Annals of internal medicine
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Opioids are frequently prescribed for acute musculoskeletal injuries and may result in long-term use and consequent harms. ⋯ National Safety Council. (PROSPERO: CRD42018104968).
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Patients and clinicians can choose from several treatment options to address acute pain from non-low back, musculoskeletal injuries. ⋯ National Safety Council. (PROSPERO: CRD42018094412).
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Although measuring albuminuria is the preferred method for defining and staging chronic kidney disease (CKD), total urine protein or dipstick protein is often measured instead. ⋯ National Institute of Diabetes and Digestive and Kidney Diseases and National Kidney Foundation.
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Meta Analysis Comparative Study
Comparative Effectiveness of Glucose-Lowering Drugs for Type 2 Diabetes: A Systematic Review and Network Meta-analysis.
Several pharmacologic options for type 2 diabetes are available. ⋯ European Foundation for the Study of Diabetes, supported by an unrestricted educational grant from AstraZeneca. (PROSPERO: CRD42019122043).
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Meta Analysis
Using Electronic Health Record Portals to Improve Patient Engagement: Research Priorities and Best Practices.
Ninety percent of health care systems now offer patient portals to access electronic health records (EHRs) in the United States, but only 15% to 30% of patients use these platforms. Using PubMed, the authors identified 53 studies published from September 2013 to June 2019 that informed best practices and priorities for future research on patient engagement with EHR data through patient portals, These studies mostly involved outpatient settings and fell into 3 major categories: interventions to increase use of patient portals, usability testing of portal interfaces, and documentation of patient and clinician barriers to portal use. Interventions that used one-on-one patient training were associated with the highest portal use. ⋯ Clinicians reported a lack of workflows to support patient use of portals in routine practice. These studies suggest that achieving higher rates of patient engagement through EHR portals will require paying more attention to the needs of diverse patients and systematically measuring usability as well as scope of content. Future work should incorporate implementation science approaches and directly address the key role of clinicians and staff in promoting portal use.