Lilian Hoffecker

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Background Expert guidelines recommend reducing or discontinuing long-term opioid therapy (LTOT) when risks outweigh benefits, but evidence on the effect of dose reduction on patient outcomes has not been systematically reviewed. Purpose To synthesize studies of the effectiveness of strategies to reduce or discontinue LTOT and patient outcomes after dose(More)
AIM To evaluate published data on the predictors of progressive adolescent idiopathic scoliosis (AIS) in order to evaluate their efficacy and level of evidence. METHODS SELECTION CRITERIA (1) study design: randomized controlled clinical trials, prospective cohort studies and case series, retrospective comparative and none comparative studies; (2)(More)
STUDY DESIGN Systematic review with meta-analysis. OBJECTIVES To compare the perioperative and long-term postoperative effectiveness of bone morphogenetic protein (BMP) for lumbar arthrodesis in skeletally mature adults with degenerative disk disease (DDD) to that of the current golden standard treatment, iliac crest autologous bone graft (ICBG). (More)
OBJECTIVE To address the perception that ethical issues are underrepresented in the rheumatology literature, a systematic review was conducted using multiple databases to identify articles that addressed ethical and rheumatologic issues. METHODS A rheumatologist, research librarian, and clinician-ethicist designed queries for 4 electronic and ethics(More)
STUDY DESIGN Systematic review with meta-analysis. OBJECTIVE To (1) evaluate long-term patient-centered clinical outcomes after lumbar arthrodesis with or without decompression for lumbar spondylosis (LS); and (2) compare these outcomes with those of alternative treatments, including nonsurgical and surgical which maintain mobility of the lumbar spine. (More)
PURPOSE Anesthetics used to decrease pain during peripheral intravenous catheter insertion have been studied with equivocal results. This meta-analysis determined if lidocaine or bacteriostatic normal saline (BaNS) is more effective in reducing pain associated with peripheral intravenous catheter cannulation in adults. METHODS PubMed, EMBASE, CINAHL,(More)
OBJECTIVES To examine associations between falls and subsequent motor vehicle crashes (MVCs), crash-related injuries, driving performance, and driving behavior. DESIGN Systematic review and metaanalysis. PARTICIPANTS Observational studies including drivers aged 55 and older or with a mean age of 65 and older. MEASUREMENTS Two authors independently(More)
OBJECTIVE To evaluate the degree to which conservative care and failure were specifically defined in studies comparing nonoperative treatment versus surgery for low back pain (LBP) conditions in adults. DATA SOURCES A comprehensive literature search was conducted by an experienced librarian using MEDLINE (PubMed), Embase, Google Scholar, and CENTRAL from(More)
OBJECTIVE The research demonstrates that a conference slide presentation translated into non-English languages reaches significantly larger and different audiences than an English presentation alone. METHODS The slides of a presentation from the Medical Library Association annual meeting were translated from English to Chinese, Japanese, and Russian and(More)