DOCSLIB.ORG

Updated PCORI Evidence Map: Treatments for Fatigue in Multiple Sclerosis

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Updated PCORI Evidence Map: Treatments for Fatigue in Multiple Sclerosis Updated PCORI Evidence Map: Treatments for Fatigue in Multiple Sclerosis Prepared by ECRI Institute‐Penn Medicine Evidence‐based Practice Center 5200 Butler Pike Plymouth Meeting, PA 19462 Contributors: Jonathan R. Treadwell, Ph.D., ECRI Institute Amy Tsou, M.D., M.Sc. ECRI Institute Eileen Erinoff, M.S.L.I.S., ECRI Institute Karen Schoelles, M.D., S.M., ECRI Institute Submitted September 2018 i Contents Background ...................................................................................................................................................... 1 Methods ........................................................................................................................................................... 3 Literature Search ....................................................................................................................................... 3 Inclusion Criteria ........................................................................................................................................ 3 Risk of Bias Assessment ............................................................................................................................. 3 Data Extraction and Meta‐Analysis ........................................................................................................... 4 Instruments for Measuring Fatigue ........................................................................................................... 4 Minimum Important Difference (MID) ...................................................................................................... 5 Strength of Evidence Ratings ..................................................................................................................... 5 Map Construction ...................................................................................................................................... 6 Results .............................................................................................................................................................. 6 Evidence Base ............................................................................................................................................ 6 Summary of the Abstracts in Evidence Map 1 (all study designs) ............................................................. 9 Summary of the Trials in Evidence Map 2 (active vs. inactive treatments) ............................................ 13 Summary of the Trials in Evidence Map 3 (active vs. active treatments) ............................................... 18 Limitations ..................................................................................................................................................... 21 Future Research ............................................................................................................................................. 23 References ..................................................................................................................................................... 25 Appendices ..................................................................................................................................................... 47 Appendix A. Literature Search Methods ................................................................................................. 47 Appendix B. Included and Excluded Interventions .................................................................................. 52 Appendix C. Related PCORI‐funded Projects and clinicaltrials.gov records ............................................ 54 Appendix D. Evidence Tables ................................................................................................................... 64 Appendix E. September 2018 Map Updates ........................................................................................... 96 Figures Figure 1. Article Flow ...................................................................................................................................... 8 Figure 2. Screenshot for Evidence Map 1 (overview) ................................................................................... 12 Figure 3. Screenshot for the Exercise section of Evidence Map 2 (comparisons to inactive treatment) .... 15 Figure 4. Screenshot for Evidence Map 3 (comparisons between active treatments) ................................ 20 i Tables Table 1. Overview of Interventions and Study Designs in Evidence Map 1 ......................................... 10 Table 2. Treatments with Sufficient Evidence of Impact on Fatigue .................................................... 18 Table 3. Related PCORI‐funded Projects .............................................................................................. 54 Table 4. Related Records in clinicaltrials.gov ........................................................................................ 55 Table 5. Data for Evidence Map 1 (Abstracts on Interventions for Fatigue in MS) .............................. 64 Table 6. Fatigue And Quality of Life Data for Evidence Map 2: Pharmacologic Interventions ............. 77 Table 7. Fatigue And Quality of Life Data for Evidence Map 2: Exercise Interventions ....................... 78 Table 8. Fatigue and Quality of Life Data for Evidence Map 2: Behavioral/Educational Interventions83 Table 9. Fatigue And Quality of Life Data for Evidence Map 2: Complementary and Alternative Medicine (CAM) Interventions ................................................................................................ 