Evidence for Allied Health: new evidence and resources – Quarter 3 2021

The latest evidence and resources for allied health professionals and clinical support staff. You can either scroll through this page or click on any of the links below to jump to the relevant section.

Is our content useful to you?

We refreshed our ‘Evidence for Allied Health’ series last year, along with equivalent series for Maternity Care and Nursing. It would be really helpful to know whether you find our content useful, how you use it, and if you have any suggestions for how it could be improved. You can find out more in this short blog or head straight to our short survey to help shape our content.

COVID-19

.

COVID-19

This year, Cochrane is continuing to produce new and updated reviews in response to the pandemic. We have blogged about many of them and this blog COVID-19 evidence: a Cochrane round-up brings together a large collection of evidence and resources, starting from when this evidence was first being produced in spring 2020. Like the reviews themselves, all our blogs are updated to reflect new evidence.

A Cochrane Review COVID‐19 and its cardiovascular effects: a systematic review of prevalence studies (March 2021) has looked at both cardiovascular problems pre-existing the development of COVID-19 and assesses the risk of cardiovascular complications, highlighting which are the most common (unexpectedly, this was atrial fibrillation). Senior author Professsor John GF Cleland discusses it in this interview. He comments that “These results show what the clinical teams looking after patients with COVID should watch out for. Clinical teams are already aware of the risk of blood clots but may be less aware of the risk of developing atrial fibrillation or heart failure. Also, heart failure may be difficult to diagnose in a patient with COVID, so great care and attention is required not to miss this treatable diagnosis.” There is a Cochrane Clinical Answer and a Cochrane Podcast for this review.

Cochrane’s response to the pandemic had to meet the needs of evidence users and decision‐makers as it developed and how this is being done is discussed in an Editorial COVID-19: working together and making a difference for decision-makers. Cochrane has also signed on to the World Health Organization’s call for action about managing infodemics and WHO’s Vaccine Equity Declaration.

Cochrane Special Collections

Cochrane Special Collections assemble Cochrane Reviews on important topics for the prevention and treatment of COVID-19. They are developed with experts from our global Cochrane network. They are based on World Health Organization interim guidance, and continuously updated. You can find Coronavirus (COVID-19) Special Collections here. Among them is the other (non-Covid) Special Collections is Physical activity for healthy ageing which was updated in April 2021.

Cochrane Podcasts

Cochrane COVID-19 Podcasts offer short summaries of Cochrane COVID-19 reviews from the authors themselves. A good way to hear the latest Cochrane evidence in under 5 minutes each.

Cochrane Clinical Answers

Cochrane Clinical Answers (CCAs) provide a readable, digestible, clinically-focused entry point to rigorous research from Cochrane Reviews. They are designed to be actionable and to inform point-of-care decision-making.

Each CCA contains a clinical question, a short answer, and data for the outcomes from the Cochrane Review deemed most relevant to practising healthcare professionals. The evidence is displayed in a user-friendly tabulated format that includes narratives, data, and links to graphics.

You can find Cochrane Clinical Answers related to COVID-19 here.

Asthma

Inhaled corticosteroids for chronic asthma

Cochrane Review: Regular treatment with formoterol and an inhaled corticosteroid versus regular treatment with salmeterol and an inhaled corticosteroid for chronic asthma: serious adverse events (April 2021)

Cochrane Clinical Answers (both derived from the above review):

For adults with chronic asthma receiving inhaled corticosteroids (ICSs), how does adjunct formoterol compare with salmeterol in terms of serious adverse events?

For children with chronic asthma receiving inhaled corticosteroids (ICSs), how does adjunct formoterol compare with salmeterol in terms of serious adverse events?

Inhalers for mild asthma

Featured Review: Combination fixed-dose beta agonist and steroid inhaler as required for adults or children with mild asthma

Cancer

Breast cancer

Cochrane Clinical Answer: Can weight loss interventions improve outcomes for overweight and obese breast cancer survivors?

Glioblastoma

Podcast: Treatment options for newly diagnosed glioblastoma in older people

Care of the newborn, including preterm infants

Management of transient tachypnoea of the newborn

For this recent Cochrane Review: Fluid restriction in the management of transient tachypnea of the newborn (February 2021) there is now a Cochrane Clinical Answer: How does restricted fluid management compare with standard fluid management for preventing transient tachypnea in neonates?

