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Topic: Consensus (medical)

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Medical research

	(MPB) Considerations for the Biocompatibility Evaluation of Medical Devices (MDDI archive, May 01)
		Although FDA recognizes that many of the currently available biomaterials have vast utility in the fabrication of medical devices, the properties and safety of these materials must be carefully assessed with respect to the specific application in question and its degree of patient contact.
		An important principle in the safety assessment of medical devices is that a material that was found to be safe for one intended use in a device might not be safe in a device intended for a different use.
		Medical devices designated as Class II are devices for which general controls alone are not sufficient to ensure safety and effectiveness, but for which there is sufficient information to establish special controls to provide this assurance.
	www.devicelink.com /mddi/archive/01/05/008.html (3553 words)

	ThrombosisCare.net (Site not responding. Last check: 2007-11-07)
		Prevention of VTE in hospitalized medical patients presents a daily challenge to all physicians and pharmacists, including those practicing in the emergency department, on the medical wards, in the critical care unit, in the setting of general and orthopedic surgery, and in the coronary care setting.
		The Panel’s primary mission was to evaluate and analyze the medical literature to generate outcome-effective, pharmacoeconomically sensitive, and evidence-based recommendations for the prophylaxis of VTE in patients hospitalized for medical disorders.
		In light of the substantial burden of VTE in medical populations, current consensus statements on the prevention of VTE recommend assessment of all hospitalized patients, both medical and surgical, for thromboembolic risk and the use of appropriate prophylaxis.
	www.thrombosiscare.net /secure/articles/clincardiology1.htm (11026 words)

	Report of the Working Group of the Advisory Committee to the Director to review the Office of Medical Applications of ... (Site not responding. Last check: 2007-11-07)
		NIH held its first consensus development conference in 1977, and the Office for Medical Applications of Research was officially established in 1978.
		The NIH consensus conference process, as currently conducted, carries the imprimatur of the NIH and can serve an important role in informing health care professionals and the public about improvements in medical practice and the public health, and in some cases about limitations and remaining questions.
		The workgroup felt strongly that the consensus development process itself would benefit from the application of new methods to systematically review data prior to a consensus conference, such as those used in the evidence-based approach used to establish practice guidelines in recent years.
	www.nih.gov /about/director/060399a.htm (4374 words)

	AAOS On-Line Service Team Physician Consensus Statement (Site not responding. Last check: 2007-11-07)
		The objective of the Team Physician Consensus Statement is to provide physicians, school administrators, team owners, the general public, and individuals who are responsible for making decisions regarding the medical care of athletes and teams with guidelines for choosing a qualified team physician and an outline of the duties expected of a team physician.
		A panel of experts convened to develop a consensus statement on the definition of a team physician; the qualifications, duties and responsibilities of a team physician; and education strategies based on that statement.
		This Consensus Statement was adopted by the AAOS Board of Directors on October 2, 1999.
	www.aaos.org /wordhtml/papers/advistmt/1021.htm (1076 words)

	NIH Consensus Statements: 84. Gastrointestinal Surgery for Severe Obesity (Site not responding. Last check: 2007-11-07)
		In a 1985 National Institutes of Health (NIH) consensus conference, the health implications of obesity were established as including increased risk for cardiovascular disease (especially hypertension), dyslipidemia, diabetes mellitus, gallbladder disease, increased prevalences and mortality ratios of selected types of cancer, and socioeconomic and psychosocial impairment.
		After 2 days of presentations by experts in the field, a consensus panel representing the professional fields of surgery, general medicine, gastroenterology, nutrition, epidemiology, psychiatry, endocrinology, and including representatives from medical literature and the public, considered the evidence and agreed on answers to the questions that follow.
		Medical complications of rapid weight loss may occur and are usually treatable.
	consensus.nih.gov /cons/084/084_statement.htm (4153 words)

