نتایج جستجو برای: rand appropriateness method

تعداد نتایج: 1641897  

Journal: :BMC Health Services Research 2006
José Ma Quintana Antonio Escobar Amaia Bilbao

BACKGROUND Consensus techniques have been used previously to create explicit criteria to prioritize cataract extraction; however, the appropriateness of the intervention was not included explicitly in previous studies. We developed a prioritization tool for cataract extraction according to the RAND method. METHODS Criteria were developed using a modified Delphi panel judgment process. A panel...

Journal: :European journal of cancer 2015
Pierre-Adrien Bolze Jocelyne Attia Jérôme Massardier Michael J Seckl Leon Massuger Nienke van Trommel Isa Niemann Touria Hajri Anne-Marie Schott François Golfier

Gestational trophoblastic disease (GTD) is a spectrum of cellular proliferations arising from trophoblast. Their invasive and metastatic potential sometimes requires chemotherapy and/or surgery. Current management is generally associated with favourable prognosis. Therefore, treatments must be chosen according to the desire for further childbearing of each patient. The European Organisation for...

Journal: :JAMA surgery 2014
Savtaj S Brar Alyson L Mahar Lucy K Helyer Carol Swallow Calvin Law Lawrence Paszat Rajini Seevaratnam Roberta Cardoso Robin McLeod Matthew Dixon Lavanya Yohanathan Laercio G Lourenco Alina Bocicariu Tanios Bekaii-Saab Ian Chau Neal Church Daniel Coit Christopher H Crane Craig Earle Paul Mansfield Norman Marcon Thomas Miner Sung Hoon Noh Geoff Porter Mitchell C Posner Vivek Prachand Takeshi Sano Cornelis van de Velde Sandra Wong Natalie G Coburn

IMPORTANCE There is growing interest in reducing the variations and deficiencies in the multidisciplinary management of gastric cancer. OBJECTIVE To define optimal treatment strategies for gastric adenocarcinoma (GC). DESIGN, SETTING, AND PARTICIPANTS RAND/UCLA Appropriateness Method involving a multidisciplinary expert panel of 16 physicians from 6 countries. INTERVENTIONS Gastrectomy, p...

Journal: :Journal of the American College of Radiology : JACR 2017
Sandra L Wootton-Gorges Bruno P Soares Adina L Alazraki Sudha A Anupindi Jeffrey P Blount Timothy N Booth Molly E Dempsey Richard A Falcone Laura L Hayes Abhaya V Kulkarni Sonia Partap Cynthia K Rigsby Maura E Ryan Nabile M Safdar Andrew T Trout Roger F Widmann Boaz K Karmazyn Susan Palasis

The youngest children, particularly in the first year of life, are the most vulnerable to physical abuse. Skeletal survey is the universal screening examination in children 24 months of age and younger. Fractures occur in over half of abused children. Rib fractures may be the only abnormality in about 30%. A repeat limited skeletal survey after 2 weeks can detect additional fractures and can pr...

Journal: :Journal of the American College of Radiology : JACR 2011
Scott R Akers Vandan Panchal Vincent B Ho Garth M Beache Richard K J Brown Brian B Ghoshhajra S Bruce Greenberg Joe Y Hsu Gregory A Kicska James K Min Arthur E Stillman Jadranka Stojanovska Suhny Abbara Jill E Jacobs

In patients with chronic chest pain in the setting of high probability of coronary artery disease (CAD), imaging has major and diverse roles. First, imaging is valuable in determining and documenting the presence, extent, and severity of myocardial ischemia, hibernation, scarring, and/or the presence, site, and severity of obstructive coronary lesions. Second, imaging findings are important in ...

Journal: :Journal of the American College of Radiology : JACR 2013
Martha B Mainiero Linda Moy Paul Baron Aarati D Didwania Roberta M diFlorio Edward D Green Samantha L Heller Anna I Holbrook Su-Ju Lee Alana A Lewin Ana P Lourenco Kara J Nance Bethany L Niell Priscilla J Slanetz Ashley R Stuckey Nina S Vincoff Susan P Weinstein Monica M Yepes Mary S Newell

Breast cancer screening recommendations are based on risk factors. For average-risk women, screening mammography and/or digital breast tomosynthesis is recommended beginning at age 40. Ultrasound (US) may be useful as an adjunct to mammography for incremental cancer detection in women with dense breasts, but the balance between increased cancer detection and the increased risk of a false-positi...

Journal: :Journal of the American College of Radiology : JACR 2016
Sjirk J Westra Boaz K Karmazyn Adina L Alazraki Molly E Dempsey Jonathan R Dillman Matthew Garber Sheila G Moore Molly E Raske Henry E Rice Cynthia K Rigsby Nabile Safdar Stephen F Simoneaux Peter J Strouse Andrew T Trout Sandra L Wootton-Gorges Brian D Coley

The cause of fever in a child can often be determined from history, physical examination, and laboratory tests; infections account for the majority of cases. Yet in 20%, no apparent cause can be found, designated as fever without source (FWS). The yield of chest radiography in children with FWS is low, and it is usually not appropriate. However, in children with respiratory signs, high fever (>...

ابوذر دهقانی, , زهرا کاوسی, , عاطفه اسفندیاری, , غلامرضا فرزانگان, , هدایت سالاری, ,

دریافت: 96/7/12   پذیرش: 96/10/7 چکیده مقدمه: مطالعات نشان می‌دهند درصد قابل‌توجهی از تصویربرداری‌های تشخیصی غیرضروری می‌باشد. هدف از این مطالعه، بررسی مناسبت تجویزهای سی‌تی‌اسکن برای تشخیص علل مهره‌ای کمر درد بیماران مراجعه‌کننده به بیمارستان رفرال ترومای دانشگاه علوم پزشکی شیراز می‌باشد. روش کار: جامعه پژوهش عبارت است از تمام بیمارانی که در سال 1395 برای انجام سی‌تی‌اسکن مهره‌های کمری به بی...

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