Articles tagged with Randomization
A study conducted by the University of Gothenburg found that meal boxes with healthy recipes and subsidized meals led to a greater reduction in children's BMI compared to lifestyle treatment alone. The intervention also involved family meals, which were perceived as tolerable and reduced conflicts over food shopping.
A randomized clinical trial found home-based phototherapy to be as effective as office-based treatment for plaque and guttate psoriasis, while reducing patient burden. The study suggests that this approach could become a viable option for everyday clinical practice.
A randomized clinical trial found that a voice-activated cognitive behavioral therapy program improved insomnia symptoms in breast cancer survivors. The intervention, delivered in an in-home setting, demonstrated efficacy in reducing sleep disturbances and enhancing overall quality of life.
A randomized clinical trial shows that transitioning insomnia care away from long-term sedatives to cognitive behavioral therapy can be achieved through a mailed, direct-to-patient approach. This method reduces sedative use and improves sleep outcomes in older adults.
A randomized controlled trial found erenumab injections significantly improved medication overuse headache remission rates and reduced acute migraine treatment days in patients with chronic migraine and medication overuse headaches. The study suggests that erenumab can be a simplified treatment option for MOH patients.
The CABINET trial demonstrates that cabozantinib significantly improves median progression-free survival (PFS) for patients with advanced pancreatic and extra-pancreatic neuroendocrine tumors. The treatment also shows promise across all clinical subgroups, including primary tumor site and grade.
Sacubitril/valsartan significantly reduced hospitalization for any reason, particularly in patients with a left ventricular ejection fraction below normal. Lower rates of cardiac and pulmonary hospitalizations were also observed in this patient population.
A study published in The Lancet found that starting medical abortion at home is as safe as in a hospital, with 71% of participants able to be treated as day patients. The procedure also promotes patient autonomy and can reduce healthcare costs.
A WVU researcher argues that more validation is needed for the increasing number of gallbladder surgeries performed for biliary dyskinesia, a functional gallbladder disorder. The researcher suggests that a combination of factors must come together to diagnose and select patients who would benefit from surgery.
Researchers at the University of Gothenburg found that hearts stored in a 'heart-in-a-box' method experienced lower rates of heart failure and severe organ failure after transplantation. This breakthrough method uses hypothermic oxygenated machine perfusion to keep the heart oxygenated and functioning better.
Scalable telehealth mindfulness-based interventions show promise in treating chronic pain by improving function and reducing symptoms. The low-resource approach could accelerate the adoption of nonpharmacological pain treatment in healthcare systems.
Researchers found that when given accurate information about the anti-Mullerian hormone test, women had less interest in taking the test compared to those who viewed misleading online claims. The study highlights the importance of providing evidence-based information to women seeking fertility treatment.
Researchers assessed botulinumtoxin-A treatment to improve walking capacity in children with cerebral palsy. The trial found some evidence of reduced calf pain and delayed improvement in energy cost, but no significant benefit for overall walking ease.
Researchers at IMDEA Software developed FIXCHECK, a method combining static analysis and large language models to generate tests detecting bugs in incorrect patches. The approach was evaluated on 160 patches, yielding 62% effective bug detection results.
A randomized clinical trial found that overground robot-assisted gait training using a wearable robot significantly improved gross motor function and gait pattern in children with cerebral palsy. The study suggests that this type of assistance may complement standard rehabilitation by providing adequate support.
A randomized study found that individuals with cash benefits had significantly reduced emergency department visits and hospital admissions. The study suggests that policies addressing poverty through income support may have a positive impact on health and access to care.
A randomized crossover trial found that a joint-AI model improved clinical diagnosis, but future trials are warranted to confirm its effectiveness. The AI model demonstrated positive human-AI interaction, suggesting its potential to facilitate accurate diagnoses.
Researchers discuss HER2 in breast cancer, highlighting the prognostic and predictive factors. They found an independent positive prognostic effect of HER2-low compared to HER2-zero in early breast cancer, challenging the long-held view that HER2-negative tumors do not benefit from trastuzumab-based therapy.
The study found that massage therapy has moderate-certainty evidence for some conditions but rare conclusive evidence of its superiority over other treatments. The review highlights the need for more research in this area.
A short-term reduction in leisure-time screen media use within families was found to positively affect psychological symptoms of children and adolescents. This effect was particularly notable in mitigating internalizing behavioral issues and enhancing prosocial behavior.
A new study published in The Lancet found that a self-guided smartphone-based behavioral therapy led to significant improvements for patients with fibromyalgia. Stanza, a smartphone app delivering acceptance and commitment therapy, showed improved symptoms including pain intensity, fatigue, and depression.