89 Table 10. Fatigue And Quality of Life Data for Evidence Map 2: Other Interventions ........................... 90 Table 11. Adverse Effects Data for Evidence Map 2 ............................................................................... 91 Table 12. Fatigue Data for Evidence Map 3 ............................................................................................ 94 ii Background Multiple sclerosis (MS) is the most common disabling neurological disease in young adults, estimated to affect 250,000 to 350,000 Americans.1 While MS can cause many types of disability, fatigue is the most frequently reported symptom, affecting 50 to 80% of patients.2,3 Fatigue is more prevalent in progressive MS compared to relapsing remitting multiple sclerosis (RRMS), and may arise from the disease itself, or from secondary causes such as disease‐modifying drugs (i.e., interferon‐beta), medication side effects (e.g., baclofen), mood, sleep disorders, or environmental factors (i.e., heat, humidity).3 Notably, many patients report fatigue to be the most troubling symptom.2,4,5 A broad range of interventions exist, including various drugs, exercise, cognitive behavioral therapy, self‐management strategies, and non‐invasive brain stimulation.6 However, important questions remain regarding efficacy, due in part, to several methodologic issues. First, clinical progression is highly heterogeneous: on average patients with RRMS have 0.4 to 0.6 relapses per year, with minimal progression between relapses;7 in contrast, patients with primary or secondary progressive MS experience continuous gradual worsening. Even within each subtype, the rate of progression varies; furthermore, studies often enroll patients with both RRMS and progressive MS patterns, without providing separate analysis.3 A second problem is absence of consensus regarding the definition and measurement of fatigue.2,6,8 Patients, caregivers and researchers may variably consider fatigue as tiredness, decreased motivation, or physical weakness subsequent to muscle activation.6 Also, key differences exist between the two most common measures of fatigue, the Fatigue Severity Scale (FSS) and the Modified Fatigue Impact Scale (MFIS).6 The FSS focuses on physical fatigue and its influence on daily function, while in contrast, the MFIS captures cognitive, physical, and psychosocial components of fatigue. Furthermore, some items in the FSS assess the quality of fatigue instead of severity. Thus, while both scales have good validity and reliability, only a moderate correlation between the two has been found, a problematic fact for interpreting studies using these different measures.6 Data on practice patterns in the United States is scarce. However, a typical approach involves initially addressing potential secondary causes of fatigue such as depression or side effects from disease‐ modifying drugs. If fatigue persists, common treatment strategies include drugs such as amantadine, dalfampridine, and stimulants (including modafinil, armodafinil, detroamphetamine‐amphetamine, and methylphenidate). Non‐pharmacologic strategies considered include exercise programs (such as physical therapy), cooling therapies, and fatigue management programs. A 2014 American Academy of Neurology (AAN) guideline noted that magnetic therapy was “probably effective” for fatigue reduction, but use appears rare.9 Similarly, although a 2014 United Kingdom guideline recommended clinicians consider mindfulness based training, cognitive behavioral therapy, and yoga, it is unclear if these interventions are routinely offered to patients in the United States.10 In this project, we systematically identified relevant research studies of fatigue interventions in MS, extracted data, performed meta‐analyses, and rated the strength of evidence. We then organized information into three Web‐based, interactive evidence maps to aid decision‐making for patients,
Load more

Recommended publications
  • (12) Patent Application Publication (10) Pub. No.: US 2006/0110428A1 De Juan Et Al
    US 200601 10428A1 (19) United States (12) Patent Application Publication (10) Pub. No.: US 2006/0110428A1 de Juan et al. (43) Pub. Date: May 25, 2006 (54) METHODS AND DEVICES FOR THE Publication Classification TREATMENT OF OCULAR CONDITIONS (51) Int. Cl. (76) Inventors: Eugene de Juan, LaCanada, CA (US); A6F 2/00 (2006.01) Signe E. Varner, Los Angeles, CA (52) U.S. Cl. .............................................................. 424/427 (US); Laurie R. Lawin, New Brighton, MN (US) (57) ABSTRACT Correspondence Address: Featured is a method for instilling one or more bioactive SCOTT PRIBNOW agents into ocular tissue within an eye of a patient for the Kagan Binder, PLLC treatment of an ocular condition, the method comprising Suite 200 concurrently using at least two of the following bioactive 221 Main Street North agent delivery methods (A)-(C): Stillwater, MN 55082 (US) (A) implanting a Sustained release delivery device com (21) Appl. No.: 11/175,850 prising one or more bioactive agents in a posterior region of the eye so that it delivers the one or more (22) Filed: Jul. 5, 2005 bioactive agents into the vitreous humor of the eye; (B) instilling (e.g., injecting or implanting) one or more Related U.S. Application Data bioactive agents Subretinally; and (60) Provisional application No. 60/585,236, filed on Jul. (C) instilling (e.g., injecting or delivering by ocular ion 2, 2004. Provisional application No. 60/669,701, filed tophoresis) one or more bioactive agents into the Vit on Apr. 8, 2005. reous humor of the eye. Patent Application Publication May 25, 2006 Sheet 1 of 22 US 2006/0110428A1 R 2 2 C.6 Fig.