Opioids for ventilated newborns

Podcast: Opioids for newborns receiving mechanical ventilation

Surfactant therapy

Cochrane Review: Surfactant therapy via thin catheter in preterm infants with or at risk of respiratory distress syndrome (May 2021)

COPD

For this Cochrane Review Prophylactic antibiotics for adults with chronic obstructive pulmonary disease: a network meta‐analysis (January 2021) there is now a Cochrane Clinical Answer: For adults with chronic obstructive pulmonary disease (COPD), how do prophylactic antibiotics compare?

Critical and emergency care

Critical care telemedicine

Cochrane Clinical Answer: What characteristics associated with interventions, individuals, and in‐hospital settings affect the implementation of critical care telemedicine (CCT)?

High-flow nasal cannulae

Cochrane Review: High‐flow nasal cannulae for respiratory support in adult intensive care patients (March 2021)

Cochrane Clinical Answer: For adults in intensive care requiring respiratory support, how does a high‐flow nasal cannula compare with standard oxygen therapy and non‐invasive (positive‐pressure) ventilation (NI[PP]V)?

Oral hygiene

Podcast: Oral hygiene care for critically ill patients to prevent ventilator-associated pneumonia

PEEP levels for mechanically ventilated adults

Cochrane Review: High versus low positive end‐expiratory pressure (PEEP) levels for mechanically ventilated adult patients with acute lung injury and acute respiratory distress syndrome (March 2021)

Cochrane Clinical Answer: How do high and low positive end‐expiratory pressure (PEEP) levels compare for mechanically ventilated adults with acute lung injury and acute respiratory distress syndrome?

Dementia

Podcast: Cochrane Dementia and Cognitive Improvement Group dispels myths on podcast

Dietary interventions

Crohn’s disease

Cochrane Clinical Answers:

What are the effects of dietary interventions for induction of remission in adults with active Crohn’s disease?

What are the effects of dietary interventions for maintenance of remission in adults with inactive Crohn’s disease?

Cystic fibrosis

Cochrane Clinical Answer: What are the benefits and harms of oral calorie supplements for people with cystic fibrosis?

Hypertension plus overweight or obesity

Cochrane Review: Long‐term effects of weight‐reducing diets in people with hypertension (February 2021)

Cochrane Clinical Answer: For people with hypertension and overweight or obesity, what are the effects of weight‐reducing diets?

Cochrane Clinical Answer: How does intermittent fasting compare with ad libitum and continuous energy restriction dietary styles for prevention of cardiovascular disease in adults?

End-of-life care

Hospital at home

Cochrane Review: Hospital at home: home‐based end‐of‐life care (March 2021)

Cochrane Clinical Answers:

For terminally ill adults, how does home‐based end‐of‐life care compare with usual care?

Hospital-based specialist palliative care

Cochrane Clinical Answer: How does hospital‐based specialist palliative care (HSPC) affect adults with advanced illness?

Healthcare worker education and training

Cochrane Reviews:

Education and training for preventing sharps injuries and splash exposures in healthcare workers (April 2021)

Training healthcare providers to respond to intimate partner violence against women (May 2021). See also our blog Domestic abuse: help and evidence for abused women and those supporting them.

Living with long-term conditions 

Living with long-term conditions: a Cochrane UK special series has multiple blogs, offering perspectives from patients, health professionals and researchers.  You can read all the blogs in this series here. Some are listed elsewhere on this page by topic (eg. mental health, diabetes). Our Consumer Champions have shared their experiences in Living with a long-term condition: five perspectives – part 1 and Living with a long-term condition: five perspectives – part 2. There is a blog on research to improve pregnancy outcomes for women with long-term conditions – Contemplating pregnancy with long-term health conditions and a blog on biologics for treating arthritis: are they the greatest advance this century?

There is a blog on a new trial comparing hearing aids with cochlear implants – Severe hearing loss in adults: finding out whether cochlear implants or hearing aids are better.

In the UK, the NHS may offer a cochlear implant to adults who have severe hearing loss and can only hear sounds louder than 80 decibels (about as loud as an alarm clock or kitchen blender) We don’t know whether hearing aids or cochlear implants are better for adults who have slightly more hearing than the 80 decibel threshold. A new randomised clinical trial, COACH, will compare hearing aids with a cochlear implant for people in this category The results of the trial should help patients, healthcare providers and practitioners decide between a cochlear implant and hearing aids

There is also a blog on The impact of language on people living with long-term conditions and a tweetchat on this topic is summarised in this blog Language matters: the use and misuse of language when talking about long-term conditions.