A web-based cognitive behavioral self-help intervention effectively decreases eating disorder symptoms in individuals with bulimia nervosa, reducing illness-related burden. The digital intervention has potential as a complement to established treatments for bulimia nervosa.
A randomized controlled trial found that four weeks of outdoor gait training, combined with home exercises, improved running biomechanics and reduced the time feet were in contact with the ground. This technique may help patients improve their stride and reduce pain associated with shin splints.
Researchers explore the feasibility of deep learning models in segmenting lesions on PET/CT images to improve salvage radiation therapy planning for prostate cancer. The study demonstrates promising potential to reduce inter- and intra-observer variations, leading to more accurate treatment outcomes.
A recent review of studies on heart failure patients suggests that reducing salt intake has no clinical benefits and may even be counterproductive. Moderate to strict salt restriction was linked with improved quality of life but not mortality or hospitalization rates among patients with heart failure.
A randomized clinical trial found that combining exercise with glucagon-like peptide-1 receptor agonist (GLP-1RA) treatment was the most effective weight loss strategy while preserving bone health. In contrast, GLP-1RA treatment alone reduced bone mineral density at clinically relevant sites.
The ARMMS-T2D study found that bariatric surgery yields greater long-term improvements in quality-of-life compared to medical management, with sustained weight loss correlating with better health and reduced pain.
A randomized clinical trial found that an intermittent fasting plan consisting of two nonconsecutive fasting days and five days of meal replacement diet improved glycemic outcomes and weight loss in the short term compared to metformin or empagliflozin. The study suggests a promising initial intervention for type 2 diabetes management.
A systematic review found that community-dwelling older adults are more likely to use wearable monitoring devices if they receive support from healthcare professionals or peers. The interventions that increased awareness and used collaborative goal-setting tools showed the best results.
A randomized clinical study found that a lateral episiotomy reduced the risk of obstetric anal sphincter injury (OASI) by 53% in first-time mothers. The procedure also did not increase the risk of other complications, but may lead to wound complications.
A randomized clinical trial found that both electronic cigarettes containing nicotine and varenicline were effective for 6-month smoking cessation. The study results suggest a potential new approach to smoking cessation.
The BLING III trial found a 2% lower 90-day mortality and a 6% higher clinical cure rate for continuous β-lactam antibiotic infusions compared to intermittent infusions in critically ill patients with sepsis. Continuous infusions were also associated with improved patient outcomes.
A new WhatsApp-based program has shown significant improvements in treating depression among older adults in Brazil. The Viva Vida program used simple audio messages and images to provide education on depression and behavioral activation, with a 10-point improvement in symptom reduction between intervention and control groups.
A 15-day course of nirmatrelvir-ritonavir did not demonstrate a significant improvement in select postacute sequelae of SARS-CoV-2 infection symptoms in vaccinated adults with prolonged symptom duration. Further studies are needed to determine the role of antivirals in PASC treatment.
Ivonescimab plus chemotherapy significantly improved progression-free survival (7.1 vs 4.8 months) compared to chemotherapy alone in TKI-treated non-small cell lung cancer patients. This treatment may offer a new option for patients with EGFR variant and limited treatment options.
Patients who received COVID-19 vaccines after acute coronary syndromes had similar rates of primary composite end point and major adverse cardiovascular events (MACE) compared to unvaccinated patients. Retrospective studies have shown a short-term reduction in MACE risk after COVID-19 vaccination.
A cluster randomized trial found that at-school HPV vaccination significantly increased vaccination coverage, but training general practitioners and education had limited impact. The study aimed to assess the effectiveness of a school- and primary care-based HPV vaccination intervention.
A new study suggests that longer screening intervals for prostate cancer are safe and effective when the initial PSA test is conducted at a young age. The PROBASE trial found that only 0.45% of men with low-risk PSA levels developed high PSA levels, indicating an increased risk of prostate cancer. This finding supports the idea of rais...
A web-based cognitive behavioral self-help intervention has been shown to effectively reduce binge eating episodes and improve various mental health outcomes in patients with binge eating disorder. This scalable solution bridges the treatment gap for this condition, offering a promising alternative to traditional therapies.
A secondary analysis of a randomized clinical trial found that home blood pressure self-monitoring plus medication self-titration reduces BP in the longer term without increasing healthcare use or adverse events. This simple, inexpensive intervention has potential to improve long-term hypertension control in routine clinical practice.
