizing early care, especially for vulnerable patients, will ensure the continuity of quality care.
Article
Economics
Kahina Soltana, Lynne Moore, Samy Bouderba, Francois Lauzier, Julien Clement, Eric Mercier, Radoslav Krouchev, Pier-Alexandre Tardif, Amina Belcaid, Thomas Stelfox, Francois Lamontagne, Patrick Archambault, Alexis Turgeon
Summary: This study aimed to identify low-value clinical practices in injury care, assess their frequencies, and evaluate interhospital variations using trauma registry data. Results showed poor adherence to CPG recommendations for low-value CT imaging and high practice variation for decompressive craniectomy. However, adherence to recommendations for other low-value practices was high, indicating potential for interventions targeting reductions in healthcare overuse in this population.
Article
Endocrinology & Metabolism
Basilio Pintaudi, Alessia Scatena, Gabriella Piscitelli, Vera Frison, Salvatore Corrao, Valeria Manicardi, Giusi Graziano, Maria Chiara Rossi, Marco Gallo, Domenico Mannino, Antonio Nicolucci, Paolo Di Bartolo
Summary: The study analyzed data from 258 Italian diabetes centers and found that a large number of T1D patients are at high or very high cardiovascular risk levels, with antihypertensive and lipid-lowering treatments not being adequately utilized. The quality of care decreases as the cardiovascular risk level increases.
DIABETES RESEARCH AND CLINICAL PRACTICE
(2021)
Review
Health Care Sciences & Services
Yasser S. Amer, Maher A. Titi, Mohammad W. Godah, Hayfaa A. Wahabi, Layal Hneiny, Manal Mohamed Abouelkheir, Muddathir H. Hamad, Ghada Metwally ElGohary, Mohamed Ben Hamouda, Hella Ouertatani, Pamela Velasquez-Salazar, Jorge Acosta-Reyes, Samia M. Alhabib, Samia Ahmed Esmaeil, Zbys Fedorowicz, Ailing Zhang, Zhe Chen, Sarah Jayne Liptrott, Niccolo Frungillo, Amr A. Jamal, Sami A. Almustanyir, Newman Ugochukwu Dieyi, John Powell, Katrina J. Hon, Rasmieh Alzeidan, Majduldeen Azzo, Sara Zambrano-Rico, Paulina Ramirez-Jaramillo, Ivan D. Florez
Summary: The study aimed to systematically evaluate clinical practice guidelines for managing critically ill COVID-19 patients using the AGREE II instrument. 71 CPGs were included, with most showing low overall quality. Future CPGs for COVID-19 should rely on standard evidence-based methods and tools for development.
JOURNAL OF CLINICAL EPIDEMIOLOGY
(2022)
Review
Genetics & Heredity
Erik Boot, Solveig Oskarsdottir, Joanne C. Y. Loo, Terrence Blaine Crowley, Ani Orchanian-Cheff, Danielle M. Andrade, Jill M. Arganbright, Rene M. Castelein, Christine Cserti-Gazdewich, Steven de Reuver, Ania M. Fiksinski, Gunilla Klingberg, Anthony E. Lang, Maria R. Mascarenhas, Edward M. Moss, Beata Anna Nowakowska, Erwin Oechslin, Lisa Palmer, Gabriela M. Repetto, Nikolai Gil D. Reyes, Maude Schneider, Candice Silversides, Kathleen E. Sullivan, Ann Swillen, Therese A. M. J. van Amelsvoort, Jason P. Van Batavia, Claudia Vingerhoets, Donna M. McDonald-McGinn, Anne S. Bassett
Summary: The clinical practice guidelines for managing adults with 22q11.2 deletion syndrome (22q11.2DS) were updated through a stepwise process involving expert clinicians worldwide. The recommendations were formulated based on systematic literature review, clinical expert synthesis, and patient advocate survey results. The limited evidence base necessitates multidisciplinary recommendations as the current best practice in this evolving field.
GENETICS IN MEDICINE
(2023)
Review
Medicine, General & Internal
Lucia Kantorova, Jiri Kantor, Jiri Buril, Petra Burilova, Simona Slezakova, Tomas Necas, Miloslav Klugar
Summary: This study aims to critically appraise clinical practice guidelines for perioperative care using the AGREE II instrument and investigate the use of the GRADE approach.
