Evidence based practice updates - 27 September 2012
New guidelines, research and other tools and updates on evidence based techniques and processes from across the UK. For more information about this theme see Quality and Safety e-Bulletin: evidence based practice.
Some of the resources linked to are in PDF format - see how to access PDF files.
BMC Public Health: Health- related quality of life in diabetic people with different vascular risk. “The number of papers on the health related quality of life of patients with DM has grown in recent years but fewer studies have drawn comparisons between diabetic persons and the general population considering different risk groups. The aim of this study is to examine health related quality of life (HRQOL) in people with diabetes mellitus (DM) and to analyze the differences in HRQOL adjusting by vascular risk.”
BMC Public Health: Pre-pregnancy care for women with pre-gestational diabetes mellitus: a systematic review and meta-analysis. “Pre-gestational diabetes mellitus is associated with increased risk for maternal and fetal adverse outcomes. This systematic review was carried out to evaluate the effectiveness and safety of pre-pregnancy care in improving the rate of congenital malformations and perinatal mortality for women with pre-gestational diabetes mellitus.”
BMJ: Prediction models for risk of developing type 2 diabetes: systematic literature search and independent external validation study. This study aimed to identify existing prediction models for the risk of development of type 2 diabetes and to externally validate them in a large independent cohort. “ Most basic prediction models can identify people at high risk of developing diabetes in a time frame of five to 10 years. Models including biomarkers classified cases slightly better than basic ones. Most models overestimated the actual risk of diabetes. Existing prediction models therefore perform well to identify those at high risk, but cannot sufficiently quantify actual risk of future diabetes.”
Cancer Research: Cancer death rates continue to fall. New data forecasts that the proportion of people who die from cancer will continue to fall over the next 18 years.
Cancer mortality projections.
Guardian: New guidance sets out public health recommendations for councils. Local government is preparing to take on a wider remit for public health from April next year, so the National Institute for Health and Clinical Excellence (Nice), which oversees clinical practice, is preparing information to assist councillors and local authority staff in finding out which public health policies are most effective in improving health while providing the best value for money.
Health and Social Care Information Centre (HSCIC): Smoking, Drinking and Drug Use Among Young People in England: Survey Consultation. This consultation aims to engage with the users of the Smoking, Drinking and Drug Use Among Young People in England (SDD) publication to develop a more complete understanding of the use made of this data and to ensure the survey continues to be relevant and meaningful to the needs of users. The consultation closes on 17 December 2012.
Health Foundation Research Scan: Latest scan – August 2012. Each month the Health Foundation searches more than 40,000 journals to pick out what are felt to be the most important studies about improving quality in healthcare.
Health Research Authority: Health Research Authority to take role in research access to patient data. The Department of Health has announced that advice functions on use of data will transfer to the HRA when the National Information Governance Board (NIGB) closes in March 2013.
Implementation Science: Factors influencing the implementation of fall prevention programmes: a systematic review and synthesis of qualitative studies. “More than a third of people over the age of 65 years fall each year. Falling can lead to a reduction in quality of life, mortality, and a risk of prolonged hospitalisation. Reducing and preventing falls has become an international health priority.” This systematic review and synthesis of qualitative research aims to identify what factors serve as barriers and facilitators to the successful implementation of fall-prevention programmes.
National Nursing Research Unit (NNRU), King’s College London: Policy+ review. This collection of thirty five issues of Policy+ brings together evidence, review and reflection on pertinent nursing issues and celebrates 35 years of nursing research led by the Unit since its inception in 1977.
NICE clinical guideline: Headaches: diagnosis and management of headaches in young people and adults (CG150). This guideline offers evidence-based advice on the diagnosis and management of tension-type headache, migraine (including migraine with aura and menstrual-related migraine), cluster headache and medication overuse headache in young people (aged 12 years and older) and adults.
Podcast.
BBC Health: Painkillers 'are the cause' of millions of headaches.
NICE clinical guideline: Neutropenic sepsis: prevention and management of neutropenic sepsis in cancer patients (CG151). This guideline offers evidence-based advice on the prevention, identification and management of neutropenic sepsis in cancer patients. It addresses shortcomings in the prevention and management of neutropenic sepsis, an increasingly common and potentially fatal complication of cancer treatment, in children, young people and adults with cancer.
Press release.
Podcast.
NICE Public Health guidance: Smokeless tobacco cessation - South Asian communities (PH39). This guidance aims to help people of South Asian origin who are living in England to stop using traditional South Asian varieties of smokeless tobacco. The phrase 'of South Asian origin' refers here to people with ancestral links to Bangladesh, India, Nepal, Pakistan or Sri Lanka.
NICE: Smokeless tobacco products pose serious health risks.
BBC health: Quit chewing tobacco advice issued for UK South Asians.
NICE quality standard: Antenatal care. This new quality standard on antenatal care requires that services should be commissioned from and coordinated across all relevant agencies encompassing the antenatal care part of the maternity pathway. An integrated approach to provision of services is fundamental to the delivery of high quality care to pregnant women.
Press release.
NICE Interventional procedure guidance: Laparoscopic insertion of a magnetic bead band for gastro-oesophageal reflux disease (IPG431). NICE has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Laparoscopic insertion of a magnetic-bead band for gastro-oesophageal reflux disease. “The aim is that the magnetic attraction between the beads will help to keep the sphincter closed when not eating to prevent acid reflux, but the person can still belch or vomit.”