BACKGROUND Within a rights-based paradigm, wheelchairs are essential in the promotion of user autonomy, dignity, freedom, inclusion and participation. OBJECTIVES This paper aimed to describe a group of Zimbabwean wheelchair users' satisfaction with wheelchairs, wheelchair services and wheelchair function. METHOD A mixed method, descriptive study was done. Quantitative data was collected fro...

The introduction of the WHO FRAX algorithms has facilitated the assessment of fracture risk on the basis of fracture probability. FRAX integrates the influence of several well validated risk factors for fracture with or without the use of BMD. Its use in fracture risk prediction poses challenges for patient assessment, the development of practice guidelines, the evaluation of drug efficacy and ...

As early as 1989, the legislation that created the Agency for Health Care Policy and Research (now known as the Agency for Health Care Research and Quality) called for the development, periodic review, and update of clinically relevant guidelines. These guidelines could assist physicians, educators, and health care practitioners in determining how diseases, disorders, and other health condition...

BACKGROUND Practice guidelines (PGs) are systematically developed statements intended to assist in patient and practitioner decisions. The AGREE II is the revised tool for PG development, reporting, and evaluation, comprised of 23 items, two global rating scores, and a new User's Manual. In this study, we sought to develop, execute, and evaluate the impact of two internet interventions designed...

BACKGROUND American College of Chest Physicians' (CHEST) new Living Guidelines Model will not only provide clinicians with guidance based on the most clinically relevant and current science but will also allow expert-informed guidance to fill in any gaps in the existing evidence. These guidance documents will be updated, as necessary, using one or more of three processes: (1) evidence-based gui...

BACKGROUND The complexity and quality requirements for the development of clinical practice guidelines steadily increase. Internet technologies support this process by optimizing the development process. OBJECTIVE The aim of this internet based solution was to facilitate the development of clinical practice guidelines. METHODS An internet portal was developed allowing for a shared workplace...

BACKGROUND Despite growing recognition that psychosocial care is an essential component of comprehensive cancer care, evidence suggests many patients with cancer do not receive needed psychosocial care. METHODS Four areas were identified as potentially increasing the number of patients with cancer who receive needed psychosocial care: (1) formulating care standards, (2) issuing clinical pract...

PRESTIGE is a project for applying telematics to assist the dissemination and application of clinical practice guidelines and protocols. Previous publications have described PRESTIGE's technical approach, including the use of a generic model for representing the knowledge content of clinical guidelines. This approach offers the possibility of 'plug-and-play' electronic distribution of clinical ...

On behalf of the American Urological Association, Linthicum, MD, USA Department of Urology, College of Medicine, University of Florida, Gainesville, FL, USA On behalf of the National Institute for Health and Clinical Excellence, London, UK; Department of Urology, Royal Hallamshire Hospital, Sheffield, UK On behalf of Société Internationale d’Urologie, Montreal, Canada; Department of Urologic Su...

Meta-analysis is becoming more popular in the biomedical literature and of increasing importance to clinicians, policy makers, funding bodies, and researchers for synthesizing practice guidelines, grant justification, and making policy decisions. Meta-analysis involves a quantitative analysis of multiple study outcomes to reach conclusions regarding an intervention. Often these studies are diff...