Article
Surgery
Satchithanantham Vinojan, Thushan D. Gooneratne, Christopher P. Twine, Robert J. Hinchliffe
Summary: This study evaluated the CPGs from ESVS using the AGREE II instrument. The majority of ESVS clinical guidelines were found to be of high quality and reporting, although there is room for improvement.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2023)
Article
Pediatrics
Yali Liu, Yuan Zhang, Shu Wang, Ling Liu, Gang Che, Jiahui Niu, Yuan Ma
Summary: The study evaluated the quality of pediatric clinical practice guidelines published in recent years, finding an overall improvement in quality but still a need for many guidelines to be improved. Factors such as being formulated by developing countries or regions, lacking organization responsibility, and using non-evidence-based methods may be associated with lower quality in CPGs.
Article
Ophthalmology
Rajendra Gyawali, Melinda Toomey, Fiona Stapleton, Lisa Dillon, Barbara Zangerl, Lisa Keay, Isabelle Jalbert
Summary: The 2019 AOA clinical practice guideline showed high quality overall and in most domains, but improvement is needed in the domain of applicability. Significant improvements were noted in the rigour of development domain compared to the 2014 guideline, highlighting areas for further enhancement, particularly in guideline implementation.
OPHTHALMIC AND PHYSIOLOGICAL OPTICS
(2021)
Review
Medical Informatics
Dipak Kotecha, Folkert W. Asselbergs, Stephan Achenbach, Stefan D. Anker, Dan Atar, Colin Baigent, Amitava Banerjee, Birgit Beger, Gunnar Brobert, Barbara Casadei, Cinzia Ceccarelli, Martin R. Cowie, Filippo Crea, Maureen Cronin, Spiros Denaxas, Andrea Derix, Donna Fitzsimons, Martin Fredriksson, Chris P. Gale, Georgios Gkoutos, Wim Goettsch, Harry Hemingway, Martin Ingvar, Adrian Jonas, Robert Kazmierski, Susanne Logstrup, R. Thomas Lumbers, Thomas F. Luescher, Paul McGreavy, Ileana L. Pina, Lothar Roessig, Carl Steinbeisser, Mats Sundgren, Benoit Tyl, Ghislaine van Thiel, Kees van Bochove, Panos E. Vardas, Tiago Villanueva, Marilena Vrana, Wim Weber, Franz Weidinger, Stephan Windecker, Angela Wood, Diederick E. Grobbee
Summary: Big data plays a crucial role in advancing global clinical science for the betterment of patient lives. This article introduces the CODE-EHR framework as a minimum standards guideline for researchers and clinicians to improve study design and enhance transparency in research methods, aiming to facilitate robust and effective utilization of healthcare data.
LANCET DIGITAL HEALTH
(2022)
Article
Pharmacology & Pharmacy
Xiuli Xie, Yangyang Wang, Hui Li
Summary: This study adjusted and expanded the AGREE II instrument to create a version suitable for Traditional Chinese Medicine (TCM) clinical practice guidelines. This version can assess the methodological quality of TCM guidelines and support the standardization of TCM guideline formulation procedures and methods.
FRONTIERS IN PHARMACOLOGY
(2023)
Review
Multidisciplinary Sciences
Eric Tornu, Portia Jordan, Michael Mccaul
Summary: This study aims to review clinical or best practice guidelines that provide recommendations for professional nurses to provide self-management support to adults with tuberculosis-HIV coinfection in primary healthcare settings. The study found a lack of updated and relevant high-quality guidelines to guide healthcare professionals in providing self-management support for this population.
Article
Primary Health Care
Moira Stewart, Martin Fortin, Judith Belle Brown, Bridget L. Ryan, Pauline Pariser, Jocelyn Charles, Thuy-Nga Pham, Pauline Boeckxstaens, Sonja M. Reichert, G. Y. Zou, Onil Bhattacharya, Alan Katz, Helena Piccinini-Vallis, Tara Sampalli, Sabrina T. Wong, Merrick Zwarenstein
Summary: The study aimed to evaluate the effectiveness of a provider-created, patient-centred, multi-provider case conference, showing the need to optimize intervention measures to better support patients and suggesting the importance of considering components not covered by existing health policies in interventions.
