Articles tagged with Randomization
A randomized clinical trial in France evaluated the effect of low-dose hydrocortisone on ICU patients with COVID-19-related acute respiratory failure. The study found that hydrocortisone treatment reduced mortality and decreased the need for respiratory support among critically ill COVID-19 patients.
Changing healthcare payment for one insurer can impact patients covered by others, a nationwide randomized trial suggests. The study found lower hospital readmissions and care intensity among TM patients and those with private insurance through Medicare Advantage.
A new randomized trial published in Annals of Internal Medicine found that hydroxychloroquine showed no benefit in reducing symptom severity or duration in outpatients with early, mild COVID-19. The study suggests that the treatment may not be effective in populations at higher risk for severe COVID-19.
A large randomized trial has found that endometrial scratch is not beneficial in women having their first cycle of IVF. The study involved over 1000 women under 37 years old and showed no significant difference in live birth rates between those who received endometrial scratch and those who did not.
The systematic two-stent approach significantly improved clinical outcomes compared to provisional stenting in patients with complex coronary bifurcation lesions. TVMI and TLR rates were lower in the two-stent group, while cardiac death rates were similar.
Researchers found that a digital media literacy intervention increased discernment between mainstream and false news in the US and India. However, the benefits were short-lived, highlighting the need for consistent reinforcement of lessons from the intervention.
A randomized trial found that rituximab reduces the risk of relapse by 64% compared to azathioprine, with fewer severe adverse events. The study suggests that rituximab may be a superior treatment option for patients with ANCA-associated vasculitis, particularly those with history of relapses.
A comprehensive workplace wellness program, iThrive, was found to have no significant effect on employee health measures or medical use. However, it did improve self-reported health beliefs and the proportion of employees reporting having a primary care physician.
A large randomized study found that patients undergoing cardiac catheterization can eat prior to the procedure without increasing complications or costs. The study challenges traditional fasting protocols and could lead to more patient-centered care.
A randomized controlled trial found that intra-articular hypertonic dextrose injections significantly reduced knee pain in patients with moderate to severe osteoarthritis. The study, conducted at the Chinese University of Hong Kong, involved 76 patients who received either the hypertonic dextrose or normal saline injection therapy.
A study of randomized controlled trials found that consuming green tea led to a significant decline in body weight and body mass index. However, the analysis did not reveal any notable changes in waist circumference after supplementation.
A recent trial demonstrated that an intensified antithrombotic regimen comprising rivaroxaban and aspirin reduces major adverse limb events by 46% compared to aspirin alone. The review highlights the need for better evidence on antithrombotic treatment in peripheral vascular interventions.
A George Mason study found that alternate light source detects bruises 5 times better than white light on diverse skin tones, addressing the disparity in bruise detection for people of color. The research aims to improve medical and legal outcomes for victims of violence.
A new study from Aarhus University shows that a motivational interview with a GP can have a preventative effect on cardiovascular disease. The study found a 13% reduction in cardiovascular disease risk among patients without diabetes who talked to a GP trained in motivational interviewing.
This observational study of older adults reveals racial and ethnic differences in depression severity and care. The findings suggest that these disparities exist even among those participating in a cancer and cardiovascular disease prevention clinical trial.
A randomized controlled trial found that tailored messages addressing HPV vaccine concerns improved intent to vaccinate, while a bundled approach was less effective. The study suggests that personalized messaging may be essential for increasing HPV vaccination uptake among hesitant parents.
A randomized controlled trial shows that lay health coaching can significantly improve inhaler use among low-income COPD patients, with 40% of health-coached patients demonstrating effective use of their inhalers. The intervention also improved inhaler technique, contributing to long-term COPD outcomes.
A study of 217 adults found no difference in the effectiveness of morning versus evening warfarin dosing. The researchers concluded that patients should take warfarin at a time when compliance is easiest, regardless of day or night.
A randomized crossover study found that eating non-fried potatoes instead of refined grains improved diet quality and was associated with lower cardiometabolic risk factors. Participants who ate potatoes had higher potassium and fiber intake, as well as a healthier index score.
A randomized clinical trial found that outpatient palliative care was associated with better patient and caregiver outcomes for patients with Parkinson disease. The study included 210 patients and 175 caregivers and examined the effects of palliative care on quality of life, mood, and sleep.
