Articles tagged with Randomization
Studies present new approaches to treating small coronary artery disease with drug-coated balloons, reducing the need for stents. Radial access is associated with lower rates of adverse events compared to femoral access in patients with acute coronary syndrome.
A new randomized trial tested a revised set of criteria for diagnosing heart attacks, but found that using these criteria did not reduce the rate of recurrent heart attacks or cardiovascular deaths. The study suggested that the revised criteria could lead to more diagnoses and treatment, but with no adverse effects on patient outcomes.
A cluster randomized trial in Philadelphia found that greening vacant urban land improved self-reported mental health, with participants experiencing less depression and anxiety after the intervention. The study's results suggest that investing in green spaces can have a positive impact on mental wellbeing in urban areas.
The seven randomized trials funded by NCI and PCORI are enrolling slowly due to commercial insurance policies not covering proton therapy. Researchers propose a coalition approach involving insurers, centers, hospitals, vendors, and advocates to establish coverage for trial participation. The trials will compare cancer control and side...
A randomized trial found that a 14-week nut-rich diet significantly improved sperm quality, including increased count, vitality, and motility. The study also showed a reduction in sperm DNA fragmentation, associated with better male fertility.
A large randomized trial has found that endometrial scratching, a commonly offered add-on treatment for IVF, does not improve pregnancy or live birth rates. The study involved over 1300 women and measured pain discomfort scores, contradicting previous studies that suggested a benefit from the procedure.
A Northwestern University study found that carbon dioxide gas injections eliminate fat around the stomach, but modest changes were not sustained over six months. The technique is considered safe and non-invasive, offering an alternative to existing methods for fat reduction.
A randomized clinical trial found that a preschool home visiting program improved child academic performance, social-emotional adjustment, and reduced home problems in third grade. The intervention promoted gains in these domains, mediating significant reductions in child need for educational and mental health services.
A randomized clinical trial found that increased supervision by attending physicians did not significantly reduce the rate of medical errors. However, residents reported a decrease in autonomy during rounds. The study suggests that residency training programs should balance patient safety with resident learning and autonomy.
Two studies investigate vitamin D supplementation's impact on infant development, with no significant difference found in bone strength or infection incidence at age 24 months. A systematic review and meta-analysis also explores the effects of prenatal vitamin D on several infant outcomes.
A new study published in Psychiatric Services found that a mobile health (mHealth) intervention was equally effective to a traditional clinic-based group intervention for individuals with serious mental illness. The mHealth approach, FOCUS, improved treatment engagement and recovery outcomes at six-month follow-up.
A recent study has found that pregnant smokers who take daily vitamin C supplements may have babies with improved lung function and reduced risk of wheeze. The researchers measured forced expiratory flows in infants born to mothers who smoked, and found significant differences in lung function at three months and one year.
Researchers have developed a computer program that can comprehensively determine differences in individuals' blood types with over 99% accuracy. This breakthrough has the potential to prevent serious complications and fatalities from blood transfusion reactions.
A new study published in The Lancet Global Health shows that a simple package of self-care significantly reduced acute attacks among podoconiosis patients. This community-based approach could have a significant impact on the incidence of acute attacks in people with podoconiosis, reducing suffering and stigma.
A contemporary real-world analysis of culprit vessel-only intervention (CVI) versus multivessel intervention (MVI) in patients with acute myocardial infarction (AMI) and cardiogenic shock (CS) found lower mortality rates for CVI. The study, presented at the Society for Cardiovascular Angiography and Interventions 2018 Scientific Sessio...
The Preserve clinical trial has revealed significant benefits of oral acetylcysteine and sodium bicarbonate in reducing cardiovascular complications. Researchers analyzed data from a large cohort of high-risk patients who underwent PCI, demonstrating the efficacy of this treatment approach.
A study of 704 day surgery patients in Sweden found that those with inadequate health literacy had poorer postoperative recovery and reduced health-related quality of life two weeks after surgery. Identifying patients with low health literacy is crucial to optimize their care and improve outcomes.
The POPLAR trial found that atezolizumab significantly improved overall survival compared to docetaxel in previously treated advanced non-small-cell lung cancer patients. Long-term overall survival benefits were observed across histology and PD-L1 expression levels.
A randomized clinical trial found that higher protein intake did not increase lean body mass, muscle performance, or physical function in older men. The results suggest that the recommended daily allowance for protein may be sufficient for promoting muscle growth and well-being in this population.
Researchers found that stress from open-heart surgery reduces vitamin D levels in patients. However, aggressive supplementation with vitamin D3 before and after surgery can completely eliminate the drop in vitamin D levels. This study highlights the importance of maintaining optimal vitamin D levels to prevent cardiovascular problems.
