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GRADE: an emerging consensus on rating quality of evidence and strength of recommendations

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TLDR
The advantages of the GRADE system are explored, which is increasingly being adopted by organisations worldwide and which is often praised for its high level of consistency.
Abstract
Guidelines are inconsistent in how they rate the quality of evidence and the strength of recommendations. This article explores the advantages of the GRADE system, which is increasingly being adopted by organisations worldwide

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Adverse events associated with nevirapine and efavirenz-based first-line antiretroviral therapy: a systematic review and meta-analysis.

TL;DR: Compared to NVP, EFV is associated with a lower frequency of severe adverse events, in particular treatment discontinuations, which supports a move toward EFV-based therapy as the preferred first-line treatment regimen for HIV treatment within a public health approach.
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Don't know, can't know: embracing deeper uncertainties when analysing risks

TL;DR: The contingent nature of risk-modelling needs to be explicitly acknowledged in advice given to policy-makers, and the forms of expression of uncertainty within the five levels are considered, concluding that unconditional expressions of uncertainty remain an aspiration.
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Palliative Care as a Standard of Care in Pediatric Oncology.

TL;DR: Standardization of palliative care assessments and interventions in pediatric oncology has the potential to foster improved quality of care across the cancer trajectory for children and adolescents with cancer and their family members.
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Instruments for the assessment of suicide risk: A systematic review evaluating the certainty of the evidence

TL;DR: Most suicide risk assessment instruments were supported by too few studies to allow for evaluation of accuracy, and among those that could be evaluated, none fulfilled requirements for sufficient diagnostic accuracy.
References
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Journal ArticleDOI

Risks and benefits of estrogen plus progestin in healthy postmenopausal women: Principal results from the Women's Health Initiative randomized controlled trial

TL;DR: Overall health risks exceeded benefits from use of combined estrogen plus progestin for an average 5.2-year follow-up among healthy postmenopausal US women, and the results indicate that this regimen should not be initiated or continued for primary prevention of CHD.
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Randomized Trial of Estrogen Plus Progestin for Secondary Prevention of Coronary Heart Disease in Postmenopausal Women

TL;DR: Treatment with oral conjugated equine estrogen plus medroxyprogesterone acetate did not reduce the overall rate of CHD events in postmenopausal women with established coronary disease and the treatment did increase the rate of thromboembolic events and gallbladder disease.
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Mortality and morbidity in patients receiving encainide, flecainide, or placebo. The Cardiac Arrhythmia Suppression Trial.

TL;DR: There was an excess of deathsDue to arrhythmia and deaths due to shock after acute recurrent myocardial infarction in patients treated with encainide or flecainide.
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A comparison of results of meta-analyses of randomized control trials and recommendations of clinical experts. Treatments for myocardial infarction.

TL;DR: Finding and analyzing all therapeutic trials in a given field has become such a difficult and specialized task that the clinical experts called on to summarize the evidence in a timely fashion need access to better databases and new statistical techniques to assist them.
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