BRITISH JOURNAL OF GENERAL PRACTICE
(2021)
Article
Primary Health Care
Martin Fortin, Moira Stewart, Patrice Ngangue, Jose Almirall, Mathieu Belanger, Judith Belle Brown, Martine Couture, Frances Gallagher, Alan Katz, Christine Loignon, Bridget L. Ryan, Tara Sampalli, Sabrina T. Wong, Merrick Zwarenstein
Summary: This study evaluated the effectiveness of a 4-month interdisciplinary intervention for patients with multimorbidity in primary care practices. The quantitative analysis showed a neutral effect on the primary outcomes but significant improvement in two health behaviors. Qualitative evaluation revealed that patients reinforced their self-efficacy and improved their self-management, diverging from the quantitative results. The combination of qualitative and quantitative designs proved to be effective in evaluating the complex intervention.
ANNALS OF FAMILY MEDICINE
(2021)
Article
Health Care Sciences & Services
Maxime Sasseville, Maud-Christine Chouinard, Martin Fortin
Summary: Participants in the study described a wide range of outcome constructs, which were relevant and observable by patients, aligning with clinical reality.
HEALTH AND QUALITY OF LIFE OUTCOMES
(2021)
Article
Health Care Sciences & Services
Jerry Suls, Elizabeth A. Bayliss, Jay Berry, Arlene S. Bierman, Elizabeth A. Chrischilles, Tilda Farhat, Martin Fortin, Siran M. Koroukian, Ana Quinones, Jeffrey H. Silber, Brian W. Ward, Melissa Wei, Deborah Young-Hyman, Carrie N. Klabunde
Summary: This study reviewed various instruments and data sources available for assessing multimorbidity and provided guidance on selecting appropriate measures. The results included common purposes for multimorbidity measurement, advantages and disadvantages of different data sources, and characteristics of the measures.
Article
Public, Environmental & Occupational Health
Eng Sing Lee, Poay Sian Sabrina Lee, Ying Xie, Bridget L. Ryan, Martin Fortin, Moira Stewart
Summary: This study aimed to compare the prevalence of multimorbidity using two different lists of chronic conditions in a primary care setting. The number of patients with multimorbidity increased with age, and the prevalence rates were slightly higher using the Fortin list compared to the CDMP list. Sex-stratified, age-ethnicity standardised prevalence rates for multimorbidity were consistently higher in males compared to females for both lists, with Chinese and Indians having the highest standardised prevalence rates among the four ethnicities.
Article
Health Care Sciences & Services
Maxime Sasseville, Maud-Christine Chouinard, Martin Fortin
Summary: With a modified Delphi technique, consensus was reached on the content of a novel patient-reported outcome measure adapted for individuals with multimorbidity, including 50 relevant, improvable, and self-ratable items categorized under 16 constructs. The consensus attainment process excluded three constructs and their items related to awareness, weight control, and social integration. More interventions tailored to multimorbidity warrant a valid measure of effectiveness.
QUALITY OF LIFE RESEARCH
(2021)
Review
Medicine, General & Internal
Susan M. Smith, Emma Wallace, Barbara Clyne, Fiona Boland, Martin Fortin
Summary: Despite the significant challenges posed by multimorbidity, there is still uncertainty surrounding the most effective interventions for managing patients with multiple chronic conditions. The review found little evidence of improvements in health-related quality of life and mental health, highlighting the need for further research in this area.
SYSTEMATIC REVIEWS
(2021)
Review
Medicine, General & Internal
Martin Fortin, Moira Stewart, Jose Almirall, Priscilla Beaupre
Summary: This article synthesizes and analyzes recent RCTs on multimorbidity, finding no differences in primary outcomes but differences in secondary outcomes between intervention and control groups. The complexity of interventions suggests that alternative designs should be considered, with attention to outcome measures and equity issues.
FRONTIERS IN MEDICINE
(2022)
Article
Primary Health Care
Helene Carrier, Anna Zaytseva, Aurelie Bocquier, Patrick Villani, Martin Fortin, Pierre Verger
Summary: This study investigated the opinions and attitudes of French general practitioners (GPs) towards interprofessional cooperation in the management of patients with multimorbidity and polypharmacy. Four different profiles of GPs were identified based on their attitudes towards cooperation, with varying levels of willingness to collaborate with other healthcare professionals. The study also found associations between these profiles and the characteristics of the GPs, such as age and participation in continuing medical education.
