Bone Health

NICE - The National Institute for Clinical Excellence - was set up as a Special Health Authority for England and Wales on 1 April 1999. It is part of the National Health Service (NHS), and its role is to provide patients, health professionals and the public with authoritative, robust and reliable guidance on current “best practice”. The guidance will cover both individual health technologies (including medicines, medical devices, diagnostic techniques, and procedures) and the clinical management of specific conditions. NICE offers the NHS and its patients a new service, which we intend shall earn, and retain, the confidence and respect of the community as a whole.

The National Research Register (NRR) is a register of ongoing and recently completed research projects funded by, or of interest to, the United Kingdom's National Health Service. Information is held on over 80,000 research projects and is expected to grow further, as well as entries from the Medical Research Council's Clinical Trials Register, and details on reviews in progress collected by the NHS Centre for Reviews and Dissemination.

The National Guideline Clearinghouse™ (NGC) is a comprehensive database of evidence-based clinical practice guidelines and related documents. NGC is an initiative of the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services. NGC was originally created by AHRQ in partnership with the American Medical Association and the American Association of Health Plans (now America's Health Insurance Plans [AHIP]). The NGC mission is to provide physicians, nurses, and other health professionals, health care providers, health plans, integrated delivery systems, purchasers and others an accessible mechanism for obtaining objective, detailed information on clinical practice guidelines and to further their dissemination, implementation and use.

The National Guideline Clearinghouse™ (NGC) is a comprehensive database of evidence-based clinical practice guidelines and related documents. NGC is an initiative of the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services. NGC was originally created by AHRQ in partnership with the American Medical Association and the American Association of Health Plans (now America's Health Insurance Plans [AHIP]). The NGC mission is to provide physicians, nurses, and other health professionals, health care providers, health plans, integrated delivery systems, purchasers and others an accessible mechanism for obtaining objective, detailed information on clinical practice guidelines and to further their dissemination, implementation and use.

Promoting the use of research-based knowledge in health care

The Oswestry Outcome Centre is an organisation dedicated to the the collection of clinical data and assessment of major planned operations. Aims are to provide evidence of expertise in the field of major joint arthroplasty. To enable us to plot an individuals progress against a standard survival curve in order to ascertain how well they are doing. To identify problems or benefits of each type of prosthesis.

Perioperative Blood Transfusion for Elective Surgery. SIGN Guideline

Preventing fractures in elderly people is a priority, especially as it has been predicted that in 20 years almost a quarter of people in Europe will be aged over 65. This article describes the factors contributing to fracture, interventions to prevent fracture, and the various treatments. BMJ 2003;327:89-95 (12 July)

Hip fracture is a common serious injury that occurs mainly in older people. For many previously fit patients it means loss of prior full mobility; for some frailer patients the permanent loss of the ability to live at home. And for the frailest of all it may bring pain, confusion and disruption to complicate an already distressing last illness. Mortality after hip fracture is high: around 30% at one year. Despite significant improvements in both surgery and rehabilitation in recent decades, hip fracture remains, for patients and their carers, a much-feared injury.

Heparin, low molecular weight heparin and physical methods for preventing deep vein thrombosis and pulmonary embolism following surgery for hip fractures (Cochrane Review)

Meta-analysis of 27 papers on Regional Nerve Block in Fractured Neck of Femura. Conclusion: In patients with suspected fractured neck of femur, regional nerve block may be of benefit in reducing parenteral analgesic requirements.

What treatments are effective for restless leg syndrome? Does pergolide have a role?

Hip fracture is a common, serious injury which occurs predominantly in the elderly. The care of hip fracture patients is complex, multidisciplinary and multi-agency. Trauma services vary in structure and resources available to them for the care and rehabilitation of hip fracture patients. The Scottish Hip Fracture audit aims to improve services for these patients by providing high quality relevant data on the care and rehabilitation of hip fracture patients

The Scottish Intercollegiate Guidelines Network (SIGN) was formed in 1993. Our objective is to improve the quality of health care for patients in Scotland by reducing variation in practice and outcome, through the development and dissemination of national clinical guidelines containing recommendations for effective practice based on current evidence.

Archive Copy 2004: Systematic review of childhood injury prevention Harborview Injury Prevention and Research Center