Performance league tables: the NHS deserves better.
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ABSTRACT:
SUBMITTER: Adab P
PROVIDER: S-EPMC64507 | biostudies-literature | 2002 Jan
REPOSITORIES: biostudies-literature
Publications
Performance league tables: the NHS deserves better.
Adab Peymané P Rouse Andrew M AM Mohammed Mohammed A MA Marshall Tom T
BMJ (Clinical research ed.) 20020101 7329
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| S-EPMC416599 | biostudies-literature
Project description:Background: Universities closely watch international league tables because these tables influence governments, donors and students. Achieving a high ranking in a table, or an annual rise in ranking, allows universities to promote their achievements using an externally validated measure. However, league tables predominantly reward measures of research output, such as publications and citations, and may therefore be promoting poor research practices by encouraging the "publish or perish" mentality. Methods: We examined whether a league table could be created based on good research practice. We rewarded researchers who cited a reporting guideline, which help researchers report their research completely, accurately and transparently, and were created to reduce the waste of poorly described research. We used the EQUATOR guidelines, which means our tables are mostly relevant to health and medical research. We used Scopus to identify the citations. Results: Our cross-sectional tables for the years 2016 and 2017 included 14,408 papers with 47,876 author affiliations. We ranked universities and included a bootstrap measure of uncertainty. We clustered universities in five similar groups in an effort to avoid over-interpreting small differences in ranks. Conclusions: We believe there is merit in considering more socially responsible criteria for ranking universities, and this could encourage better research practice internationally if such tables become as valued as the current quantity-focused tables.
| S-EPMC6611132 | biostudies-literature
Project description:BackgroundThe limited health care resources cannot meet all the demands of the society. Thus, decision makers have to choose feasible interventions and reject the others. We aimed to collect and summarize the results of all cost utility analysis studies that were conducted in Iran and develop a Quality Adjusted Life Year (QALY) league table.MethodsA systematic mapping review was conducted to identify all cost utility analysis studies done in Iran and then map them in a table. PubMed, Embase, Cochrane library, Web of Science, as well as Iranian databases like Iran Medex, SID, Magiran, and Barakat Knowledge Network System were all searched for articles published from the inception of the databases to January 2020. Additionally, Cost per QALY or Incremental Cost Utility Ratio (ICUR) were collected from all studies. The Joanna Briggs checklist was used to assess quality appraisal.ResultsIn total, 51 cost-utility studies were included in the final analysis, out of which 14 studies were on cancer, six studies on coronary heart diseases. Two studies, each on hemophilia, multiple sclerosis and rheumatoid arthritis. The rest were on various other diseases. Markov model was the commonest one which has been applied to in 45% of the reviewed studies. Discount rates ranged from zero to 7.2%. The cost per QALY ranged from $ 0.144 in radiography costs for patients with some orthopedic problems to $ 4,551,521 for immune tolerance induction (ITI) therapy in hemophilia patients. High heterogeneity was revealed; therefore, it would be biased to rank interventions based on reported cost per QALY or ICUR.ConclusionsHowever, it is instructive and informative to collect all economic evaluation studies and summarize them in a table. The information on the table would in turn be used to redirect resources for efficient allocation. in general, it was revealed that preventive programs are cost effective interventions from different perspectives in Iran.
| S-EPMC7807517 | biostudies-literature
Project description:IntroductionLearners have repeatedly expressed a desire for more structured training in communicating with families, especially when sharing life-altering information and breaking bad news. Concurrently, parents have indicated that pediatricians could conduct difficult conversations with greater skill. Based on local needs assessments and available pediatric literature, this guide presents didactic materials and a workshop-style, case-based, longitudinal approach for teaching communication skills to learners in pediatrics.MethodsThe customizable guide can be implemented as a 1-hour didactic presentation, a 1- to 3-hour workshop, or an integrated longitudinal curriculum. Unlike other available resources for breaking bad news, this guide is specifically designed for pediatrics and uses evidence-based communication guidelines developed for pediatric settings. The guidelines are modified from the adult-centered SPIKES (setting, perception, involvement, knowledge, emotions, summary) approach. The material was created by clinicians, educators, and parents of pediatric patients. In addition to video-based didactic materials and pediatric case scenarios, the guide includes materials for assessment, evaluation, and personal reflection.ResultsThe modified SPIKES approach and didactic portion of this resource were validated as an initial training tool, yielding significant improvements in self-efficacy of pediatric providers and learners. Evaluations of the role-playing components provided by pediatric residents and fellows have been positive for the format and value of the learning experience. Participants reported a particular benefit from the inclusion of parent perspectives.DiscussionWithout a formal communication curriculum, learners must rely on chance observation of life-altering conversations during clinical rotations. This guide provides pediatric educators with structured, evidence-based materials to teach advanced communication skills.