    [Show full text]
  • Effects of Sulbutiamine on Diabetic Polyneuropathy: an Open Randomised Controlled Study in Type 2 Diabetics
    Malaysian Journal of Medical Sciences, Vol. 9, No. 1, January 2002 (21-27) ORIGINAL ARTICLE EFFECTS OF SULBUTIAMINE ON DIABETIC POLYNEUROPATHY: AN OPEN RANDOMISED CONTROLLED STUDY IN TYPE 2 DIABETICS K.K. Kiew, W.B. Wan Mohamad, A. Ridzuan & M. Mafauzy Department of Medicine, School of Medical Sciences, Universiti Sains Malaysia 16150 Kubang Kerian, Kelantan, Malaysia Thirty patients with diabetic polyneuropathy were recruited from the diabetic clinic in Hospital Universiti Sains Malaysia from 1996 to 1998. They were randomly assigned either sulbutiamine (Arcalion®) (15 patients) or no treatment (control group; 15 patients). Glycaemic control was assessed by blood glucose and HbA1. Severity of neuropathy was assessed by symptom and sign score, and electrophysiological parameters (nerve conduction velocity and compound muscle action potential) at entry to the study and after 6 weeks. There were improvements in the electrophysiological parameters in the treatment group when compared to the controls with significant improvement in the median nerve conduction velocity (p<0.001), median compound muscle action potential (p<0.001), peroneal nerve conduction velocity (p<0.001), and peroneal compound muscle action potential (p<0.001). No significant improvement in symptom and sign scores were noted between the groups but a significant improvement compared to base line was noted for the sulbutiamine treated group. (p< 0.05). The glycaemic control in both groups was not significantly different at base line and was stable throughout the study. Sulbutiamine objectively improved peripheral nerve function in diabetic polyneuropathy although the symptom score did not improve, possibly due to the short duration of the study. Key words : diabetic polyneuropathy, sulbutiamine, NCV, CMAP Submitted-22.5.2000, Revised-21.8.2001, Accepted-15.9.2001 Introduction (13-16) have been investigated without any definite positive findings.
    [Show full text]
  • Malta Medicines List April 08
    Defined Daily Doses Pharmacological Dispensing Active Ingredients Trade Name Dosage strength Dosage form ATC Code Comments (WHO) Classification Class Glucobay 50 50mg Alpha Glucosidase Inhibitor - Blood Acarbose Tablet 300mg A10BF01 PoM Glucose Lowering Glucobay 100 100mg Medicine Rantudil® Forte 60mg Capsule hard Anti-inflammatory and Acemetacine 0.12g anti rheumatic, non M01AB11 PoM steroidal Rantudil® Retard 90mg Slow release capsule Carbonic Anhydrase Inhibitor - Acetazolamide Diamox 250mg Tablet 750mg S01EC01 PoM Antiglaucoma Preparation Parasympatho- Powder and solvent for solution for mimetic - Acetylcholine Chloride Miovisin® 10mg/ml Refer to PIL S01EB09 PoM eye irrigation Antiglaucoma Preparation Acetylcysteine 200mg/ml Concentrate for solution for Acetylcysteine 200mg/ml Refer to PIL Antidote PoM Injection injection V03AB23 Zovirax™ Suspension 200mg/5ml Oral suspension Aciclovir Medovir 200 200mg Tablet Virucid 200 Zovirax® 200mg Dispersible film-coated tablets 4g Antiviral J05AB01 PoM Zovirax® 800mg Aciclovir Medovir 800 800mg Tablet Aciclovir Virucid 800 Virucid 400 400mg Tablet Aciclovir Merck 250mg Powder for solution for inj Immunovir® Zovirax® Cream PoM PoM Numark Cold Sore Cream 5% w/w (5g/100g)Cream Refer to PIL Antiviral D06BB03 Vitasorb Cold Sore OTC Cream Medovir PoM Neotigason® 10mg Acitretin Capsule 35mg Retinoid - Antipsoriatic D05BB02 PoM Neotigason® 25mg Acrivastine Benadryl® Allergy Relief 8mg Capsule 24mg Antihistamine R06AX18 OTC Carbomix 81.3%w/w Granules for oral suspension Antidiarrhoeal and Activated Charcoal