	Celiac disease under diagnosed NIH consensus panel finds (Site not responding. Last check: 2007-11-07)
		The full text of the panel's consensus statement is available at http://consensus.nih.gov Statements from past conferences and additional information about the NIH Consensus Development Program are also available at the Web site, or by calling 1-888-644-2667.
		The NIH Consensus Development Program, of which this conference is a part, was established in 1977 as a mechanism to judge controversial topics in medicine and public health in an unbiased, impartial manner.
		The conference was sponsored by the Office of Medical Applications of Research and the National Institute of Diabetes and Digestive and Kidney Diseases, of the NIH.
	www.medicalnewstoday.com /medicalnews.php?newsid=11538 (685 words)

	The Medical Literature on the Safety of Home Birth
		The policy ramifications include important changes in state regulation of medical and alternative health personnel, the allowance of the home as a medically acceptable and legal birth setting, and reimbursement of this lower-cost option through private and public health insurers.
		Births subsequently came under the control of the medical profession and the prevalent medical ideology continues to support hospitalised birth in the interests of safety for mother and child.
		Despite resistance from the medical profession, recent (1990) legislation has reinstated the autonomy of midwives and this has come at a time when the demand for home births is increasing.
	www.changesurfer.com /Hlth/homebirth.html (5788 words)

	Appleton_Consensus.html
		Danish Medical Association (Ugeskr Laeger) 1989; 151, 11:700-706; it was reprinted in the Journal of Medical Ethics 1989; 15:129-136 and in the Icelandic Medical Journal (Laeknabladid) 1989; 75: 303-311.
		If we lose sight of professional integrity, we also lose sight of the fact that the doctor owes allegiance to a norm of practice according to which he or she serves the patient and that the best interests of his or her patient must always be his or her paramount concern.
		Editor's note: The phrase "norms of medical practice" refers to the norms that would generally be accepted by a physician's peers in his or her local medical community.
	www.lawrence.edu /dept/bioethics/Appleton_Consensus.html (14159 words)

	NIH Consensus Statements: 108. Effective Medical Treatment of Opiate Addiction (Site not responding. Last check: 2007-11-07)
		Opiate dependence is a brain-related medical disorder that can be effectively treated with significant benefits for the patient and society, and society must make a commitment to offer effective treatment for opiate dependence to all who need it.
		Although there are other medications (e.g., levo-alpha acetylmethadol [LAAM] and naltrexone, an opiate antagonist, etc.) that are safe and effective in the treatment of opiate addicts, the focus of this consensus development conference was primarily on methadone maintenance treatment (MMT).
		All primary care medical specialties (including general practice, internal medicine, family practice, obstetrics and gynecology, geriatrics, pediatrics, and adolescent medicine) should be taught the principles of diagnosing and treating patients with opiate dependence.
	odp.od.nih.gov /consensus/cons/108/108_statement.htm (7152 words)

	[No title]
		The consensus items now attached to this Memorandum represent those items on which there were 70% or more of the Task Force in favor of the particular item.
		Because many of the consensus items were simply based upon a lack of sufficient data at this time, it is conceivable that, in the future, firm conclusions may be made once more data becomes available.
		In short, these consensus items represent a summary of what we know now and should not be construed as a prediction of the future.
	www.ncbar.org /news/1/477/index.aspx?print=true (1395 words)

	Consensus Medical Communications
		Consensus Medical Communications (CMC) is an independent, full-service medical education company.
		CMC develops and publishes non-promotional, independent medical education utilizing a consensus of medical authorities specializing in specific medical topics.
		CMC strives to create medical education activities which are fair, balanced and concise, and whose format and scientific credibility will provide a valuable tool to practicing physicians.
	www.consensusmedical.com (57 words)

	EasyDiagnosis Medical Expert System Programs: Online Diagnosis, Chest Pain, Headache, Low back pain, Fainting ... (Site not responding. Last check: 2007-11-07)
		The medical guideline movement in the United States began in the mid 1980's when The National Institutes of Health came under intense pressure from policy makers to provide a formal system of assessing new medical developments.
		This evolved into the NIH Consensus Development Program which was proposed as a means of allowing "appropriate members of the medical profession, the research community, consumers (sic!) and others to join in evaluating new technologies." Ultimately this developed into The Agency for Health Care Policy Research (AHCPR) which was established by Congress in 1989.
		More on consensus statements and the NIH Consensus Development Program can be accessed at: http://odp.od.nih.gov/consensus/cons/cons.htm which includes indices by date and subject.
	www.easydiagnosis.com /articles/consensus.html (453 words)

