The Value Forge
Meta-Analysis
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Meta-analysis
NEW
Meta-analysis finds remote cardiac rehabilitation matches or exceeds centre-based care for heart failure patients
A meta-analysis of eight randomised trials finds mobile-health-supported remote or hybrid cardiac rehabilitation performs as well as, or better than, centre-based rehabilitation on exercise capacity in heart failure, though certainty is low to moderate.
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Meta-analysis
NEW
Reablement-based home rehabilitation shows weak evidence of benefit, meta-analysis finds
A GRADE-assessed systematic review and meta-analysis of 27 trials finds reablement-based home rehabilitation has low-to-very-low-certainty evidence of improving daily function, while structured exercise-based rehabilitation does show benefit.
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Meta-analysis
NEW
Pharmacist involvement in OPAT teams cuts prescribing errors, meta-analysis finds
A systematic review and meta-analysis finds pharmacist involvement in OPAT multidisciplinary teams improves monitoring adherence and reduces prescribing errors, though impact on readmissions remains inconsistent.
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Meta-analysis
NEW
Meta-analysis confirms exercise-based rehabilitation eases depression in rheumatoid arthritis
A meta-analysis of 15 randomised trials finds structured exercise reduces depressive symptoms in rheumatoid arthritis with moderate certainty.
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Meta-analysis
NEW
Activity- and exercise-based home rehabilitation improves daily function in older adults, meta-analysis finds
A meta-analysis of 27 randomised controlled trials in community-dwelling older adults found activity- and exercise-based home rehabilitation improved daily-living function and physical performance, while reablement-based approaches showed no significant effect.
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Meta-analysisPrimary Study
NEW
Ceftriaxone associated with threefold mortality increase in MSSA bloodstream infections: implications for OPAT prescribing
A systematic review and meta-analysis of 11 studies (n=2,568) found ceftriaxone associated with significantly increased 30-day mortality (OR 3.33, 95% CI 2.17–5.10) compared with antistaphylococcal penicillins or cefazolin for MSSA bloodstream infections. A concurrent cost analysis of CADD-pump-based OPAT demonstrated 88% cost savings versus inpatient care, providing the delivery mechanism for safer beta-lactam alternatives.