    [Show full text]
  • In Autism and Autistic Spectrum Disorder Mark E. Obrenovich1,3
    [Frontiers in Bioscience, Elite, 7, 263-277, January 1, 2015] The role of trace elements, thiamin(e) in autism and autistic spectrum disorder Mark E. Obrenovich1,3, Dorjee Shola2, Kathleen Schroedel3, Aditya Agrahari1, Derrick Lonsdale4 1Department of Chemistry, Cleveland State University, Cleveland OH USA, 2Gene Targeting Resource Center, The Rockefeller University, New York, NY USA, 3Pathology and Laboratory Medicine Service Department of Veteran Affairs Cleveland OH USA, 4Cleveland OH USA TABLE OF CONTENTS 1. Abstract 2. Introduction 3. Genetic mutations associated with ASD and Autism 4. Several ASD relationships explored 4.1. The ASD relationship with divalent cation transport 4.2. The ASD relationship with thiamine and its transport 5. Transketolase and the redox state 6. Thiamine transport and homeostasis 7. Forms of thiamine as putative treatment modalities 8. Effects of oxidative stress 8.1. Oxidative stress mediated neurotoxicity 8.2. Oxidative stress and impaired oxidative metabolism 9. Discussion 10. References 1. ABSTRACT There has been much research into autism component or possible mechanism for oxidative or autistic spectrum disorder (ASD) and room for stress-mediated neurodegeneration in ASD patients. considerable conjecture regarding the etiology of these disorders remain. ASD is marked by a 2. INTRODUCTION complex interaction between environmental factors and genetic predisposition, including epistasis. Autism and Autistic Spectrum Disorder This manuscript argues that changes in oxidative (ASD) are serious problems and present particular metabolism, thiamine homeostasis, heavy metal challenges for any discipline of medicine. The deposition and cellular immunity have a role in presenting symptoms are quite diverse, which the etiopathogenesis of autism and ASD. Recent often creates difficulty when assigning a specific evidence for abnormal thiol metabolism, marked diagnostic category for patients.
    [Show full text]
  • Federal Register / Vol. 60, No. 80 / Wednesday, April 26, 1995 / Notices DIX to the HTSUS—Continued
    20558 Federal Register / Vol. 60, No. 80 / Wednesday, April 26, 1995 / Notices DEPARMENT OF THE TREASURY Services, U.S. Customs Service, 1301 TABLE 1.ÐPHARMACEUTICAL APPEN- Constitution Avenue NW, Washington, DIX TO THE HTSUSÐContinued Customs Service D.C. 20229 at (202) 927±1060. CAS No. Pharmaceutical [T.D. 95±33] Dated: April 14, 1995. 52±78±8 ..................... NORETHANDROLONE. A. W. Tennant, 52±86±8 ..................... HALOPERIDOL. Pharmaceutical Tables 1 and 3 of the Director, Office of Laboratories and Scientific 52±88±0 ..................... ATROPINE METHONITRATE. HTSUS 52±90±4 ..................... CYSTEINE. Services. 53±03±2 ..................... PREDNISONE. 53±06±5 ..................... CORTISONE. AGENCY: Customs Service, Department TABLE 1.ÐPHARMACEUTICAL 53±10±1 ..................... HYDROXYDIONE SODIUM SUCCI- of the Treasury. NATE. APPENDIX TO THE HTSUS 53±16±7 ..................... ESTRONE. ACTION: Listing of the products found in 53±18±9 ..................... BIETASERPINE. Table 1 and Table 3 of the CAS No. Pharmaceutical 53±19±0 ..................... MITOTANE. 53±31±6 ..................... MEDIBAZINE. Pharmaceutical Appendix to the N/A ............................. ACTAGARDIN. 53±33±8 ..................... PARAMETHASONE. Harmonized Tariff Schedule of the N/A ............................. ARDACIN. 53±34±9 ..................... FLUPREDNISOLONE. N/A ............................. BICIROMAB. 53±39±4 ..................... OXANDROLONE. United States of America in Chemical N/A ............................. CELUCLORAL. 53±43±0
