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1521
Potential diagnostic tools for intensive care unit acquired weakness: A systematic review
Published 2025-06-01“…Results: A total of 38 observational studies were included in the study. In the included studies, the gold standard for intensive care unit-acquired weakness diagnosis include the Medical Research Council score, muscle biopsy and electrophysiologic testing, potential diagnostic tools include the manual muscle test, electrophysiologic testing, imaging, serum inflammatory markers, neuromuscular ultrasound, and other parameters. …”
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1522
Community-based HPV self-collection versus visual inspection with acetic acid in Uganda: a cost-effectiveness analysis of the ASPIRE trial
Published 2018-06-01“…In both arms, VIA was performed at the local health unit by midwives with VIA-positive women receiving immediate treatment with cryotherapy.Design We informed a Monte Carlo simulation model of HPV infection and cervical cancer with screening uptake, compliance and retrospective cost data from the ASPIRE trial; additional cost, test performance and treatment effectiveness data were drawn from observational studies. The model was used to assess the cost-effectiveness of each arm of ASPIRE, as well as an HPV screen-and-treat strategy (‘HPV-ST’) involving community-based self-collected HPV testing followed by treatment for all HPV-positive women at the clinic.Outcome measures The primary outcomes were reductions in cervical cancer risk and incremental cost-effectiveness ratios (ICERs), expressed in dollars per year of life saved (YLS).Results HPV-ST was the most effective and cost-effective screening strategy, reducing the lifetime absolute risk of cervical cancer from 4.2% (range: 3.8%–4.7%) to 3.5% (range: 3.2%–4%), 2.8% (range: 2.4%–3.1%) and 2.4% (range: 2.1%–2.7%) with ICERs of US$130 (US$110–US$150) per YLS, US$240 (US$210–US$280) per YLS, and US$470 (US$410–US$550) per YLS when performed one, three and five times per lifetime, respectively. …”
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1523
Discontinuation of immune checkpoint inhibitors for reasons other than disease progression and the impact on relapse and survival of advanced melanoma patients. A systematic review...
Published 2025-01-01“…Heterogeneity among studies was high, but subgroup analysis based on type of ICI used (anti-CTL4 and anti-PD1 inhibitor or anti-PD1 monotherapy) and type of study (RCTs or observational studies), along with sensitivity analyses did not reveal significant alterations in results.ConclusionDiscontinuation of ICIs in patients without progression is possible. …”
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1524
Benefits, limits, and risks of ChatGPT in medicine
Published 2025-01-01“…While ChatGPT demonstrates significant potential in healthcare transformation, systematic evaluation of its implementation across different healthcare settings reveals varying levels of evidence quality–from robust randomized trials in medical education to preliminary observational studies in clinical practice. This heterogeneity in evidence quality necessitates a structured approach to future research and implementation.…”
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1525
Target trial emulation to evaluate the effect of immune-related adverse events on outcomes in metastatic urothelial cancer
Published 2024-12-01“…The occurrence of immune-related adverse events (irAEs) appears to be associated with improved outcomes in observational studies. However, these associations are likely affected by immortal time bias and do not represent causal effects. …”
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1526
Global comparison of the economic costs of coronary heart disease: a systematic review and meta-analysis
Published 2025-01-01“…We conducted a systematic review with meta-analysis to examine the costs of CHD treatment by region and CHD subtypes, examine whether there are cost difference by sex, and examine costing methodologies.Design We conducted a systematic review and meta-analysis of non-randomised studies.Data sources We searched Medline, Embase, CINAHL, EconLit and Google Scholar from 1 January 2000 to February 2023.Eligibility criteria for selecting studies We included observational studies reporting economic costs of CHD treatment and outcomes for adults that were published in English.Data extraction and synthesis Data extraction and quality assessment were independently undertaken by two reviewers. …”
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1527
Prevalence of post-acute sequelae of SARS-CoV-2 infection in people living with HIV: a systematic review with meta-analysisResearch in context