| S-EPMC6512877 | biostudies-literature
Project description:Laboratory studies have demonstrated that circadian clocks align physiology and behavior to 24-h environmental cycles. Examination of athletic performance has been used to discern the functions of these clocks in humans outside of controlled settings. Here, we examined the effects of jet lag, that is, travel that shifts the alignment of 24-h environmental cycles relative to the endogenous circadian clock, on specific performance metrics in Major League Baseball. Accounting for potential differences in home and away performance, travel direction, and team confounding variables, we observed that jet-lag effects were largely evident after eastward travel with very limited effects after westward travel, consistent with the >24-h period length of the human circadian clock. Surprisingly, we found that jet lag impaired major parameters of home-team offensive performance, for example, slugging percentage, but did not similarly affect away-team offensive performance. On the other hand, jet lag impacted both home and away defensive performance. Remarkably, the vast majority of these effects for both home and away teams could be explained by a single measure, home runs allowed. Rather than uniform effects, these results reveal surprisingly specific effects of circadian misalignment on athletic performance under natural conditions.
| S-EPMC5307448 | biostudies-literature
Project description:This article presents data challenging the widely held but untested view that concurrently playing mid-week Union of European Football Associations (UEFA) Europa League matches adversely affects domestic league performance. Over 16 seasons we compared next-season domestic league performance of the two highest finishing UEFA Europa League qualifying clubs with the two highest finishing non-qualifiers in England and Spain. Clubs concurrently playing UEFA Europa League football showed significantly superior domestic league performance including wins, losses, goals, goal difference and points tally. The number of European matches played was not related to domestic league performance. The absence of prior rigorous analysis including appropriate comparison data has led to the proliferation of a widespread confirmatory bias, defined as the tendency to seek out evidence that backs one's hunches and to ignore evidence that contradicts them. Based on our evidence, football professionals, journalists, pundits, and fans should consider the UEFA Europa League competition more favorably.
| S-EPMC7739226 | biostudies-literature
Project description:BackgroundIn rugby league (RL), the ability to repeatedly engage in the tackle, whether as a ball carrier or tackler, is essential for team success and player performance. It is also the leading cause of injury, with over 90% of total injuries occurring during the tackle in professional and amateur cohorts. To effectively reduce the risk of injury and optimise performance, establishing the extent of the 'problem', through injury surveillance or descriptive performance studies is required.ObjectiveThe purpose of this narrative synthesis was to systematically search and synthesise tackle injury epidemiology and tackle performance frequency in RL. To achieve this objective, a systematic review was conducted.MethodsThe search was limited to English-only articles published between January 1995 and October 2018. Based on the search criteria, a total of 53 studies were found: 32 focused on tackle injury epidemiology (nine cases studies) and 21 focused on tackle frequency.ResultsIn general, over 600 tackles may occur during an RL match. Tackle injury frequencies (both overall and time-loss injuries) ranged between 47%-94% at the professional level, and between 38%-96% for the lower levels of play. A greater proportion of injuries occurring in professional RL are severe time-loss injuries when compared to lower levels of play. Most time-loss and overall injuries occur to players who are tackled, i.e., ball carriers, across all levels of play.ConclusionThis narrative synthesis will facilitate tackle injury prevention and performance research in RL, and act as a reference document for coaches and practitioners.
| S-EPMC9924599 | biostudies-literature
Project description: Not available
| S-EPMC1370980 | biostudies-literature
Project description:This study aimed to develop a model to objectively benchmark professional Australian Rules football (AF) player performance based on age, experience, positional role and both draft type and round in the Australian Football League (AFL). The secondary aims were to identify the stage of peak performance and specific breakpoints in AF player performance longitudinally. AFL Player Ratings data were obtained for all players (n = 1052) from the 1034 matches played during the 2013-2017 seasons, along with data pertaining to the abovementioned player characteristics. Two separate linear mixed models revealed that all factors influenced player performance, with age and experience the strongest in each model, respectively. Post hoc Tukey tests indicated that performance was affected by age at each level up until the age of 21 (effect ranging from 0.98 to 3.70 rating points), and by experience at the levels 1-20 and 21-40 matches in comparison to all higher levels of experience (effect ranging from 1.01 to 3.77 rating points). Two segmented models indicated that a point of marginal gains exists within longitudinal performance progression between the age levels 22 and 23, and the experience levels 41-60 and 61-80 matches. Professional sporting organisations may apply the methods provided here to support decisions regarding player recruitment and development.
| S-EPMC6554430 | biostudies-literature