    [Show full text]
  • The Truth About B-Vitamins
    THE TRUTH ABOUT B-VITAMINS EXPLORING A COMPLEX TOPIC FUNCTIONS SOURCES DEFICIENCIES THE TRUTH SERIES THE TRUTH SERIES As a discerning user of natural health products, you want what is best for your health. However, misinformation and deceptive marketing often make it challenging to TABLE OF CONTENTS identify fact from fiction. The Truth Series was created by Advanced Orthomolecular Research (AOR) to share the evidence-based truth about the most controversial and confusing topics within the natural health industry. At AOR, we believe that truth and transparency are the most important values for any organization to uphold. As visionaries, we are committed to continuous innovation so that we can advance the world of natural health. As such, the Truth Series aligns with our vision of providing optimal products without compromise. Published in Canada by: Advanced Orthomolecular Research Inc. Making Sense of B Vitamins 5 Managing Editor: Randall Heilik Vitamin B Deficiencies — Signs and Causes 12 Associate Editor: Justine Cooke Authors: Randall Heilik, CHNC, BCoMS, Scientific Consultant The Vital Role Vitamin B Plays in our Life Story 24 Dr. Navnirat Nibber ND, BSc, AOR Medical Advisor Dr. Aaron Zadek B.Sc. ND, Medical Advisor De-Mystifying Methylation 30 Dr. Robyn Murphy BSc, ND, Clinical Research Advisor B Vitamins: Myths and Controversies 40 Dr. Sarah Zadek, BSc. ND, Clinical Research Advisor Dr. Paul Hrkal, B.Kin ND, AOR Medical Director Nutrient spotlight: Pyrroloquinoline Quinone (PQQ) 48 Publication Design / Art Production: Laura Mensinga Creative Direction: Pix-l Graphx How to Get the B’s You Need 52 DISCLAIMER: The information in this publication is not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment.
    [Show full text]
  • Novel Therapies in Acute Kidney Injury
    NOVEL THERAPIES IN ACUTE KIDNEY INJURY A THESIS PRESENTED BY Dr SHOAB AHMED MEMON Registered at Bart’s and The London School of Medicine & Dentistry Queen Mary University of London, Centre for Translational Medicine & Therapeutics, The William Harvey Research Institute, John Vane Science Centre, Charterhouse Square, London EC1M 6BQ, United Kingdom For The degree of Doctor of Philosophy. 1 DECLARATION: I declare that this thesis is my own work and has not been submitted in any form for another degree or diploma at any university or other institution of tertiary education. Information derived from the work of others has been acknowledged in the text and a list of references is given. 1st July 2014 ____________________________ __________________ (Signature) (Date) 2 Contents List of figures: ............................................................................................................... 7 List of Tables ................................................................................................................. 8 Units and symbols ...................................................................................................... 13 Routes of administration and statistical terms......................................................... 14 Abstract ........................................................................................................................ 15 Acknowledgements ..................................................................................................... 17 CHAPTER 1 .................................................................................................................
