Not exact matches
A
randomized, blinded
study of the impact of intercessory prayer on spiritual
well - being in patients with cancer.
He points to research by a Stanford University researcher, Allan K. Mishra, who has
studied PRP for years, whose in his most recent published research includes a large multicenter
study [8] involving a host of
well - respected orthopedic surgeons around the country who followed 230 patients in a double - blind
randomized control
study [the gold standard for medical research].
Primarily because we do not find the same benefits in
better - designed
studies — sibling comparison
studies and the PROBIT
randomized controlled trial.
As with neurobehavior, effects on breastfeeding are poorly
studied, and more recent
randomized controlled trials comparing exposure to epidural and opiate drugs are especially misleading because opiates have a
well - recognized negative effect on early breastfeeding behavior and success.103 — 107
But this doesn't make sense for everything we do in health care, and we know the information we get from
randomized controlled trials doesn't always translate
well to real life because 1) the restrictions we put on eligibility for
studies rarely allows the results to be generalized to the population as a whole and 2) Adherence to the intervention tends to be higher in a
randomized controlled trial than in real life which makes the effect seem «
better» than it is.
In the evidence pyramid a
randomized controlled trial is the highest form of primary research, and a synthesis of
studies provides the
best evidence.
Our
study illustrates that a
randomized intervention trial with
good socioeconomic information can help assess interventions designed to improve population health not only by examining the intervention effects on primary outcomes but also by evaluating the intervention's impact on socioeconomic inequalities.
Studies of the Nurse Family Partnership model followed children to 6 years and found significant program effects on language and cognitive functioning as
well as fewer behaviour problems in a
randomized controlled trial
study.24 In addition, more recent evaluations of Healthy Families America have shown small, but favourable effects on young children's development.25, 26
Regarding the science criticism, it's impossible to scientifically prove by a placebo - controlled, double - blind,
randomized study (the gold standard in science) that AP works
better than a more distant style of parenting.
We are «early adopters» of new technologies, if we strongly believe that they appear promising, and if there are
good randomized, controlled
studies that prove they provide a benefit.
We can not
randomize breastfeeding, although it is possible to
randomize breast milk: Lucas et al23 conducted an ingenious
study in which premature infants who were fed their mother's milk from a bottle did
better on follow - up testing than children who were fed formula.
Although some SIDS experts and policy - makers endorse pacifier use recommendations that are similar to those of the AAP, 272,273 concerns about possible deleterious effects of pacifier use have prevented others from making a recommendation for pacifier use as a risk reduction strategy.274 Although several observational studies275, — , 277 have found a correlation between pacifiers and reduced breastfeeding duration, the results of
well - designed
randomized clinical trials indicated that pacifiers do not seem to cause shortened breastfeeding duration for term and preterm infants.278, 279 The authors of 1
study reported a small deleterious effect of early pacifier introduction (2 — 5 days after birth) on exclusive breastfeeding at 1 month of age and on overall breastfeeding duration (defined as any breastfeeding), but early pacifier use did not adversely affect exclusive breastfeeding duration.
One of the
best ways scientists have to prove cause and effect in medicine is to conduct a
randomized controlled trial, in which
study subjects are randomly assigned to two groups.
The
study, called the Bypass Surgery Versus Everolimus - Eluting Stent Implantation for Multivessel Coronary Artery Disease (
BEST) trial, is one of only two
randomized controlled trials to compare bypass to angioplasty since the introduction of everolimus - eluting stents, a new generation of drug - eluting stent.
«But as a clinician, if there are
randomized data that would allow us to go from a pilot
study to a phase 3 clinical trial, and if the results are
good, then we would have to come back to Francis Collins, and say, «This needs to be exported to other communities and ramped up.»
The determination of each efficacy level was also based on the rigor and quantity of published
studies on the drug class: to be in Level A, for example, a class of drugs must have been supported by at least two «Class I»
studies —
well - designed, double - blind,
randomized, placebo - controlled clinical trials.
Randomized controlled
studies are now underway to help us
better understand the effectiveness of the drug.
A
randomized phase III trial finding that a new monoclonal antibody, elotuzumab, added to standard therapy, extended the duration of remission for patients with relapsed multiple myeloma by about five months Findings from two phase III
studies showing that children with Wilms tumor who have a specific chromosomal abnormality do
better with a more intensive, augmented chemotherapy regimen
«For the first time in a
randomized study, the strategy of catheter ablation for atrial fibrillation may be
better than the current approach for these patients.
Randomized controlled
studies, including one I conducted with funding from the NIH, show that this approach improves
well - being, lowering blood pressure and cholesterol while elevating self - esteem.
A
well conducted
randomized trial is more likely to produce correct results, but a less rigorous
study might still satisfy a physician if the risks are low and its potential benefits are great, he says.
An analysis of diagnostic test results from the Prospective Multicenter Imaging
Study for Evaluation of Chest Pain (PROMISE) trial — in which patients with stable chest pain were
randomized to either anatomic or functional testing as an initial diagnostic strategy — showed that the presence and extent of coronary artery disease detected by CT angiography
better predicted the risk for future cardiac events than did measures of exercise tolerance or restricted blood flow to the heart muscle.
African - Americans and men reported the greatest levels of improvement, and the 79 patients who reported moderate levels of anxiety at baseline generally did
well over the course of follow - up, whether they were later
randomized to the
study intervention or not.
