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Items 1 to 10 of about 449
1. Ozguler A, Loisel P, Boureau F, Leclerc A: [Effectiveness of interventions for low-back-pain sufferers: the return to work criterion]. Rev Epidemiol Sante Publique; 2004 Apr;52(2):173-88
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] [Effectiveness of interventions for low-back-pain sufferers: the return to work criterion].
  • [Transliterated title] Efficacité des interventions s'adressant à des sujets lombalgiques, du point de vue du retour au travail.
  • BACKGROUND: Return to work is considered as a major effectiveness criterion for interventions dedicated to subacute or chronic low-back-pain sufferers.
  • Moreover, return to work, beyond the economic and social Issues, is regarded more and more as having a therapeutic dimension.
  • This review aims to describe the various interventions which are effective in returning patients to work.
  • METHODS: The presentation is based on existing reviews supplemented by a selection of recent studies.
  • RESULTS: "Cognitive-behavioral therapy", "reassurance" and "back exercises" are some suggested approaches.
  • Some of these techniques are geared specifically towards work.
  • Others, such as "back schools" or "multidisciplinary interventions" combine different approaches.
  • CONCLUSION: Promoting return to work at an appropriate stage (subacute stage) could help low-back-pain sufferers to avoid prolonged disability.
  • [MeSH-major] Low Back Pain / rehabilitation. Work
  • [MeSH-minor] Disability Evaluation. Humans. Models, Theoretical. Sick Leave

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  • (PMID = 15138396.001).
  • [ISSN] 0398-7620
  • [Journal-full-title] Revue d'épidémiologie et de santé publique
  • [ISO-abbreviation] Rev Epidemiol Sante Publique
  • [Language] fre
  • [Publication-type] English Abstract; Journal Article; Review
  • [Publication-country] France
  • [Number-of-references] 69
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2. Poitras S, Loisel P, Prince F, Lemaire J: Disability measurement in persons with back pain: a validity study of spinal range of motion and velocity. Arch Phys Med Rehabil; 2000 Oct;81(10):1394-400
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Disability measurement in persons with back pain: a validity study of spinal range of motion and velocity.
  • OBJECTIVE: To evaluate the criterion validity and responsiveness to change of spine kinematic variables to assess disability in patients with low back pain.
  • DESIGN: Blinded comparison between spine kinematic variables, Oswestry disability questionnaire scores, and work status.
  • SETTING: Multidisciplinary occupational rehabilitation clinic of a university hospital.
  • PATIENTS: Population-based cohort of 111 patients with subacute work-related back pain who were absent from regular work for more than 4 weeks because of back pain.
  • INTERVENTIONS: This study was part of a population-based randomized clinical trial.
  • Patients were randomized to 4 different methods of management: usual care, rehabilitation, ergonomics, or rehabilitation and ergonomics.
  • MAIN OUTCOME MEASURES: Oswestry disability questionnaire, kinematic analysis of the spine during flexion and extension of the trunk, and work status were collected at weeks 4, 12, 24, and 52 after the back accident.
  • RESULTS: Kinematic variables were poorly to moderately related to work status and Oswestry questionnaire scores.
  • Kinematic variables were also unresponsive to change in work status and Oswestry questionnaire scores over time.
  • CONCLUSION: Spine kinematics during flexion and extension of the trunk do not appear to be a valid measure of disability in patients with subacute and chronic back pain.
  • [MeSH-major] Disability Evaluation. Low Back Pain / diagnosis. Spine / physiopathology
  • [MeSH-minor] Adult. Area Under Curve. Biomechanical Phenomena. Employment. Female. Humans. Male. Middle Aged. Movement. Quebec. Reproducibility of Results. Surveys and Questionnaires

