Journal of Clinical Effectiveness: Volume 3 Issue 3

The prevention and treatment of diabetic foot ulcers: a review of clinical effectiveness studies

Eva Kaltenthaler, C.Jane Morrell, Andrew Booth, Ron L. Akehurst

Diabetic foot ulcers are associated with considerable morbidity, mortality and costs to the NHS. This paper describes a review of publications reporting randomised controlled…

The elderly, medicines and robust evidence from randomised control trials

Alan Earl‐Slater

This paper identifies and explores issues of medication, the elderly, and the problems in securing and using evidence from randomised control trials. Demographic and health care…

Problems with implementing and evaluating the effect of locally developed guidelines for the management of dyspepsia

Hannah Patrick, Paul Bolton, Karen Brickenden

Introduction Clinical Guidelines are systematically developed statements which assist clinicians and patients in making decisions about appropriate treatment for specific…

Development of local clinical practice guidelines to assist GPs, counsellors and psychological therapists in matching patients to the most appropriate psychological treatment

John Cape, Judith Hartley, Kate Durrant, Matthew Patrick, Judy Graham

The past decade has seen an expansion of psychological treatments available to patients in the NHS. Research into the effectiveness of psychological treatments is also increasing…

Pain relief in the recovery room: an audit of current practice and a proposed solution

Mark Simmonds, Mrs Peggy Edwards

For this study 334 patients during their stay in the recovery room were assigned to the following groups: ‘comfortable’, in ‘pain’ and in ‘severe pain’. Fourteen per cent of…

Audit of a dedicated osteoporosis clinic

Judith M. Hall, Angela Fairney

In this article an audit of the service provided by our osteoporosis clinic at St. Mary's Hospital, Paddington, is described. The aim was to assess the quality of the service and…

Is there any place for the physiotherapist service in the fracture clinic?

M. Nashi, Verna Ashby, B.N. Muddu, Maggie Tate

The role of the physiotherapist's services in the fracture clinic was audited to evaluate whether the number of treatments required by the patients was reduced, whether waiting…