EUROPEAN JOURNAL OF GENERAL PRACTICE
(2022)
Article
Medicine, General & Internal
Justine Benoit-Piau, Karine Tremblay, Alain Piche, Frederic Dallaire, Mathieu Belanger, Marc-Andre d'Entremont, Jean-Charles Pasquier, Martin Fortin, Catherine Bourque, Fanny Lapointe, Jean-Francois Betala-Belinga, Genevieve Petit, Guillaume Jourdan, Renata Bahous, Camilo Maya, Amira Benzina, Muhammad Faiyaz Hossain, Marie-Audrey Peel, Olivier Houle, Marie-Sandrine Auger, Antoine Rioux, Paul Farand
Summary: This study aimed to assess the outcome, risk factors, and impact on work and mental health associated with post-COVID-19 symptoms. The results showed that almost half of the participants still experienced persistent symptoms after acute infection, and female sex, higher number and severity of symptoms, and pre-existing mental health conditions were identified as risk factors for post-COVID-19 symptoms. Having post-COVID-19 symptoms negatively affected health-related quality of life and increased the likelihood of psychological distress and fatigue.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Primary Health Care
Matthew Menear, Arnaud Duhoux, Myreille Bedard, Jean-Sebastien Paquette, Marie Baron, Mylaine Breton, Simon Courtemanche, Savannah Dube, Stefany Dufour, Martin Fortin, Ariane Girard, Emilie Larouche-Cote, Audrey L'Esperance, Annie LeBlanc, Marie-Eve Poitras, Sophie Rivet, Maxime Sasseville, Amelie Achim, Patrick Archambault, Virtue Bajurny, Judith Belle Brown, Jean-Daniel Carrier, Nancy Cote, Yves Couturier, Maman Joyce Dogba, Marie-Pierre Gagnon, Sergio Cortez Ghio, Emily Gard Marshall, Anita Kothari, Marie-Therese Lussier, Frances S. Mair, Susan Smith, Brigitte Vachon, Sabrina Wong
Summary: This study aims to improve understanding of the care experiences of people with mental-physical multimorbidity during the COVID-19 pandemic and identify strategies to enhance these experiences. The study will be conducted in four phases, including qualitative interviews, journey mapping exercises, an online survey, and deliberative dialogues. The results of this study will provide valuable evidence on the impacts of the pandemic on care experiences and inform strategies for improving care delivery.
Article
Primary Health Care
Judith B. Brown, Sonja M. Reichert, Pauline Boeckxstaens, Moira Stewart, Martin Fortin
Summary: This study describes how the needs of vulnerable patients with multimorbidity are identified and provided care during an innovative one-hour consultation.
Article
Medicine, General & Internal
Patrice Ngangue, Judith Belle Brown, Catherine Forgues, Mohamed Ali Ag Ahmed, Tu Ngoc Nguyen, Maxime Sasseville, Christine Loignon, Frances Gallagher, Moira Stewart, Martin Fortin
Summary: This study identified key elements impacting the implementation of the patient-centred care interdisciplinary pragmatic intervention for patients with multimorbidity, including intervention characteristics, outer setting, inner setting, characteristics of managers and healthcare professionals, and the implementation process. The findings provide insights for practices, researchers, and policymakers interested in implementing disease prevention and management programmes for individuals with multiple chronic conditions in primary care settings.
Correction
Primary Health Care
M. Fortin, J. Pereira, B. Hutchison, V. R. Ramsden, M. Menear, D. Snelgrove
CANADIAN FAMILY PHYSICIAN
(2021)
Article
Primary Health Care
Martin Fortin, Jose Pereira, Brian Hutchison, Vivian R. Ramsden, Matthew Menear, Deirdre Snelgrove
Summary: Blueprint 2, a 5-year strategic plan launched by the Section of Researchers (SOR) in 2018, was co-created by various stakeholders from Canada and led by the SOR Council (SORC). It focuses on four strategic priority areas: membership, capacity building, advocacy, and partnerships, with the aim of promoting research and quality improvement within the family medicine field.
CANADIAN FAMILY PHYSICIAN
(2021)