Skip to main content
. 2017 Sep 23;25(5):593–602. doi: 10.1093/jamia/ocx100

Table 3.

List of promising disease entities

Clinical scope, disease entity Medical effect score Risk of bias Study reference Study design Study duration Patient sample size Medical score consensus justification
Blood glucose management (n = 14) 3 Low 23 2 26 months 891
  • Negative: increase of hypoglycemic events due to insulin overdose.

  • 1: No significant patient outcome effect. Mean glucose values might have been changed, but patient proportion within glucose target range barely changed.

  • 3: Increase of patient proportion within blood glucose target range.

  • 4: Reduction of severe hypoglycemia (<40 mg/dl) or severe hyperglycemia (>200 mg/dl).

1 Low 24 1 72 hours 20
3 High 25 1 9 hours 40
3 Medium 26 3 1.5 years 438
3 Low 27 1 1 month 128
3 Low 28 1 72 hours 18
4 Medium 29 2 1 year 1373
3 Medium 30 2 11 months 667
3 Low 31 1 9 months 300
1 Low 32 2 7 years 2040
3 Low 33 2 1.5 years 197
Neg. Low 34 1 2 years 2648
1 Medium 35 2 12 months 3189
4 Low 36 2 4 years 22 990
Blood transfusion management (n = 5) 1 High 37 3 2 years 2200
  • 1: No significant patient outcome effect.

  • 2: Slight but significant reduction of sickle hemoglobin percentage.

  • 3: Reduction of surgical wound infections.

  • 5: Hospital mortality or 30-day mortality was reduced.

2 High 38 3 9 years 28
5 Low 39 2 6 years 14 150
3 Medium 40 2 2 years 1509
5 Low 41 3 2 years 12 590
Physiologic deterioration prevention, physiologic surveillance (n = 4) 3 High 42 2 Unknown 74
  • 3: Increase of patient time being in MAP target range. But average MAP value increase was low to moderate.42

  • Reduction of critical events during spinal analgesia in orthopedic surgery.

  • However, exposure to critical events was short term.43

  • 5: Hospital mortality was reduced.

3 Medium 43 1 2 years 150
5 Medium 44 2 3 months 12 881
5 Medium 45 3 2 years 50 000
Pressure ulcer prevention (n = 2) 3 Low 46 2 1 year 1214 3: Incidence of pressure ulcers was reduced.
3 Low 47 2 2 years 18 483
Nephrotoxic agents and acute kidney injury prevention (n = 2) 4 Medium 48 2 1 year 463 4: Reduction in the rate of contrast-induced acute kidney injury48 or preventable adverse events for patient with renal impairment.49
4 Medium 49 2 5.5 years 1590
VTE prophylaxis (n = 15) 4 Low 50 1 4 years 2506
  • 1: No significant patient outcome effect.

  • 3: Reduction of VTE as deep vein thrombosis. Adverse reactions as hemorrhages were not significantly increased.

  • 4: Same as 3. Additionally, the number of pulmonary embolisms was reduced.

4 Low 51 2 2 years 12 000
1 Medium 52 1 90 days 2506
4 Medium 53 2 2 years 38 647
1 Medium 54 2 1 year 800
3 Medium 55 2 3 years 3285
3 Medium 56 3 3 years 1599
4 Medium 57 3 3 years 223 062
4 Low 21 2 2 years 5238
4 Medium 58 3 2 months 1942
1 Medium 59 1 13 weeks 15 736
1 Medium 60 3 2 years 7278
4 Medium 61 2 5 years 45 046
4 Medium 62 2 1 year 812
3 Medium 63 3 10 years 2591

Refer to Supplementary Table S1 for full details of study design and study outcome characteristics.

Study design: 1 = randomized controlled trial, 2 = nonrandomized with 1 prospective study arm, 3 = nonrandomized, purely retrospective.

MEC = medical effect score; VTE = venous thromboembolism; MAP = mean arterial pressure.