Cochrane for Clinicians

These are summaries of reviews from the Cochrane Library.

Jul 01, 2021 Issue
Acromioclavicular Joint Dislocation: Surgical vs. Conservative Interventions
Surgical treatment for AC joint dislocation of the shoulder does not appear to be superior to conservative management in adults. Surgical therapy increases the risk of hardware complications, infection, and continued discomfort.

Jul 01, 2021 Issue
Rapid Point-of-Care Antigen and Molecular Tests for Diagnosis of SARS-CoV-2 Infection
SARS-CoV-2 antigen tests have an average sensitivity of 68.9% and an average specificity of 99.6%. Accuracy depends on symptom status, time from symptom onset, and test brand.

Jun 1, 2021 Issue
Psychological Therapies for Women Who Experience Intimate Partner Violence
Are psychological therapies safe and effective for women who experience intimate partner violence?

Jun 1, 2021 Issue
Pessaries for Managing Pelvic Organ Prolapse in Women
Pessaries combined with pelvic floor muscle training (PFMT) probably improve pelvic organ prolapse symptoms in women and prolapse-specific quality of life compared with PFMT alone.

May 1, 2021 Issue
Exercise for Dysmenorrhea
Low-intensity exercise, such as stretching or core strengthening, and high-intensity exercise, such as Zumba or aerobic training, improve menstrual pain intensity compared with no exercise.

May 1, 2021 Issue
Ketogenic Diets for Drug-Resistant Epilepsy
In children with drug-resistant epilepsy, a ketogenic diet decreases the risk of seizures by 50% after three to four months.

Apr 1, 2021 Issue
Epidural Corticosteroid Injections for Lumbosacral Radicular Pain
Epidural corticosteroid injections for the treatment of lumbosacral radicular pain may offer modest short-term (two weeks to three months) benefit compared with placebo injection for radicular leg pain.

Apr 1, 2021 Issue
Active vs. Expectant Management in the Third Stage of Labor
Very low-quality evidence suggests that active management of the third stage of labor reduces the risk of severe primary postpartum hemorrhage greater than 1,000 mL.

Mar 1, 2021 Issue
Structural MRI for the Early Diagnosis of Alzheimer Disease in Patients with MCI
There is insufficient evidence to recommend structural brain magnetic resonance imaging to diagnose Alzheimer disease in patients with mild cognitive impairment.

Mar 1, 2021 Issue
Alcoholics Anonymous and Other 12-Step Facilitation Programs for Alcohol Use Disorder
Manualized (standardized and replicable) Alcoholics Anonymous and similar 12-step facilitation programs produce higher rates of continuous abstinence than other established treatments.

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