A recent study found that changes between interim and final publications of randomized trials can be significant, affecting clinicians' and the public's understanding of treatment benefits. The study analyzed 613 interim publications and compared them with their final versions.
The DeWorm3 collection presents evidence on interrupting soil-transmitted helminth (STH) transmission. Key studies evaluate the impact of biannual mass drug administration and diagnostic tool sensitivity.
A randomized controlled trial analyzed 126 adults with PTSD, concluding that trauma-focused therapy WET was just as effective as CPT in reducing symptoms. The findings have important implications for treating PTSD, addressing a significant barrier to care by identifying time-efficient treatment options.
A study found that US naturalization rates are lower compared to countries like Australia, Canada, and the UK. Low-income immigrant applicants often face challenges due to the high cost of naturalization fees, hindering their ability to become citizens.
A cervical pessary significantly reduced the risk of spontaneous preterm birth at less than 34 weeks. Pregnant women with a short cervix who used the device had a lower rate of preterm birth compared to those without the device.
A new randomized controlled trial found that using probiotics and xylitol chewing gum has no effect on alleviating sore throat symptoms. Researchers suggest simple over-the-counter treatments may be more effective, enabling self-management and reducing antibiotic use.
A study published in International Studies Quarterly found that countries tend to behave more aggressively in international affairs after experiencing surges of nationalism from international sports. This includes cases such as the 1969 Soccer War and the 2016 English-Russian Euro riots, where military or political conflicts arose betw...
A randomised trial found that keyhole repair is more effective than traditional open surgery for repairing ruptured abdominal aortic aneurysms. The study showed lower mortality rates and reduced hospital stays in the keyhole group, leading to improved quality-adjusted life years.
A recent study by Harvard University researchers found that even smaller media outlets can have a significant impact on the national conversation about major public policy issues. The study, which involved 48 news outlets and over 35 experiments, showed that discussion of a particular topic across social media rose by more than 62 perc...
The CULPRIT-SHOCK trial found that culprit lesion only percutaneous coronary intervention (PCI) reduces the composite of 30-day mortality and/or severe renal failure in patients with multivessel disease and cardiogenic shock. Immediate multivessel PCI was associated with higher rates of adverse outcomes.
Patients with left main coronary artery disease (LMCAD) who underwent percutaneous coronary intervention (PCI) or coronary artery bypass graft surgery (CABG) showed similar quality of life improvements at three years. PCI demonstrated a greater early benefit, with improved health status measures that were sustained over time.
A study published by The BMJ found that lying down during the second stage of labor for women with low-dose epidurals increases the chance of a spontaneous vaginal birth. This approach shows no adverse consequences for mothers or babies.
A world-first study published in The Lancet Psychiatry suggests that basic mental health training for managers can significantly improve workers' mental wellbeing. The study found a 18% decrease in work-related sickness absence amongst those whose manager received the training, with a return on investment of $9.98 for each dollar spent.
A study published in JAMA found that stopping behavioral interventions aimed at reducing inappropriate antibiotic prescribing led to an increase in such prescribing practices, despite previous effectiveness of the interventions. The randomized trial, which included 47 primary care practices and 248 clinicians, showed a decrease in appr...
The study found that scribes significantly improved physician satisfaction in terms of overall satisfaction, time spent charting, and chart quality. Physicians were more satisfied with scribed charts than their own, suggesting a potential solution to the clerical burden associated with documentation.
A large clinical trial found that oxygen therapy did not reduce mortality rates in patients with suspected myocardial infarction. The study enrolled over 6,200 patients and showed no significant difference in mortality rates between those who received oxygen and those who did not.
The study found that closure of the left atrial appendage during open heart surgery significantly reduces the risk of stroke and silent cerebral infarctions. Patients who underwent surgical closure had a lower cumulative probability of an ischaemic event in the brain compared to those without closure.
Clinical studies supporting FDA approval of high-risk medical device modifications were found to be methodologically poor, with many lacking randomization and blinding.
A meta-analysis published in PLOS Medicine found that gabapentinoids have no significant improvement in pain relief for chronic low back pain, and may even worsen symptoms. The study analyzed findings from 8 randomized controlled trials and identified significant risks of adverse events such as dizziness and visual disturbances.
A study from Aarhus University found that 48 hours of cooling can reduce permanent brain damage in cardiac arrest patients, particularly those under 60. The study included 355 patients who were cooled down to 33°C for varying periods and followed up on their recovery.
