Dementia Concerns and Considerations: A CADTH Panel of People With Lived Experience

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As the number of Canadians living with dementia rises, so does the demand for dementia-related care across the country.

Medication Administration by Health Care Aides in Long-Term Care Facilities

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Question

  1. What is the comparative clinical effectiveness of medication administration by health care aides versus nurses for adults residing in long-term care?
  2. What is the cost-effectiveness of medication administration by health care aides versus nurses for adults residing in long-term care?
  3. What are the evidence-based guidelines regarding medication administration by health care aides in long-term care settings?

Key Message

No evidence was identified regarding the comparative clinical effectiveness of medication administration by health care aides versus nurses for adults residing in long-term care.

No evidence was identified regarding the cost-effectiveness of medication administration by health care aides versus nurses for adults residing in long-term care.

No evidence-based guidelines were identified regarding medication administration by health care aides in long-term care settings.

Intraoperative Navigation Tools for Total Hip Arthroplasty

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Question

  1. What is the clinical effectiveness of intraoperative navigation tools for adults undergoing elective primary total hip arthroplasty?
  2. What is the cost-effectiveness of intraoperative navigation tools for adults undergoing elective primary total hip arthroplasty?

Key Message

Four non-randomized studies were identified regarding the clinical effectiveness of intraoperative navigation tools for adults undergoing elective primary total hip arthroplasty. No evidence was identified regarding the cost-effectiveness of intraoperative navigation tools for adults undergoing elective primary total hip arthroplasty.

Screening for Cognitive Impairment in Asymptomatic Community-Dwelling Older Adults: A 2022 Update

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Question

  1. What is the clinical utility of screening for cognitive impairment in asymptomatic community-dwelling older adults?
  2. What are the evidence-based guidelines regarding the use of screening for cognitive impairment in asymptomatic community-dwelling older adults?

Key Message

No evidence was identified regarding the clinical utility of screening for cognitive impairment in asymptomatic community-dwelling older adults.

Two evidence-based guidelines were identified regarding the use of screening for cognitive impairment in asymptomatic community-dwelling older adults.

faricimab

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Key Milestones2

Call for patient/clinician input openDecember 23, 2021
Call for patient/clinician input closedFebruary 18, 2022
Clarification:

- Patient input submission received from Fighting Blindness Canada, The Canadian Council of the Blind, CNIB, Vision Loss Rehabilitation Canada

Submission receivedJanuary 31, 2022
Submission acceptedFebruary 14, 2022
Review initiatedFebruary 17, 2022
Draft CADTH review report(s) provided to sponsor for commentMay 04, 2022
Deadline for sponsors commentsMay 13, 2022
CADTH review report(s) and responses to comments provided to sponsorJune 10, 2022
Expert committee meeting (initial)June 22, 2022
Draft recommendation issued to sponsorJuly 05, 2022
Draft recommendation posted for stakeholder feedbackJuly 14, 2022
End of feedback periodJuly 28, 2022
Final recommendation issued to sponsor and drug plansAugust 12, 2022
Final recommendation postedAugust 30, 2022
Deadline for sponsor to submit redaction requests on draft CADTH review report(s)August 26, 2022
CADTH review report(s) postedNovember 16, 2022

Compression Garments for People With Venous Leg Ulcers

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Question

  1. What literature is available that explores how people or their formal and informal caregivers engage with and experience the use of compression garments as part of their maintenance therapy to prevent wound recurrence?
  2. What literature is available that explores how people with a venous leg ulcer, or their formal and informal caregivers, engage with and experience the process of treating venous leg ulcers with compression garments (as a non-surgical intervention)?

Key Message

Two primary qualitative studies explored the perspectives and experiences of people engaged with compression garments as part of their maintenance therapy to prevent venous leg ulcer recurrence.

Three primary qualitative studies explored the perspectives and experiences of people engaged with compression garments as part of the processes of treating venous leg ulcers.

No mixed-methods studies exploring the use of compression garments as either part of maintenance therapy to prevent venous leg ulcer recurrence or as part of the process of treating venous leg ulcers were reviewed.

Homelike Models of Long-Term Care: A 2021 Update

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Question

  1. What is the clinical effectiveness of homelike models of care (e.g., Eden Alternative and Greenhouse Concepts of Care) for residents of long-term care facilities?
  2. What is the cost-effectiveness of homelike models of care for residents of long-term care facilities?
  3. What are the evidence-based guidelines for homelike models of care for residents of long-term care facilities?

Key Message

Among residents with dementia, positive effects of small-scale homelike models of care on social interaction were observed in 1 non-randomized study, whereas the evidence from relevant primary studies captured in 1 systematic review was mixed. Residents with dementia living in small-scale homelike care facility compared with a traditional nursing home may spend more time in a positive mood or engagement, based on findings from 1 non-randomized study. Evidence captured in 1 systematic review suggested lower use of restraints and psychotropic drugs in small-scale homelike settings compared with traditional nursing homes; however, a non-randomized study published in 2020 found no differences in psychotropic drug use. Associations between homelike models of care and safety outcomes (e.g., COVID-19 infection, fall injuries) suggested a benefit of small-scale homelike long-term care settings over traditional large-scale settings.

Vital Sign Monitoring in Long-Term Care: A 2021 Update

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Question

  1. What are the evidence-based guidelines regarding the optimal frequency for the monitoring of vital signs for residents in long-term care facilities?
  2. What are the evidence-based guidelines regarding optimal practice for the monitoring of vital signs of residents in long-term care facilities?

Key Message

No evidence-based guidelines were identified regarding the optimal frequency for the monitoring of vital signs for residents in long-term care facilities. No evidence-based guidelines were identified regarding the optimal practice for the monitoring of vital signs of residents in long-term care facilities.

Congregate Meal Programs for Older Adults Living in the Community: A Review of Clinical Effectiveness

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Question

  1. What is the clinical effectiveness of congregate meal programs for older adults living in the community?

Key Message

No relevant evidence regarding the clinical effectiveness of congregate meal programs for older adults living in the community was identified.