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  • (PMID = 11030506.001).
  • [ISSN] 0003-9993
  • [Journal-full-title] Archives of physical medicine and rehabilitation
  • [ISO-abbreviation] Arch Phys Med Rehabil
  • [Language] eng
  • [Publication-type] Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't
  • [Publication-country] UNITED STATES
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3. Martín-Betancor K, Durand MJ, Thouand G, Leganés F, Fernández-Piñas F, Rodea-Palomares I: Microplate freeze-dried cyanobacterial bioassay for fresh-waters environmental monitoring. Chemosphere; 2017 Dec;189:373-381
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  • [Title] Microplate freeze-dried cyanobacterial bioassay for fresh-waters environmental monitoring.
  • Microorganisms have been very useful in environmental monitoring due to their constant sensing of the surrounding environment, their easy maintenance and low cost.
  • Some freeze-dried toxicity kits based on naturally bioluminescent bacteria are commercially available and commonly used to assess the toxicity of environmental samples such as Microtox (Aliivibrio fischeri) or ToxScreen (Photobacterium leiognathi), however, due to the marine origin of these bacteria, they could not be the most appropriate for fresh-waters monitoring.
  • Cyanobacteria are one of the most representative microorganisms of aquatic environments, and are well suited for detecting contaminants in aqueous samples.
  • This study presents the development and application of the first freeze-dried cyanobacterial bioassay for fresh-water contaminants detection.
  • The effects of different cell growth phases, cryoprotectant solutions, freezing protocols, rehydration solutions and incubation conditions methods were evaluated and the best combination of these parameters for freeze-drying was selected.
  • The study includes detailed characterization of sensitivity towards reference pollutants, as well as, comparison with the standard assays.
  • Moreover, long-term viability and sensitivity were evaluated after 3 years of storage.
  • Freeze-dried cyanobacteria showed, in general, higher sensitivity than the standard assays and viability of the cells remained after 3 years of storage.
  • Finally, the validation of the bioassay using a wastewater sample was also evaluated.
  • Freeze-drying of cyanobacteria in 96-well plates presents a simple, fast and multi-assay method for environmental monitoring.

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  • [Copyright] Copyright © 2017 Elsevier Ltd. All rights reserved.
  • (PMID = 28946071.001).
  • [ISSN] 1879-1298
  • [Journal-full-title] Chemosphere
  • [ISO-abbreviation] Chemosphere
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
  • [Keywords] NOTNLM ; Bioluminescent cyanobacterial bioassay / Environmental monitoring / Freeze-drying / Microplate long-term bioassay
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4. Gutterman DD, Chabowski DS, Kadlec AO, Durand MJ, Freed JK, Ait-Aissa K, Beyer AM: The Human Microcirculation: Regulation of Flow and Beyond. Circ Res; 2016 Jan 08;118(1):157-72
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  • [Title] The Human Microcirculation: Regulation of Flow and Beyond.
  • The microcirculation is responsible for orchestrating adjustments in vascular tone to match local tissue perfusion with oxygen demand.
  • Beyond this metabolic dilation, the microvasculature plays a critical role in modulating vascular tone by endothelial release of an unusually diverse family of compounds including nitric oxide, other reactive oxygen species, and arachidonic acid metabolites.
  • Animal models have provided excellent insight into mechanisms of vasoregulation in health and disease.
  • However, there are unique aspects of the human microcirculation that serve as the focus of this review.
  • The concept is put forth that vasculoparenchymal communication is multimodal, with vascular release of nitric oxide eliciting dilation and preserving normal parenchymal function by inhibiting inflammation and proliferation.
  • Likewise, in disease or stress, endothelial release of reactive oxygen species mediates both dilation and parenchymal inflammation leading to cellular dysfunction, thrombosis, and fibrosis.
  • Some pathways responsible for this stress-induced shift in mediator of vasodilation are proposed.
  • This paradigm may help explain why microvascular dysfunction is such a powerful predictor of cardiovascular events and help identify new approaches to treatment and prevention.
  • [MeSH-major] Endothelium, Vascular / physiology. Microcirculation / physiology. Vasodilation / physiology
  • [MeSH-minor] Animals. Blood Circulation / physiology. Cardiovascular Diseases / diagnosis. Cardiovascular Diseases / physiopathology. Humans