A study published in JAMA found that long-term, moderate-intensity physical activity led to a small reduction in total sedentary time among older adults with mobility impairments. The intervention also showed sustained effects over 24 months.
A cluster randomized factorial trial found that training and support have a lasting impact on primary care clinicians' delivery of screening and advice to heavy drinkers. The study suggests that repeated training and support can lead to an increase in the volume of brief interventions delivered to heavy drinking patients.
A randomized trial of whole genome sequencing in healthy primary care patients reveals that nearly a fifth carry pathogenic variants for rare diseases. While anxiety remains low, participants incur more medical tests and healthcare expenses following disclosure of results.
Researchers at Cleveland Clinic conducted the first randomized controlled trial of DBS for neuropathic pain, targeting brain structures related to emotion and behavior. The study showed significant improvements in indices of depression, anxiety, and quality of life, suggesting a potential shift away from analgesia-based treatments.
A randomized controlled trial found that online pulmonary rehabilitation was non-inferior to in-person classes in improving exercise capacity and symptom control among patients with moderate COPD. The study used the MyPR application, which is free for UK patients with advanced COPD.
The EURO-CTO trial found that PCI had a higher procedural success rate (86.3%) and lower procedural risk compared to optimized medical therapy. Patients treated with PCI also showed significant improvements in clinical symptoms and quality of life, while those on medical therapy experienced less pronounced improvements.
The RICMAC trial found that dose-reduced conditioning followed by allogeneic stem cell transplantation improved overall and relapse-free survival for patients with myelodysplastic syndrome. Engraftment rates were comparable between the two groups, with higher non-relapse mortality after standard conditioning.
A randomized clinical trial found that ivabradine did not improve outcomes in patients with heart failure with preserved ejection fraction. Elevated heart rate is a predictive factor of worse outcomes in these patients, contradicting previous research that suggested benefits for heart failure with reduced ejection fraction.
A major randomized study by Karolinska Institutet found that the most common combined oral contraceptive pill negatively affects women's quality of life without increasing depressive symptoms. The study involved 340 healthy women who reported lower mood/well-being and self-control after taking the pill compared to those given placebos.
A new study found that adding a third oral antihyperglycemic agent to metformin and sitagliptin can improve glycemic control in type 2 diabetes patients, overcoming 'clinical inertia' and allowing more than 60% of patients to reach the target HbA1c level. The study, which included over 7,800 participants, also found that the addition o...
A recent study found that multivitamin supplements did not reduce the risk of cardiovascular disease in middle-aged and older men, regardless of their initial dietary intake or nutritional status. The Physicians' Health Study II, a large-scale randomized clinical trial, investigated this potential benefit over an 11-year period.
A randomized clinical trial will compare surgery and non-operative therapy for patients with rotator cuff tears, considering factors such as age and tear size. The study aims to inform patient care and provide evidence-based information for better health decisions.
A randomized trial found that prenatal DHA supplementation had no effect on cognitive, language, and motor development in children at 7 years of age. The study also revealed a possible negative impact on parent-rated behavior and executive functioning.
A new study aims to identify factors that result in long-term diabetes remission and better blood sugar control after bariatric surgery. Researchers will follow up with approximately 242 patients over five years to analyze hormone secretion, metabolism, and complications.
A telephone-delivered collaborative care program improved health-related quality of life and anxiety symptoms in primary care patients compared to usual care. The intervention also produced significant improvements in mood symptoms, with African-Americans and men reporting the greatest levels of improvement.
A study found that infants with a genetic polymorphism of the serotonin transporter gene are more susceptible to a psychosocial intervention promoting maternal-infant attachment. The probability of secure attachment was significantly higher in those with the short allele of the serotonin transporter gene, compared to controls.
A systematic review and meta-analysis found that vitamin D supplementation results in a 12% reduction in the proportion of participants experiencing at least one acute respiratory tract infection. Daily or weekly doses show greater benefit, particularly in those with severe vitamin D deficiency.
Researchers compared skin closure methods using glue (Dermabond) versus sutures in a randomized controlled trial. No significant differences were found in wound complications or scar healing between the two groups, suggesting both methods can be safe and successful for skin closure after cesarean delivery.
A randomized double-blind placebo controlled trial investigated the effects of recombinant antithrombin on gestation duration and neonatal morbidity in expectantly managed patients with early onset preeclampsia. No improvement was found in outcomes, with no reported safety events related to Recombinant Antithrombin.
Researchers compared two suture types for cesarean wound closure and found that poliglecaprone reduces wound complications. The study involved 550 patients and found a significantly lower rate of complications with monocryl suture compared to vicryl suture.