Fast Facts

THIC Staff

 


Topics in Integrative Health Care 2012, Vol. 3(4)   ID: 3.4008



Published on
December 31, 2012
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Readers are welcome to contribute to Fast Facts. Please include the original abstract (with citation) that is the source of your contribution. Contributors’ names will be included along with the item.


A randomized trial of 169 pregnant women compared standard obstetric care alone to standard obstetric care plus a multimodal approach to low back and pelvic pain incorporating manual therapy, stabilization exercises, and patient education provided by chiropractic specialists. Results showed that the multimodal approach benefited patients more than standard obstetric care alone.

George JW, Skaggs CD, Thompson PA, Nelson DM, Gavard JA, Gross GA. A randomized controlled trial comparing a multimodal intervention and standard obstetrics care for low back and pelvic pain in pregnancy. Am J Obstet Gynecol Oct 23 2012. DOI: 10.1016/j.ajog.2012.10.869

A systematic review found few published reports of adverse events following spinal manipulation during pregnancy and the postpartum period. While improved reporting of such events is needed, it may be that such injuries are relatively rare.

Stuber KJ, Wynd S, Weis CA. Adverse events from spinal manipulation in the pregnant and postpartum periods: a critical review of the literature. Chiropr Man Therap 2012;20:8.

A systematic review and meta-analysis found that influenza vaccines can provide moderate protection against virologically confirmed influenza, but protection is greatly reduced or absent in some seasons. Evidence for protection in adults aged 65 years or older is lacking.

Osterholm MT, Kelley NS, Sommer A, Belongia EA. Efficacy and effectiveness of influenza vaccines: a systematic review and meta-analysis. Lancet Infectious Dis 2012;12(1):36-44.

Potentially inappropriate medications (PIMs) are prescribed as first-line treatment for the most vulnerable of older adults, despite evidence of poor outcomes. This project updated the Beers Criteria using a systematic review and grading of the evidence.

The American Geriatrics Society 2012 Beers Criteria Update Expert Panel. American Geriatrics Society Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. Free full text and clinical tools available at: http://www.americangeriatrics.org/health_care_professionals/clinical_practice/clinical_guidelines_recommendations/2012

A Cochrane systematic review and meta-analysis of randomized trials was conducted to quantify the benefits and harms of general health checks in adults. General health checks did not reduce morbidity or mortality, neither overall nor for cardiovascular or cancer causes, although they increased the number of new diagnoses. Important harmful outcomes were often not studied or reported.

Krogsboll LT, Jorgensen KJ, Gronhoj Larsen C, Gotzsche PC. General health checks in adults for reducing morbidity and mortality from disease: Cochrane systematic review and meta-analysis. BMJ. 2012;345:e7191.


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