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  • [Copyright] © 2016 American Heart Association, Inc.
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  • (PMID = 26837746.001).
  • [ISSN] 1524-4571
  • [Journal-full-title] Circulation research
  • [ISO-abbreviation] Circ. Res.
  • [Language] eng
  • [Grant] United States / NHLBI NIH HHS / HL / R01 HL113612; United States / NIGMS NIH HHS / GM / T32 GM089586
  • [Publication-type] Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Review
  • [Publication-country] United States
  • [Other-IDs] NLM/ NIHMS743099 [Available on 01/08/17]; NLM/ PMC4742348 [Available on 01/08/17]
  • [Keywords] NOTNLM ; microcirculation / muscle, smooth, vascular / nitric oxide / oxidative stress / vasodilation
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5. Pransky G, Shaw WS, Loisel P, Hong QN, Désorcy B: Development and validation of competencies for return to work coordinators. J Occup Rehabil; 2010 Mar;20(1):41-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Development and validation of competencies for return to work coordinators.
  • INTRODUCTION: Return to work (RTW) coordinators are a key element in programs that facilitate RTW of injured or ill workers, yet little research documents the competencies required for success in this role.
  • METHODS: Competencies were defined as knowledge, skills, attitudes, and behaviors.
  • Eight focus groups were conducted with 75 experienced RTW coordinators to identify 904 individual competencies.
  • These were subsequently reduced to 234 unique items through affinity mapping, and sorted into eight groups: administration, individual personal attributes, information gathering, communication, professional credibility, evaluation, problem-solving, and conflict management.
  • A subset of 100 items, including 88 items most often cited, were incorporated in an Internet-based survey that sampled a broad range of RTW coordinators from three countries.
  • RESULTS: Eighty-three of the questionnaire items were rated 4 or 5 (very important or essential) by over half of the 148 respondents.
  • There were no differences in affinity group mean ratings by country, employer, profession, or type of clients.
  • The highest-rated items reflect general personal characteristics, or specific skills related to coordinating among all involved with the RTW process.
  • RTW coordinators with nursing backgrounds provided slightly higher ratings for items related to medical knowledge, but otherwise their ratings were similar to non-nurses.
  • CONCLUSIONS: These findings indicate a consensus across a wide range of RTW coordinators, and results can be applied to improve coordinator selection, training, and development.
  • Certain key competencies may be well-established individual attributes, and others may be best developed through mentorship.
  • Most of these competencies are probably best evaluated by direct observation.
  • [MeSH-major] Case Management. Health Knowledge, Attitudes, Practice. Occupational Therapy. Professional Competence / standards. Work Capacity Evaluation
  • [MeSH-minor] Adult. Data Collection. Female. Focus Groups. Humans. Male. Middle Aged. Surveys and Questionnaires

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  • (PMID = 19826930.001).
  • [ISSN] 1573-3688
  • [Journal-full-title] Journal of occupational rehabilitation
  • [ISO-abbreviation] J Occup Rehabil
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't; Validation Studies
  • [Publication-country] Netherlands
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6. Durand MJ, Murphy SA, Schaefer KK, Hunter SK, Schmit BD, Gutterman DD, Hyngstrom AS: Impaired Hyperemic Response to Exercise Post Stroke. PLoS One; 2015;10(12):e0144023
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Impaired Hyperemic Response to Exercise Post Stroke.
  • Individuals with chronic stroke have reduced perfusion of the paretic lower limb at rest; however, the hyperemic response to graded muscle contractions in this patient population has not been examined.
  • This study quantified blood flow to the paretic and non-paretic lower limbs of subjects with chronic stroke after submaximal contractions of the knee extensor muscles and correlated those measures with limb function and activity.
  • Ten subjects with chronic stroke and ten controls had blood flow through the superficial femoral artery quantified with ultrasonography before and immediately after 10 second contractions of the knee extensor muscles at 20, 40, 60, and 80% of the maximal voluntary contraction (MVC) of the test limb.
  • Blood flow to the paretic and non-paretic limb of stroke subjects was significantly reduced at all load levels compared to control subjects even after normalization to lean muscle mass.
  • Of variables measured, increased blood flow after an 80% MVC was the single best predictor of paretic limb strength, the symmetry of strength between the paretic and non-paretic limbs, coordination of the paretic limb, and physical activity.
  • The impaired hemodynamic response to high intensity contractions was a better predictor of lower limb function than resting perfusion measures.
  • Stroke-dependent weakness and atrophy of the paretic limb do not explain the reduced hyperemic response to muscle contraction alone as the response is similarly reduced in the non-paretic limb when compared to controls.
  • These data may suggest a role for perfusion therapies to optimize rehabilitation post stroke.