The language used by healthcare professionals has a profound impact on people who live with a long-term condition, and those who care for them. It impacts how people experience their condition and feel about living with it day-to-day. Language can have both a motivating and empowering effect or it can create burdensome feelings about health and well-being that can have a massive impact on people’s lives. NHS England have produced ‘Language Matters’ guides for conditions such as diabetes and obesity, to give helpful tips to practitioners and encourage professional reflection on the empathetic and productive use of language.

Take-home points The language used about long-term health conditions influences public perception and can have a big impact on people living with the conditions Personal preference varies; it is important to listen to the language someone is using about their own condition Plain, sensitive and non-judgemental language is important There are resources available, such as the NHS England ‘Language Matters’ guides. While these are for diabetes and obesity, they contain lots of practical advice that can be applied to other conditions

Low back pain

Low back pain

Cochrane Clinical Answer: Can adding acupuncture to usual care improve outcomes for adults with chronic nonspecific low back pain?

Occupational Therapy research priorities

The Occupational Therapy JLA PSP published its Top 10 research priorities in July 2020. Here, you can read about the Next steps for the Top 10 research priorities in Occupational Therapy.

Pelvic health

Myra Robson, a pelvic health physiotherapist, has written an Evidently Cochrane blog Pessaries for pelvic organ prolapse – looking at the Cochrane evidence.

50% of women over 50 have a prolapse A Cochrane Review has found gaps in the evidence on pessaries to treat pelvic organ prolapse Combining pessaries with pelvic floor muscle training probably improves symptoms but may make abnormal bleeding more likely Prolapse can often be very well-managed with physiotherapy

NICE seek comments on draft guidance on pelvic floor dysfunction

NICE has recently published draft guidance on pelvic floor dysfunction and the importance of exercises and has opened a period of consultation from stakeholders, until 9 August 2021.

Post-operative care

Featured review: What are the benefits and risks of a single injection of ketorolac (an anti-inflammation medicine) for relieving short-term pain after surgery in adults? (May 2021)

Cochrane Clinical Answer: For adults with acute postoperative pain, how does single‐dose intravenous (IV) ketorolac compare with alternative non‐steroidal anti‐inflammatory drugs (NSAIDs) or opioids?

Pulmonary embolism

Cochrane Review: Thrombolytic therapy for pulmonary embolism (April 2021)

Pulmonary rehabilitation

Podcast: How does using technology to deliver pulmonary rehabilitation (PR) compare to centre-based PR, or no PR in people with chronic lung disease?

Soft tissue injury (acute)

Cochrane Clinical Answer: How do oral non‐steroidal anti‐inflammatory drugs compare with other oral analgesic agents for people with acute soft tissue injury?

Smoking cessation

Cochrane Special Collections:

Coronavirus (COVID-19): effective options for quitting smoking during the pandemic (June 2021)

 Stopping tobacco use (May 2021)

Cochrane Clinical Answer: How effective and safe are electronic cigarettes (ECs) for smoking cessation?

Stroke

Featured Review: Endovascular thrombectomy and intra‐arterial interventions for acute ischaemic stroke

Cochrane Clinical Answer: How do oral health interventions compare with usual care for improving outcomes in people after stroke?

Vitamin D supplementation for children

For the Cochrane Review Effects of oral vitamin D supplementation on linear growth and other health outcomes among children under five years of age(December 2020) there is now a Cochrane Clinical Answer For infants and children younger than 5 years of age, what are the effects of vitamin D supplementation on linear growth and other health outcomes?

Opportunities to get involved with Cochrane 

On this page, Important Cochrane Links, you can find opportunities to get involved, including how to join Cochrane, find volunteer tasks, or jump into the Cochrane Library.

Find out more about Cochrane’s Early Career Professionals Group and their upcoming activities.

Please note that this page includes a round-up of materials mainly published within the last three months, and is not updated after it’s posted.

References (pdf)

Join in the conversation on Twitter with @SarahChapman30 and @CochraneUK or leave a comment on the blog.

Please note, we cannot give medical advice and do not publish comments that link to individual pages requesting donations or to commercial sites, or appear to endorse commercial products. We welcome diverse views and encourage discussion but we ask that comments are respectful and reserve the right to not publish any we consider offensive. Cochrane UK does not fact check – or endorse – readers’ comments, including any treatments mentioned.



Evidence for Allied Health: new evidence and resources – Quarter 3 2021 by Sarah Chapman and Selena Ryan-Vig

is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International

Leave a Reply

Your email address will not be published. Required fields are marked *

*