	Reporting Requirements Cloud Consensus on Curbing Medical Errors (Site not responding. Last check: 2007-11-07)
		How to reduce the occurrence of medical errors and serious mistakes that jeopardize a patient's life or well-being has moved from the anonymity of hospital safety review committees to the spotlight of the U.S. Congress.
		Some 22 State programs now collect data on medical errors, but these programs "are in their infancy, and we need to know what they're doing now, not what they did 10 years ago," he said.
		The IOM's ambitious goal of reducing medical errors by 50 percent in the next 5 years could be achieved without new oversight or regulation if the Clinton Administration committed more funding to patient safety research, said Harvard's Dr.
	www.ahcpr.gov /news/medscap1.htm (1427 words)

	Treatment of Obsessive-Compulsive Disorder
		The likelihood that medication will be included in the recommendation varies with the severity of the OCD and the age of the patient.
		The dose of medication for such patients should not be increased to high levels until at least 12 weeks of treatment have elapsed.
		Thus, combined CBT and medication is the experts’ preference for most patients who have not responded to an initial trial of either CBT or medication alone.
	www.psychguides.com /ocgl.html (3170 words)

	Nat' Academies Press, Consensus Development at the NIH: Improving the Program (1990)
		The consensus development program of the Na- tional Institutes of Health Current practices and historical per- spectives International Journal of Technology Assessment in Health Care 1~2~:420-432.
		Direct mailing as a means of dis- seminating NIH consensus statements Journal of the American Medical Association 255(~01:~328-~330.
		First consensus development program in the United- Kingdom On coronary artery bypass grafting, commentary by the chair of the conference British Medical Journal 291:7 ~ 6-7 ~ 8.
	www.nap.edu /books/0309042429/html/75.html (1426 words)

	Treatment of Bipolar Disorder (Site not responding. Last check: 2007-11-07)
		The expert consensus is to change the initial mood stabilizer after 1-3 weeks if the patient is showing no response, and after 2-4 weeks if the patient has shown a partial response.
		The experts had no consensus on the role of calcium channel blockers except for agreement that they are not among the first line drugs.
		Psychosocial interventions are particularly important for improving medication compliance, patient and family education, suicide prevention, psychotherapy for depression (e.g., interpersonal or cognitive/behavioral therapy), and setting limits in mania and hypomania.
	www.psychguides.com /bpgl.html (5110 words)

	MedlinePlus Medical Encyclopedia: Food poisoning
		You are also at higher risk if you have a serious medical condition, like kidney disease or diabetes, a weakened immune system, or you travel outside of the U.S. to areas where there is more exposure to organisms that cause food poisoning.
		If you have diarrhea and are unable to drink fluids (for example, due to nausea or vomiting), you may need medical attention and intravenous fluids.
		Medications should NEVER be stopped or changed without discussing with your doctor and getting specific instructions.
	www.nlm.nih.gov /medlineplus/ency/article/001652.htm (1262 words)

	Heat Illness Consensus Sought by Medical Groups (Site not responding. Last check: 2007-11-07)
		DALLAS (Jan. 22, 2003) - Leaders from approximately 20 organizations in the sports, health and medical arenas have agreed to form an Inter-Association Task Force on Exertional Heat Illness to address and review a subject that has generated widespread media exposure and affliction to increasing numbers of people in recent years.
		The initial meeting to collaborate on an interdisciplinary consensus statement will be held in Atlanta, Feb. 1-3.
		Certified athletic trainers (ATCs) are medical professionals who specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses that occur to athletes and the physically active.
	www.nata.org /publications/press_releases/2003.01.24HeatIllnessConsensus.htm (375 words)