A community health worker program in Philadelphia reduced hospital admissions by 38% and saved Medicaid $1.4 million annually, resulting in a $2.47 return on investment for every $1 spent. The program's success was demonstrated through a randomized controlled trial, improving quality of care and patient outcomes.
A multi-site randomized experiment is being conducted to test a structured investigation protocol for robbery cases in Rochester, NY, and Seattle, WA police departments. The goal is to improve clearance rates and enhance victim satisfaction through standardized investigative actions by trained patrol officers.
A randomized controlled trial found that the ACE method was as effective as a specialist stop smoking service in quitting smoking. The study's results suggest that ACE may offer a viable cost-effective alternative for public-funded healthcare settings.
A new randomized controlled trial found that the guided self-help intervention SH+ significantly reduced psychological distress and improved functioning, depression, and wellbeing among South Sudanese female refugees. The intervention was highly acceptable to participants, with 80% attending all five sessions.
A guided self-help approach was safe and effective in reducing psychological distress and improving functioning among female South Sudanese refugee women living in Uganda. The intervention resulted in meaningful improvements in symptoms of depression, PTSD, and explosive anger, with benefits seen across different trauma histories and l...
A randomized clinical trial found that a telephone-based program encouraging increased vegetable consumption did not decrease the risk of prostate cancer progression over two years. The study suggested that the intervention may have been underpowered to identify a clinically important difference in cancer progression.
A new study by MIT economists found that a hotspotting program has virtually no impact on patient health care use, contradicting previous claims of a significant reduction in rehospitalizations. The study evaluated 800 patients and found similar outcomes between those enrolled in the program and those not.
A study found that advance care planning is associated with improved survival among terminally ill patients, particularly those with diseases other than cancer. This approach enables adults to discuss their wishes and priorities for end-of-life care.
Researchers aim to provide evidence for micro-fragmented adipose tissue as a viable alternative to surgery for treating meniscal tears. The one-year study will monitor changes in meniscal tissue, pain levels, and functional activity.
In a randomized clinical trial, adults with moderate to severe migraines took either ubrogepant or a placebo. After two hours, participants reported a significant reduction in pain and associated symptoms. The study provides encouraging results for the treatment of migraine pain.
A randomized clinical trial evaluated mailed HPV self-sampling test kits versus standard care reminders for detecting and treating cervical precancers. The study found that the self-sampling kit increased detection rates without a significant impact on treatment outcomes.
A randomized controlled trial found that young adults with unhealthy diets showed significant improvements in mood and reduced symptoms of depression after eating a healthy diet for three weeks. The study provides preliminary evidence that small, simple diet adjustments can improve depression symptoms.
Emerging norms in engaged translational genomics research raise substantial ethical concerns. Simplified Spanish-language consent materials require cultural congruence, while participant benefits in HIV prevention research highlight potential direct and indirect benefits for stigmatized populations.
A major Canadian-led study has found that most adults can continue to eat red and processed meat without significant impacts on heart disease, diabetes, or cancer. The researchers concluded that a small reduction in risk was associated with reducing meat consumption by three servings per week.
A major meta-analysis found daily omega-3 supplementation reduced risks of heart attack and CVD events by 8%, with higher doses providing greater risk reduction. The study included over 120,000 adults in 13 randomized trials worldwide.
The study implemented randomized quality improvement projects across NYU Langone Health, finding that changing prompts for tobacco cessation counseling increased medication prescription rates. Post-discharge phone calls were largely ineffective in improving patient satisfaction or hospital readmissions.
Researchers conducted a randomized controlled trial in New Haven, Connecticut, where police officers made community policing visits to residents' homes. The study found that positive interactions improved public trust and cooperation with police, especially among black individuals and those with strong negative views towards the police.
The Lancet published several studies on cardiovascular disease, including a new risk chart for 21 global regions and a trial on percutaneous coronary intervention versus coronary artery bypass grafting. Additionally, the journal presented findings on sirolimus-eluting stents versus durable polymer everolimus-eluting stents in patients ...
A new study finds that excess body fat increases the risk of depression, with a 17% higher probability for every ten kilograms of extra weight. The study suggests that psychological consequences of being overweight or obese drive this increased risk, rather than biological effects.
Researchers at Boston University School of Public Health found that patients who start long-term buprenorphine treatment before discharge from a short-term inpatient program are less likely to relapse and more likely to keep up treatment. This approach reduces the risk of overdose and improves outcomes for opioid users.