Published 2025-01-01“…Summary: Background: Given the chronic immune activation and inflammatory milieu associated with Long COVID and HIV, we assessed the prevalence of Long COVID in adults living with HIV; and investigated whether adults living with HIV were associated with increased chance of developing Long COVID compared to adults living without HIV Methods: In this systematic review and meta-analysis, we searched Medline, EMBASE, CINHAL, PubMed and CENTRAL from inception until June 14th, 2024, for observational studies that measured the prevalence of Long COVID in adults living with HIV and the odds of developing Long COVID following a SARS-CoV-2 infection in people living with HIV compared to people living without HIV. …”
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1528
Comparison of fluorescence in situ hybridization (FISH) and urine cytology in diagnosing urothelial carcinoma: a single-center retrospective cohort study
Published 2024-12-01“…The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist and Standards for Reporting of Diagnostic Accuracy (STARD) were followed for this study. …”
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1529
Immunosuppressive therapy and nutritional diseases of patients after kidney transplantation: a systematic review
Published 2025-01-01“…Our search encompasses observational studies (cohort, case–control, cross-sectional) and randomized controlled trials (RCTs), published and unpublished, completed, and ongoing, written in English from the last 10 years (up to 17th February 2023) in the following databases: MEDLINE (via PubMed), EMBASE (Elsevier), Scopus and Web of Science. …”
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1530
Cardiovascular outcomes in long COVID-19: a systematic review and meta-analysis
Published 2025-01-01“…The risk of bias was identified using the Newcastle-Ottawa Scale (NOS) for observational studies. Random-effects meta-analyses examined the pooled risk difference in the prevalence of each symptom or symptom combination in cases with confirmed SARS-coV-2 infection compared with controls.ResultsEight cohort studies were eligible, including nearly 10 million people. …”
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1531
The current state of the quality of homeopathic clinical research
Published 2025-03-01“…Forty percent of studies (79 % of observational studies) did not report on safety. Regarding model validity, fewer than two-thirds of the studies were consistent with homeopathic principles.Our expert panel was mixed on whether the homeopathic research literature was missing important populations and/or conditions, and they suggested a variety of priority areas. …”
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1532
Air pollution exposure and prevalence of non-alcoholic fatty liver disease and related cirrhosis: A systematic review and meta-analysis
Published 2025-01-01“…Results: This review included 14 observational studies (including 7 cohort studies and 7 cross-sectional studies) involving 43,475,41 participants. …”
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1533
Genetic evidence for the causal effects of air pollution on the risk of respiratory diseases
Published 2025-01-01“…However, establishing causal relationships remains challenging due to residual confounding in observational studies. In this study, Mendelian randomization (MR) analysis was used to explore the causal and epigenetic relationships between various air pollutants and common respiratory diseases. …”
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1534
Frailty Assessment Tools in Chronic Kidney Disease: A Systematic Review and Meta-analysis
Published 2025-03-01“…Selection Criteria for Studies: Observational studies and randomized trials. Data Extraction: Risk and precision measurements; measurement properties. …”
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1535
Case Reports: The core of practice-based evidence
Published 2019-07-01“…These standards are the CONSORT Statement [7] for reporting randomized trials, the STROBE guidelines for strengthening the reporting of observational studies in epidemiology [8], PRISMA for reporting items for systematic reviews and meta-analyses [9], the guidelines for reporting adverse events [10] and the ‘CARE Guidelines’ for the Consensus-based Clinical Case Reporting Guideline Development [2]. …”
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1536
Theoretical Organization of Motivations to Attend First Aid Education: Scoping Review
Published 2020-06-01“…Using PRISMA guidelines, we identified existing literature on individual and/or population motivations to participate first aid education and motivational factors to seek education, information, and training to prepare to respond to emergencies from observational studies. The results however did not lend to a cohesive body in which metanalysis could be performed. …”
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1537
Systematic Review of Lay Responders Educational Outcomes to Identify Life-Threatening Bleeding
Published 2022-04-01“…Method: A systematic review process of the PubMed database to identify experimental and observational studies of educational interventions to identify LTB by lay responders. …”
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