The hierarchy of evidence

Bigby, Michael

doi:10.1002/9781118357606.ch7

Cited by 6 publications

(2 citation statements)

References 19 publications

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“…We also searched PubMed using the terms 'isotretinoin' AND 'surgery' AND 'wound healing' from inception until 18 December 2012. Using the hierarchy of quality of evidence, 7 we looked for meta-analyses of adverse effect data, followed by randomized controlled trials, cohort studies, case series, case reports, pharmacovigilance data and animal studies. In total 329 articles were found, 29 of which were considered relevant to the clinical question.…”

Section: Literature Searchmentioning

confidence: 99%

Should isotretinoin be stopped prior to surgery? A Critically Appraised Topic

Wootton

Cartwright²,

Manning

et al. 2014

Br J Dermatol

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Section: Literature Searchmentioning

confidence: 99%

Should isotretinoin be stopped prior to surgery? A Critically Appraised Topic

Wootton

Cartwright²,

Manning

et al. 2014

Br J Dermatol

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“…If an article failed to provide any of the above measures, it was removed from the review. Trials addressing deficits other than balance and with a level of evidence less than 2b based on the Sackett's classification system were not included. Also excluded were those involving subjects from the adult population.…”

Section: Methodsmentioning

confidence: 99%

Physical therapy management for balance deficits in children with hearing impairments: A systematic review

Fernandes

Hariprasad

2015

J Paediatrics Child Health

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Childhood hearing impairment is a significant problem, associated with long-term academic, communicative and physical impairments. Studies have shown that children with hearing loss also present with balance and/or vestibular deficits along with complain of frequent falls. Various interventions have been studied to improvise postural control and balance in these children on different outcome measures. This review will provide the existing evidence on interventions to improve vestibular and/or balance functions. Three trials met our study criteria with PEDro score ≥6, and data were extracted, entered by two independent review authors. Though there was variability with regard to the focus and intensity of the intervention, subject characteristics and in outcome measures, vestibular rehabilitation has a positive influence on functional independence. Heterogeneity in the studies limits the comparisons of intervention programmes. We conclude that there was considerable evidence for a positive effect on balance outcomes among the hearing-impaired population with vestibular deficits. Further investigations of high-quality studies are needed to determine to compare interventions for improving vestibular deficits in hearing-impaired children.

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Level of Evidence and Strength of Recommendation

Alam

2019

Evidence-Based Procedural Dermatology

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The hierarchy of evidence

Cited by 6 publications

References 19 publications

Should isotretinoin be stopped prior to surgery? A Critically Appraised Topic

Should isotretinoin be stopped prior to surgery? A Critically Appraised Topic

Physical therapy management for balance deficits in children with hearing impairments: A systematic review

Level of Evidence and Strength of Recommendation

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