    [Show full text]
  • CCS Information Notice 14
    State of California—Health and Human Services Agency Department of Health Care Services TOBY DOUGLAS EDMUND G. BROWN JR. DIRECTOR GOVERNOR Date: May 15, 2014 CCS Information Notice: 14-07 TO: ALL COUNTY CALIFORNIA CHILDREN SERVICES (CCS) AND GENETICALLY HANDICAPPED PERSONS PROGRAM (GHPP) ADMINISTRATORS, MEDICAL CONSULTANTS, COUNTY MEDICAL STAFF, AND SYSTEMS OF CARE DIVISION (SCD) STAFF SUBJECT: SELECT VITAMIN B PREPARATIONS AND ADDITIONAL DIETARY SUPPLEMENTS CONSIDERED MEDI-CAL NON-BENEFITS The purpose of this information notice is to communicate that beginning August 1, 2014, the following vitamin B preparations, determined by the Medi-Cal Program to be non- benefit, will no longer be reimbursable in the Medi-Cal claims system, even with an approved SAR. NDC Label Name Generic Name 50428711989 CVS BIOTIN 5,000 MCG CAPSULE BIOTIN 11917010715 BIOTIN 5,000 MCG TABLET BIOTIN 00904543360 BIOTIN 300 MCG TABLET BIOTIN 68308032610 FABB TABLET CYANOCOBALAMIN/FA/PYRIDOXINE 51991038490 FOLBIC TABLET CYANOCOBALAMIN/FA/PYRIDOXINE 51991008490 FOLBEE TABLET CYANOCOBALAMIN/FA/PYRIDOXINE 00245019111 FOLGARD RX TABLET CYANOCOBALAMIN/FA/PYRIDOXINE 59528031701 NEPHPLEX RX TABLET VIT B CMPLX NO3/FA/C/BIOT/ZINC 36652067762 ALLBEE C-800 TABLET VITAMIN B COMPLEX/VIT C/VIT E In addition, the following products are designated Medi-Cal non-benefit items (TAR2) and will no longer be payable by its 11-digit NDC code. NDC Label Name Generic Name 00122307535 PABA TABLET AMINOBENZOIC ACID (B VIT) 00417003209 PABA 30 MG TABLET AMINOBENZOIC ACID (B VIT) 45541004235 PABA
    [Show full text]
  • Basic and Clinical Role of Vitamins in Epilepsy
    Journal of Research in Applied and Basic Medical Sciences 2020; 6(2):104-114 Basic and clinical role of vitamins in epilepsy Raha Zalkhani*1, AhmadAli Moazedi2,3 1 PhD of physiology, Department of Biology, Farhangian University, Tehran, Iran 2 Professor of physiology, PhD, Department of Biology, Faculty of science, Shahid Chamran University of Ahvaz, Ahvaz, Iran 3 Stem cell and Transgenic Technology Research Center, Shahid Chamran University of Ahvaz, Ahvaz, Iran *Corresponding authors: Raha Zalkhani, Address: Department of Biology, Farhangian University, Tehran, Iran, Email:[email protected], Tel: +982187751000 Abstract Background & Aims: Epilepsy is a brain disorder which affects about 50 million people worldwide. Good diet is an essential measure to controlling seizure attacks. Since some combination therapy can reduce epileptogenesis, therefore this review summarizes the available evidences about the application of vitamins in animal models and humans for understanding what specific combinations of antiepileptic drugs and vitamins are likely to be effective for epilepsy therapy. Material and methods: In this review, electronic databases including PubMed and Google Scholar were searched for monotherapy and polytherapy by vitamins. Results: Administration of vit A inhibits development of seizures and lethality in animal models. Also vitamins B1, B6 and B12 pre- treatment might lead to a protective effect against degenerative cellular in mice. In addition use of low dose of sodium valproate with vitamins C or E increase the anticonvulsant activity of the drug in mice. Moreover, Vitamin D enhances antiepileptic effects of lamotrigine, phenytoin and valproate in animal's models. Vitamin E has an anticonvulsant effect in ferrous chloride seizures, hyperbaric Downloaded from ijrabms.umsu.ac.ir at 21:35 +0330 on Saturday October 2nd 2021 oxygen seizures as well as penicillin-induced seizures in contrast kindling, maximal electroshock and kainite models.