Larger,
well - designed
studies, such as cluster
randomized trials, are ultimately needed to confirm the effectiveness of this strategy,» writes Alice Y. Guh, M.D., M.P.H., and L. Clifford McDonald, M.D., of the Centers for Disease Control and Prevention, Atlanta.
But in July researchers published a paper in the New England Journal of Medicine that describes a
well - designed,
randomized, controlled
study of human nutrition — with surprising results.
The researchers also want to add to this current observational
study to establish, through
randomized controlled trials, that eating fish can lead to
better sleep,
better school performance and other real - life, practical outcomes.
The original,
randomized, open label
study, which enrolled 20 outpatient men with cirrhosis and recurrent HE receiving standard - of - care (SOC) treatment, had previously reported that a single FMT enema after antibiotic pretreatment improved cognitive function at Day 20 and reduced HE episodes and hospitalizations over the following 5 months compared with SOC.1 The long - term outcomes of this
study, which were presented today at The International Liver Congress ™ 2018 in Paris, France, demonstrated sustained and statistically significant reductions in the number of HE episodes and hospitalizations as
well as improvements in cognitive function over 1 year in the men who received FMT compared with the control group.
The trials for chemotherapy side effects — 4 of which were
randomized controlled trials — found that medical cannabis was significantly
better than anti-nausea drugs standard at the time of
study for reducing nausea and vomiting.
Some
studies suggested that patients responded
well, but they didn't have the controlled,
randomized, and blinded design that allows researchers to be sure, says Simon Mardel, a medical officer working on SARS at the World Health Organization (WHO) in Geneva.
Our results suggest the need for future
studies involving long - term ambulatory cardiac monitoring to
better delineate the risk associated with transient vs persistent perioperative AF, as
well as
randomized clinical trials to determine optimal strategies for antithrombotic therapy in patients with perioperative AF and a significant burden of other risk factors for stroke,» the authors write.
The
study is the first
randomized, controlled trial to test whether group classes are a
good way to train parents on using an autism therapy.
The
study was carried out using the
randomized response technique (RRT), which allows for
better estimates of unknown cases in response to sensitive questions.
A Phase III
Randomized Open - Label Multi-Center
Study of Ruxolitinib vs.
Best Available Therapy in Patients with Corticosteroid - Refractory Chronic Graft vs Host Disease after Allogenic Stem Cell Transplantation (REACH 3)
Randomized Phase II
Study: Corticosteroids + Bevacizumab vs. Corticosteroids + Placebo (
BEST) for Radionecrosis after Radiosurgery for Brain Metastases
Various types of meditation have been shown to improve
well - being among different populations such as physicians and the general public.14, 15, 16 Preliminary evidence suggests that meditation - based interventions may slow cellular aging rates by increasing telomerase activity, but many such
studies lacked an active control group.17, 18 Recent
randomized trials in breast cancer suggest that long - term intensive meditation interventions might have positive effects on telomerase activity.
The
randomized, double - blind, placebo - controlled
study will evaluate the safety and tolerability of multiple doses of NPT088, as
well as pharmacokinetics, immunogenicity and pharmacodynamic characteristics, as measured by Aβ and tau PET imaging.
The
study is
randomized and controlled for all the variables that haven't been
well - tested so far — like effectiveness.
A 2007 analysis of the
best available
studies of adults, including a handful of
randomized controlled trials, found that neither calcium supplements nor dairy products reduced the risk of hip fractures in men or women.
According to the researchers, there have been proposals that vitamin C dosages should be more than 15 g / day for the
best treatment of colds, but the highest dosages that have so far been looked at in
randomized studies have been much lower.
If they weren't
randomized (which could represent stacking up the placebo group with very sick patients) then the coconut fat consumers scored slightly
better after 45 days in the
study.
The latter are examples of Mendelian randomization
studies, enabled by the cheap genotyping of the past decade, which can be considered Nature's own
randomized clinical trials, and like RCTs, offer some of the
best evidence or refutations of a causal role for risk markers.
There doesn't seem to be any
randomized,
well - controlled
studies to look more closely at this diet.
While animal
studies show benefits of CoQ10 in supplying energy and functioning as an antioxidant for aging eggs, more
well controlled
randomized trials in women are needed.
While this single
study certainly doesn't constitute a proven scientific outcome, the results of a
randomized controlled trial conducted in Boston certainly supports the real - world potential for co-treating our mind, along with our body to achieve
better fertility outcomes.
A
randomized controlled trial of 75 women with irritable bowel syndrome, for example, reported that mindfulness meditation, the
best -
studied type of meditation, reduced the severity of symptoms.
A
randomized, double - blind, placebo - controlled
study (the
best study design around), published in Journal of Clinical Endocrinology and Metabolism, showed that soy intake significantly improved insulin resistance, triglycerides, LDL and cholesterol.
In fact, in every
study — including the «gold standard» for evidence,
randomized controlled trials — VLCKDs perform at least as
well and generally
better than low - fat diets for this purpose.
Next up was Don't Use Antiseptic Mouthwash, which describes the role the natural
good bacteria flora on our tongue plays in the performance - boosting effect of high nitrate vegetables, and Out of the Lab onto the Track, which documented the
randomized, double - blind, placebo - controlled crossover
studies that convinced the scientific establishment of the real - world effect.
Harry Wang, director of health and mobile product research at Parks Associates, a Dallas - based market research firm, said the
study is one of the largest
randomized trials of its kind and appears to be
well - designed.
Assessing vitamin K status in prospective
studies and
well - designed
randomized... [Read more...]