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Our study shows physicians readily integrated their CPUS findings, translating to a high proportion of patients whose clinical management and initial treating clinician impression were altered based on the CPUS.
Overall, there was a change in treating clinician impression in 15.4 % (95 % CI 9 22%%) and change in management in 19.6 % (95%% CI 12 27 %) of patients following CPUS.
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Qualitative patient and clinician impressions were assessed.
Pre-test and post-test clinician impressions and management plans were compared to assess for a change.
For the survey, we use a previously published survey from the Physical Activity for Life (PAL) study, which is a 20 item face-valid questionnaire to explore clinician impressions of the effectiveness of the intervention [ 13].
Clinicians' impression of pressure ulcer status at 12 weeks will be assessed with one question namely—'How would you rate the quality of the wound and skin over the affected area?'.
At the same time, nearly one third of deaths were accounted for by only ten different LLC, confirming clinicians' impression that, while the range of possible LLC is wide, it is possible to identify a relatively small number of diagnoses whose symptom management should form the core of a specialist palliative care skillset.
To see if clinicians' impressions were influenced by expert opinion on patient selection criteria that influence magnetic resonance guided focused ultrasound (MRgFUS) leiomyoma treatment.
For the evaluation of the secondary outcome of CPUS in influencing clinicians change in management and clinical impression, pre-test and post-test diagnoses by the treating clinicians were compared, and frequency of change in the treating clinicians' impressions and management plans was calculated.
Although we carefully review medical records, including clinicians' impressions and neuropsychological, imaging, and CSF data, the medical record data we collect are neither universal nor uniform.
Given that the median clinical impression MRP score of 3 was at the higher end of the scales whereas the median CDS score of 3 was at the relatively milder end of the dehydration spectrum, clinicians' impressions appear to overestimate the degree of dehydration.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com