The study analyzed combined patient-level data from two randomized clinical trials to examine the effectiveness of dual antiplatelet therapy in patients who experienced a minor stroke or transient ischemic attack. The results indicate that treatment with clopidogrel and aspirin can improve outcomes for these patients.
A randomized trial of 120 hospital patients found that virtual reality (VR) sessions significantly reduced severe pain scores compared to a relaxation program on TV. Patients who used VR reported higher satisfaction with the experience and no difference in opioid prescribing.
A Finnish study has found that bowel preparation before colon surgery does not reduce surgical site infections or complications. The study of 400 patients showed no benefits to the procedure, suggesting it may be unnecessary.
This systematic review and meta-analysis found parent-based interventions associated with improved condom use and parent-child sexual communication in adolescents. The findings were generally modest, but there was a significant association across studies.
A randomized clinical trial and meta-analysis found intensive blood pressure control to be more effective than standard control in reducing stroke recurrence risk. Patients who received intensive blood pressure control had a lower risk of stroke compared to those on standard control, suggesting potential benefits for stroke prevention.
A new study suggests that partial knee replacements (PKR) are as effective as total knee replacements (TKR), with a lower cost. Over five years, PKR has similar or slightly better clinical outcomes than TKR, while offering substantial economic benefits.
A WVU study found that only folic acid and omega-3 supplements showed promise in reducing cardiovascular risk. Eating less salt was also beneficial for overall survival and cardiovascular mortality rates. However, the quality of evidence supporting other supplements and diets was considered low due to methodological issues.
The University of North Carolina will test the effectiveness of Med-South, an adapted form of the Mediterranean diet, in promoting long-term weight loss among patients with obesity. The randomized trial aims to assess the impact of this unique dietary approach on cardiovascular risk factors and blood pressure.
Two new trials show oral semaglutide is more effective than subcutaneous liraglutide in treating type 2 diabetes, with the latest trial showing it's also safe for patients with moderate renal impairment. Another trial found that insulin degludec plus liraglutide is a durable therapy option for type 2 diabetes.
The Lancet journals present research on improving stroke outcomes, including effects of antiplatelet therapy and robotic training for upper limb rehabilitation. Papers also explore extending thrombolysis and stenting for symptomatic vertebral artery stenosis.
A new minimally invasive treatment option has been shown to dramatically lower rates of low-density lipoprotein (LDL) cholesterol in patients following a heart attack. The procedure, called LDL-apheresis, decreases LDL levels by 50-80 percent in two to three hours.
The BRAVO-3 clinical trial found ProGlide VCD to be associated with lower rates of vascular complications and shorter hospitalizations after TAVR. The study showed ProGlide offered fewer complications compared to ProStar XL, with lower rates of acute kidney injury.
A year-long randomized controlled study is being conducted to evaluate the impact of switching from cigarettes to glo on markers of smoking-related disease development. The study aims to observe any favorable changes and determine if THPs may provide a less risky alternative to cigarette smoking.
A field experiment in Uganda found that raising tenants' share of crops from 50% to 75% can increase agricultural output by 60%, thanks to higher investment and risk-taking. The change also led to a sharp gain in overall welfare for tenants, but a 20% drop in landlords' income.
A new study found that nasal high-frequency oscillatory ventilation (NHFOV) is superior to nasal continuous positive airway pressure (NCPAP) in preventing reintubation in preterm infants with neonatal ARDS. NHFOV reduced PCO2 levels and enabled infants to leave the hospital in fewer days.
A new study from the Norwegian University of Science and Technology found that higher body mass index (BMI) is linked to an increased risk of developing psoriasis. The observational study analyzed data from over 750,000 individuals and found a 9% increase in risk for each whole BMI unit increase.
A new Harvard study found that workplace wellness programs can increase healthy behaviors such as exercise and weight management, but have no significant effects on clinical measures of health or other outcomes. The study suggests that these programs may not yield large returns on investment in the short term.
A randomized clinical trial found that employees with workplace wellness programs reported better health behaviors after 18 months, including more regular exercise and weight management. However, there were no significant differences in other health outcomes or employment metrics.
A randomized trial found that a plant-based whole food diet reduced gingival bleeding and increased vitamin D values in patients with gingivitis. The experimental group also experienced weight loss and showed significant benefits without changes to plaque values.
A study examining calcium intake found that higher intake was associated with a lower risk of progression to late AMD. However, the association between calcium intake and different stages of AMD was inconsistent.