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  • MedlinePlus Health Information. consumer health - Stroke.
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  • (PMID = 26630380.001).
  • [ISSN] 1932-6203
  • [Journal-full-title] PloS one
  • [ISO-abbreviation] PLoS ONE
  • [Language] ENG
  • [Grant] United States / NINDS NIH HHS / NS / 1R21NS088818; United States / NCATS NIH HHS / TR / 8UL1TR000055; United States / NINDS NIH HHS / NS / R01 NS079751; United States / NINDS NIH HHS / NS / R21 NS088818; United States / NINDS NIH HHS / NS / R01-NS079751
  • [Publication-type] Journal Article; Research Support, N.I.H., Extramural
  • [Publication-country] United States
  • [Other-IDs] NLM/ PMC4667998
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7. Coutu MF, Baril R, Durand MJ, Côté D, Cadieux G: Health and illness representations of workers with a musculoskeletal disorder-related work disability during work rehabilitation: a qualitative study. J Occup Rehabil; 2011 Dec;21(4):591-600
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Health and illness representations of workers with a musculoskeletal disorder-related work disability during work rehabilitation: a qualitative study.
  • INTRODUCTION: Distinctions between disease and illness have been criticized for being too theoretical.
  • In practice, however, it may help explain gaps in understanding and miscommunication between health care professionals and patients/injured workers, since each has their own perception of reality.
  • To reduce the gap between health care professionals and patients in understanding the definition of disease, this paper documents general representations of health, illness and work-related musculoskeletal disorders and their influence on the work rehabilitation program.
  • METHODS: A qualitative methodology was used.
  • Semi-structured interviews were conducted with 16 participants (male, female) recruited when they were starting an intensive interdisciplinary work rehabilitation program for chronic pain due to a musculoskeletal disorder.
  • Interviews were performed at three points during the program and 1 month after discharge.
  • RESULTS: First, participants described health and illness in terms of:.
  • (1) illness prototype;.
  • (2) the absence or presence of symptoms;.
  • (3) physical health and capacities;.
  • (4) engaging in a healthy lifestyle;.
  • (5) maintaining independence;.
  • (6) preserving mental well-being; and (7) healing from accidents or injuries.
  • A second observation was that rehabilitation success depended on workers transitioning from a less mechanistic to a more functional view of health.
  • CONCLUSION: This study highlights the importance of identifying and acknowledging workers' health, illness and WRMSD representations to facilitate their return to work.
  • [MeSH-major] Health Knowledge, Attitudes, Practice. Musculoskeletal Diseases / rehabilitation. Occupational Diseases / rehabilitation. Terminology as Topic
  • [MeSH-minor] Adult. Female. Health Behavior. Health Status. Humans. Interviews as Topic. Male. Mental Health. Middle Aged. Professional-Patient Relations. Qualitative Research. Quebec. Work

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  • (PMID = 21544669.001).
  • [ISSN] 1573-3688
  • [Journal-full-title] Journal of occupational rehabilitation
  • [ISO-abbreviation] J Occup Rehabil
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Netherlands
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8. Coutu MF, Baril R, Durand MJ, Côté D, Cadieux G: Clinician-patient agreement about the work disability problem of patients having persistent pain: why it matters. J Occup Rehabil; 2013 Mar;23(1):82-92
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Clinician-patient agreement about the work disability problem of patients having persistent pain: why it matters.
  • BACKGROUND: Studies from different fields documenting the differences between clinicians' and workers' representations have not elucidated where the differences exist or how they can be resolved.
  • PURPOSE: To define and describe scenarios depicting the differences between clinical judgment, workers' representations about their disability and clinicians' interpretations of these representations.
  • METHODS: A multiple case-study design was used.
  • Semi-structured prospective interviews were conducted at four points in time, with five clinicians managing 12 cases of workers having persistent pain and participating in an evidence-based work rehabilitation program.
  • RESULTS: Four scenarios depicting differences in representations were found, but not all the differences necessarily had a negative impact on the program outcomes.
  • For the clinicians, clear identification of the problem was important to allow for the use of concrete, pragmatic strategies.
  • For the workers, congruence between the proposed strategy and their representations was crucial.
  • CONCLUSION: During rehabilitation, the objectives must be acceptable to both parties or the proposed strategy must, at least, make sense to the patient.
  • [MeSH-major] Chronic Pain. Disability Evaluation. Dissent and Disputes. Musculoskeletal Pain
  • [MeSH-minor] Adult. Female. Humans. Interviews as Topic. Male. Middle Aged. Occupations. Pain Management. Physician-Patient Relations. Pilot Projects. Prospective Studies. Return to Work