	Presenting The Facts
		A recent study reported in the March 8, 2000 edition of the Journal of the American Medical Association shows that traditional methadone maintenance therapy is superior to both short-term and long-term detoxification treatment as a method to treat heroin dependence.
		The Journal of the American Medical Association notes in an editorial in its March 8, 2000 edition that following the Scottish example, and allowing primary care physicians to dispense methadone, could provide a three- to five-fold increase in access, as well as reducing the cost per patient.
		In short, there is absolutely no medical, ethical, moral, or legal basis for discrimination against any person because of their disease or the treatment of that disease.
	www.methadone.net /presenting_the_facts.htm (1946 words)

	Aspects of Inter-Facility Transport Where Consensus is Needed: Medical direction (Site not responding. Last check: 2007-11-07)
		Medical direction serves a critical quality control function over every aspect of patient care and system operation, including the appropriateness of clinical protocols, adequacy of provider education, selection of equipment, and prevention of medical errors.
		However, while guidelines have been established to assist with medical direction of traditional EMS services, no such guidance is available to advise physicians on how to provide effective medical direction of inter-facility transports.
		Consensus guidance for medical direction of inter-facility transport would encourage consistent practice and promote widespread adoption of this function.
	www.nhtsa.dot.gov /People/injury/ems/emsinter_facility/medical.htm (225 words)

	Team Physician Consensus Statement
		Sideline preparedness is the identification of and planning for medical services to promote the safety of the athlete, to limit injury, and to provide medical care at the site of practice or competition.
		The safety and on-site medical care of the athlete is the goal of sideline preparedness.
		This Consensus Statement outlines the essential and desirable components of sideline preparedness for the team physician to promote the safety of the athlete, to limit injury, and to provide medical care at the site of practice or competition.
	www.amssm.org /SidelinePrepare.html (1207 words)

	National Institutes of Health (NIH) Consensus Development Program
		Online interactive tests accredited by the Accreditation Council for Continuing Medical Education for credit in Category I of the Physician's Recognition Award of the American Medical Association.
		Background and history of the NIH Consensus Development Program and Staff Directory.
		Visitor Information - Directions to NIH and the Natcher Conference Center, the state-of-the-art facility where Consensus Development Conferences are held.
	consensus.nih.gov (188 words)

	Qualitative Research: Consensus methods for medical and health services research -- Jones and Hunter 311 (7001): 376 -- ... (Site not responding. Last check: 2007-11-07)
		* The rerankings are summarised and assessed for degree of consensus:
		The following are possible adverse effects of lowering the number of junior medical staff in general medicine and its associated specialties.
		Consensus statement on cancer of the colon and rectum.
	www.bmj.com /cgi/content/full/311/7001/376 (4253 words)

	healthfinder® — NIH Consensus Program Information Center, Office of Medical Applications of Research - NIH
		The National Institutes of Health Consensus Development Program was established in 1977 and is the premier health technology assessment and transfer program in American medicine.
		Under this program, the Office of Medical Applications of Research at NIH organizes major conferences that produce consensus statements and technology assessment statements on controversial issues in medicine important to health care providers, patients, and the general public.
		Consensus Statements from the National Institutes of Health (NIH)
	www.healthfinder.gov /orgs/HR2720.htm (129 words)

	COCHLEAR IMPLANTS IN ADULTS AND CHILDREN
		Although there may be specific medical contraindications to surgery and implantation such as poor anesthetic risk, severe mental retardation, severe psychiatric disorders, and organic brain syndromes, cochlear implantation should be offered to a wider population of individuals.
		NIH Consensus Development Conferences are convened to evaluate available scientific information and resolve safety and efficacy issues related to a biomedical technology.
		The resultant NIH Consensus Statements are intended to advance understanding of the technology or issue in question and to be useful to health professionals and the public.
	www.medhelp.org /lib/100coc.htm (5531 words)

	The National Medical Association (Site not responding. Last check: 2007-11-07)
		These findings are important as it means while lactose intolerance occurs in some of the population, African Americans don't have to give up dairy foods - and ultimately their health benefits.
		Other new research reviewed by the Consensus Committee shows that dairy foods like milk, cheese and yogurt may have significant health benefits beyond strong bones.
		The National Medical Association is the nation's largest and oldest organization addressing the health issues affecting African American and underserved populations.
	www.nmanet.org /pr_120704.htm (592 words)

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