    [Show full text]
  • Review of Existing Classification Efforts
    Project No. TREN-05-FP6TR-S07.61320-518404-DRUID DRUID Driving under the Influence of Drugs, Alcohol and Medicines Integrated Project 1.6. Sustainable Development, Global Change and Ecosystem 1.6.2: Sustainable Surface Transport 6th Framework Programme Deliverable 4.1.1 Review of existing classification efforts Due date of deliverable: (15.01.2008) Actual submission date: (07.02.2008) Start date of project: 15.10.2006 Duration: 48 months Organisation name of lead contractor for this deliverable: UGent Revision 1.0 Project co-funded by the European Commission within the Sixth Framework Programme (2002-2006) Dissemination Level PU Public X PP Restricted to other programme participants (including the Commission Services) RE Restricted to a group specified by the consortium (including the Commission Services) CO Confidential, only for members of the consortium (including the Commission Services) Task 4.1 : Review of existing classification efforts Authors: Kristof Pil, Elke Raes, Thomas Van den Neste, An-Sofie Goessaert, Jolien Veramme, Alain Verstraete (Ghent University, Belgium) Partners: - F. Javier Alvarez (work package leader), M. Trinidad Gómez-Talegón, Inmaculada Fierro (University of Valladolid, Spain) - Monica Colas, Juan Carlos Gonzalez-Luque (DGT, Spain) - Han de Gier, Sylvia Hummel, Sholeh Mobaser (University of Groningen, the Netherlands) - Martina Albrecht, Michael Heiβing (Bundesanstalt für Straßenwesen, Germany) - Michel Mallaret, Charles Mercier-Guyon (University of Grenoble, Centre Regional de Pharmacovigilance, France) - Vassilis Papakostopoulos, Villy Portouli, Andriani Mousadakou (Centre for Research and Technology Hellas, Greece) DRUID 6th Framework Programme Deliverable D.4.1.1. Revision 1.0 Review of Existing Classification Efforts Page 2 of 127 Introduction DRUID work package 4 focusses on the classification and labeling of medicinal drugs according to their influence on driving performance.
    [Show full text]
  • Molina Healthcare of Michigan Preferred Drug List (Formulary)
    October 2017 Molina Healthcare of Michigan Preferred Drug List (Formulary) Molina Healthcare of Michigan Preferred Drug List (Formulary) (10/01/2017 v3) INTRODUCTION ..........................................................................................................................................................................................................................................4 PREFACE .....................................................................................................................................................................................................................................................4 PHARMACY AND THERAPEUTICS (P&T) COMMITTEE ..........................................................................................................................................................................4 DRUG LIST PRODUCT DESCRIPTIONS ...................................................................................................................................................................................................4 GENERIC SUBSTITUTION ..........................................................................................................................................................................................................................5 PLAN DESIGN .............................................................................................................................................................................................................................................5
    [Show full text]
  • Nutrient Intake and Risk of Open-Angle Glaucoma: the Rotterdam Study
    Eur J Epidemiol (2012) 27:385–393 DOI 10.1007/s10654-012-9672-z OPHTHALMIC EPIDEMIOLOGY Nutrient intake and risk of open-angle glaucoma: the Rotterdam Study Wishal D. Ramdas • Roger C. W. Wolfs • Jessica C. Kiefte-de Jong • Albert Hofman • Paulus T. V. M. de Jong • Johannes R. Vingerling • Nomdo M. Jansonius Received: 30 October 2011 / Accepted: 23 February 2012 / Published online: 30 March 2012 Ó The Author(s) 2012. This article is published with open access at Springerlink.com Abstract Open-angle glaucoma (OAG) is the commonest available and who did not have OAG at baseline were inclu- cause of irreversible blindness worldwide. Apart from an ded. The ophthalmic examinations comprised measurements increased intraocular pressure (IOP), oxidative stress and an of the IOP and perimetry; dietary intake of nutrients was impaired ocular blood flow are supposed to contribute to assessed by validated questionnaires and adjusted for energy OAG. The aim of this study was to determine whether the intake. Cox proportional hazard regression analysis was dietary intake of nutrients that either have anti-oxidative applied to calculate hazard ratios of associations between the properties (carotenoids, vitamins, and flavonoids) or influence baseline intake of nutrients and incident OAG, adjusted for the blood flow (omega fatty acids and magnesium) is associ- age, gender, IOP, IOP-lowering treatment, and body mass ated with incident OAG. We investigated this in a prospective index. During an average follow-up of 9.7 years, 91 partici- population-based cohort, the Rotterdam Study. A total of 3502 pants (2.6%) developed OAG. The hazard ratio for retinol participants aged 55 years and older for whom dietary data at equivalents (highest versus lowest tertile) was 0.45 (95% baseline and ophthalmic data at baseline and follow-up were confidence interval 0.23–0.90), for vitamin B1 0.50 (0.25–0.98), and for magnesium 2.25 (1.16–4.38).
    [Show full text]