A research team at Kyoto University found that interactive AI programs can reduce prejudice and anxiety among historically divided ethnic groups in Afghanistan during online interactions. Participants in the AI intervention group showed more engagement and significantly less prejudice and anxiety compared to the control group.
Menopausal hormone therapy is appropriate to treat vasomotor symptoms in early menopause without contraindications. WHI evidence does not support routine supplementation with calcium plus vitamin D or a low-fat diet for preventing fractures and breast/colorectal cancer, respectively.
A randomized clinical trial of 3,020 patients with high-risk nonmetastatic breast cancer found daily aspirin therapy had no effect on breast cancer recurrence or survival in early follow-up. Aspirin should not be recommended as an adjuvant breast cancer treatment despite its potential benefits and wide availability
A systematic review and meta-analysis found no association between new-onset seizures and SARS-CoV-2 vaccination. The study included over 118,000 participants from randomized clinical trials and found the incidence proportion of new-onset seizures to be similar across vaccine recipients and unvaccinated participants.
Researchers identified 35-63 proteins affecting severe COVID-19, hospitalization, SARS-COV2 infection, and 4-32 proteins for healthspan and lifespan. Novel proteins involved in inflammation, immunity, apoptosis and metabolism were also found.
Administration of antenatal corticosteroids to late preterm babies was not linked to increased risk of neurodevelopmental problems by age 6. Long-term follow-up study suggests the medication may be safe for these high-risk infants.
A randomized clinical trial found self-administered acupressure to be efficacious and cost-effective in reducing knee pain and improving mobility in middle-aged and older adults with probable osteoarthritis. The treatment also showed significant benefits in terms of quality of life.
The randomized clinical trial demonstrates plozasiran's potential to reduce triglyceride levels in patients with severe hypertriglyceridemia. Additional studies are needed to determine its impact on complications associated with the condition.
A new study found that high-dose influenza vaccine significantly improved humoral response in patients with heart failure or prior myocardial infarction. Vaccination remains crucial in preventing influenza-related complications in high-risk populations.
A new study found that combining pelvic floor exercises with behavioral therapy can be more effective than current medical treatments in helping men with frequent urges to urinate. The Bladder Emptying Disorder Therapy (BEST) Trial showed significant improvements in symptoms and quality of life measures after just 12 weeks.
A systematic review of 41 randomized clinical trials suggests that late-stage cancer incidence can be a suitable alternative end point to cancer-specific mortality in some cancer types, but not others. This finding has implications for multicancer screening tests and may change the way these trials are designed.
A telephone-based strategy improved guideline-directed medical therapy rates for outpatients with heart failure by 30 days, offering a low-cost solution for rural settings with limited access to care. This study suggests the potential for expanded remote healthcare initiatives to address health disparities.
In a preliminary report from an ongoing clinical trial, prostate cancer screenings using PSA, Kallikrein Panel, and MRI detected higher rates of cancer compared to no screening. The study found one additional high-grade cancer per 196 men and one low-grade cancer per 909 men were detected in the screened group.
A new study found that inter-atrial shunts improve symptoms and outcomes in heart failure patients with reduced left ventricular ejection fraction (LVEF), but worsen outcomes in those with preserved LVEF. The device reduces high pressures in the left atrium, causing shortness of breath and hospitalizations.
A randomized clinical trial found that PSA screening compared to no routine screening resulted in a small reduction in prostate cancer deaths after 15 years. The absolute reduction in deaths was modest, but the finding suggests potential benefits of PSA screening.
Researchers from Karolinska Institutet show that post-COVID does not mean strict exercise avoidance. Patients with post-COVID can benefit from supervised exercise, with improved fitness and muscle strength found in those who participated.
Patients with post-COVID condition exhibit lower aerobic capacity and muscle strength compared to control groups, indicating potential benefits of cautious exercise regimens. The study highlights the need for personalized exercise recommendations to mitigate further skeletal muscle deconditioning in PCC patients.
Researchers from USC's Keck School of Medicine synthesized over 23,000 studies to inform updated clinical practice guidelines for ADHD. The comprehensive literature review found that both medications and psychosocial treatments work for treating ADHD and that children can and do get better.
A phase 3 trial co-led by a University of Cincinnati researcher found that subcutaneous levodopa delivery through an infusion pump is safe and effective in reducing symptoms for longer periods. The study resulted in almost two hours of additional 'on time' compared to traditional oral medication, paving the way for potential FDA approval.
A randomized clinical trial of 345 patients with mild-to-moderate COVID-19 found that viral load and symptom rebound were common after a standard 5-day course of antiviral treatment. Prolonging treatment duration may help reduce COVID-19 rebound