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  • (PMID = 22996342.001).
  • [ISSN] 1573-3688
  • [Journal-full-title] Journal of occupational rehabilitation
  • [ISO-abbreviation] J Occup Rehabil
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Netherlands
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9. Coutu MF, Baril R, Durand MJ, Côté D, Rouleau A: Representations: an important key to understanding workers' coping behaviors during rehabilitation and the return-to-work process. J Occup Rehabil; 2007 Sep;17(3):522-44
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Representations: an important key to understanding workers' coping behaviors during rehabilitation and the return-to-work process.
  • INTRODUCTION: Every year many workers are excluded from work because of a work disability attributable to a musculoskeletal disorder (MSD).
  • Factors associated with the development and persistence of the work disability can be related to the worker, work environment, compensation policies, healthcare system and insurance system.
  • Workers' understanding/representations of their disability are associated with coping behaviors aimed at helping them adapt to or solve their health problem.
  • A representation is a complex, organized entity incorporating thoughts, beliefs, and attitudes regarding a particular subject.
  • Representations have been studied in anthropology, sociology and psychology since the 1960s, but often in a compartmentalized way.
  • These representations provide an important key to understanding what motivates workers during rehabilitation and the return-to-work process.
  • To build upon disciplinary knowledge and better understand workers' efforts to cope with their persistent disability, this article therefore aims to pool the different knowledge available on the illness representation concept, from the fields of anthropology, sociology and psychology in order to gain a better understanding of its application in the MSD context.
  • METHODS: An electronic literature search (French, English) from 1960 on was conducted in medical, paramedical and social science databases (MedLINE, PsychINFO, CINAHL, etc.) using predetermined key words.
  • After screening abstracts based on a set of criteria, content analysis was performed on the 131 articles retained.
  • RESULTS: The theoretical models and approaches can be divided into three categories:.
  • (1) personal experience;.
  • (2) interactionist; and (3) sociocultural.
  • The models found in sociology and anthropology are mainly descriptive and developed in a medical context, and only rarely in an occupational health context.
  • However, these models could add elements to psychosocial models that are more dynamic and oriented toward understanding the reasons behind specific behaviors.
  • CONCLUSION: Bridging the gap between these disciplines will help us achieve a new level of knowledge that will, by taking social interactions into account, enhance understanding of workers' representations, and the behaviors they adopt to manage their MSD-related disability.
  • [MeSH-major] Adaptation, Psychological. Attitude to Health. Musculoskeletal Diseases
  • [MeSH-minor] Culture. Humans. Life Change Events. Sick Leave

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  • (PMID = 17564819.001).
  • [ISSN] 1053-0487
  • [Journal-full-title] Journal of occupational rehabilitation
  • [ISO-abbreviation] J Occup Rehabil
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't; Review
  • [Publication-country] Netherlands
  • [Number-of-references] 166
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10. Murray MA, Brunier G, Chung JO, Craig LA, Mills C, Thomas A, Stacey D: A systematic review of factors influencing decision-making in adults living with chronic kidney disease. Patient Educ Couns; 2009 Aug;76(2):149-58
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] A systematic review of factors influencing decision-making in adults living with chronic kidney disease.
  • OBJECTIVE: To identify factors influencing patient involvement in decision-making in the context of chronic kidney disease (CKD) and effective interventions to support their decision-making needs.
  • METHODS: A systematic review included studies and decision support tools that involved:.
  • (1) adults with CKD, (2) studies published from 1998-2008; and (3) a focus on patient decision-making needs, and/or barriers and facilitators to shared decision-making.
  • Studies were quality appraised.
  • RESULTS: Forty studies were appraised.
  • These studies mainly focused on the decisions patients with CKD faced around the choice of renal replacement therapy and withholding/withdrawing dialysis.
  • Moreover, studies typically focused on health care professional's provision of information about the decision rather than identifying decisional conflict and supporting patients in decision-making.
  • No studies were found that identified the patient's point of view about factors that might influence or inhibit quality decision-making.
  • Factors influencing CKD patient's participation in decision included:.
  • (1) interpersonal relationships;.
  • (2) preservation of current well being, normality and quality of life;.
  • (3) need for control; and (4) personal importance on benefits and risks.
  • Of the four patient decision aids identified, none had been evaluated for effectiveness.
  • CONCLUSION: Patients with CKD face decisions that are likely to cause decisional conflict.
  • Most studies focused on information needs related to renal replacement therapy and withdrawing or withholding dialysis.
  • There was less focus on other decision-making needs in the context of those choices and across the trajectory of CKD.
  • Although patient decision aids and implementation of shared decision-making have been evaluated in patients with other medical conditions, little is known about interventions to support patients with CKD making quality decisions.
  • PRACTICE IMPLICATIONS: Patients with CKD have decision-making needs across the trajectory of their illness.
  • Although little is known about supporting patients with CKD decision-making, support could be provided with protocols and tools that have been developed for other chronic illness situations.
  • Development of CKD-specific clinical practice guidelines that include decision support best practices could benefit CKD patients.
  • Research priorities include development and evaluation of CKD focused decision support tools and processes.
  • [MeSH-major] Decision Making. Health Services Needs and Demand. Kidney Failure, Chronic. Needs Assessment. Patient Education as Topic. Patient Satisfaction
  • [MeSH-minor] Adult. Evidence-Based Medicine. Humans

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  • (PMID = 19324509.001).
  • [ISSN] 1873-5134
  • [Journal-full-title] Patient education and counseling
  • [ISO-abbreviation] Patient Educ Couns
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] Ireland
  • [Number-of-references] 60
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