EPC Report Template

7/10/06

Evidence Report/Technology Assessment

Number XXX (Provided by AHRQ)

Report Title

Prepared for: (Style - Title Page Bold)

Agency for Healthcare Research and Quality (Style - Normal)

U.S. Department of Health and Human Services

540 Gaither Road

Rockville, MD 20850

www.ahrq.gov

Contract No. 290-XX-XXXX

Prepared by:

Evidence-based Practice Center Name, City, State Abbreviation

Investigators	(Style – Normal + Italic)

John Jones, M.D.

Beth Smith, M.D., M.P.H.

John Doe, M.S.

Bob James, M.S.

Don Taylor, Ph.D.

Cary Rogers, M.D.

AHRQ Publication No. 0X-E0XX (Provided by AHRQ)

Publication Month and Year (Provided by AHRQ)

This document is in the public domain and may be used and reprinted without permission except those copyrighted materials noted for which further reproduction is prohibited without the specific permission of copyright holders.

Suggested Citation: (Style – Citation Heading)

List all authors from title page (e.g., Jones J, Smith B, Doe J)

Full title of the report, EPC name, and Contract No. (AHRQ to provide the remainder)

Sample:

Jones J, Smith B, Doe J, James B, Taylor D, Rogers C. Management of Sickness and Disease. Evidence Report/Technology Assessment No. XXX (Prepared by the Best Evidence-based Practice Center under Contract No. 290-XX-XXXX.) AHRQ Publication No. 0X-E0XX. Rockville, MD: Agency for Healthcare Research and Quality. Month Year.

Style - Copy and paste this box from the template.

Preface (Style – Preface Heading)

The Agency for Healthcare Research and Quality (AHRQ), through its Evidence-Based Practice Centers (EPCs), sponsors the development of evidence reports and technology assessments to assist public- and private-sector organizations in their efforts to improve the quality of health care in the United States. Name of funding federal agency (other than AHRQ) that requested and provided funding for this report. The reports and assessments provide organizations with comprehensive, science-based information on common, costly medical conditions and new health care technologies. The EPCs systematically review the relevant scientific literature on topics assigned to them by AHRQ and conduct additional analyses when appropriate prior to developing their reports and assessments.

To bring the broadest range of experts into the development of evidence reports and health technology assessments, AHRQ encourages the EPCs to form partnerships and enter into collaborations with other medical and research organizations. The EPCs work with these partner organizations to ensure that the evidence reports and technology assessments they produce will become building blocks for health care quality improvement projects throughout the Nation. The reports undergo peer review prior to their release.

AHRQ expects that the EPC evidence reports and technology assessments will inform individual health plans, providers, and purchasers as well as the health care system as a whole by providing important information to help improve health care quality.

We welcome comments on this evidence report. They may be sent by mail to the Task Order Officer named below at: Agency for Healthcare Research and Quality, 540 Gaither Road, Rockville, MD 20850, or by e-mail to epc@ahrq.gov.

Carolyn M. Clancy, M.D.

Director

Agency for Healthcare Research and Quality

Name of Funding Federal Agency Director

Director

Name of Funding Federal Agency

Acknowledgments (optional) (Style – Acknowledgments Heading)

(Please keep to one page or move to Appendixes)

Structured Abstract (Style – Structured Abstract Heading)

Objectives: Run in text for all.

Data Sources:

Review Methods:

Results:

Conclusions:

Contents (Style – Contents Heading)

Executive Summary

Evidence Report

Chapter 1. Introduction

Chapter 2. Methods

Chapter 3. Results

Chapter 4. Discussion

References and Included Studies

List of Acronyms/Abbreviations

Figures (Style – Contents Figures Heading)

Figure 1. Figure Name

Tables (if not embedded) (Style – Contents Tables Heading)

Table 1. Table Name

Appendixes (Style – Contents Appendixes Heading)

Appendix A: Exact Search Strings

Appendix B: Sample Data Abstraction Forms

Appendix C: Evidence tables

Appendix D: List of Excluded Studies

Appendix E: Peer Reviewers

(Style – Internet Address Heading)

Appendixes and Evidence Tables for this report are provided electronically at http://www.ahrq.gov/downloads/pub/evidence/pdf/XXX/XXX.pdf.

Executive Summary (Style – Executive Summary Heading)

Evidence Report (Style – Evidence Report)

Chapter 1. Introduction (Begin all chapters on an odd-numbered page)

(Style – Chapter Heading)

Heading 1

Heading 2

Please see Appendix A for more details. (Use the Footnote function in Word.)

Heading 3. Run in text

Heading 4. Run in text

Text starts here.

Chapter 2. Methods

(Insert the next odd page number.) See Appendix B(

Chapter 3. Results

(Insert the next odd page number.)

Chapter 4. Discussion

(Insert the next odd page number.)

References and Included Studies

(Insert the next odd page number .)

List of Acronyms/Abbreviations (Style – List of Acronyms Heading)

Summary Tables

(Style – Summary Tables Heading)

Begin tables here

Table 1. Initial cap first word of title. If table extends beyond one page, heading should be Table 1. Repeat caption (continued) (Style – Table and Figures Heading)

(Style – Footer)

Appendixes are cited in this report are provided electronically at http://www.ahrq.gov/downloads/pub/evidence/pdf/XXX/XXX.pdf.

( Appendixes are cited in this report are provided electronically at http://www.ahrq.gov/downloads/pub/evidence/pdf/XXX/XXX.pdf.

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This report is based on research conducted by the EPC Name Evidence-based Practice Center (EPC) under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD (Contract No. XXX-XX-XXXX). The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.

The information in this report is intended to help clinicians, employers, policymakers, and others make informed decisions about the provision of health care services. This report is intended as a reference and not as a substitute for clinical judgment.

This report may be used, in whole or in part, as the basis for the development of clinical practice guidelines and other quality enhancement tools, or as a basis for reimbursement and coverage policies. AHRQ or U.S. Department of Health and Human Services endorsement of such derivative products may not be stated or implied.

Beth A. Collins Sharp, R.N., Ph.D.

Acting Director, EPC Program

Agency for Healthcare Research and Quality

Jean Slutsky, P.A., M.S.P.H.

Director, Center for Outcomes and Evidence

Agency for Healthcare Research and Quality

Name of Task Order Officer for this report

EPC Program Task Order Officer

Agency for Healthcare Research and Quality

No investigators have any affilications or financial involvement (e.g., employment, consultancies, honoraria, stock options, expert testimony, grants or patents received or pending, or royalties) that conflict with material presented in this report.

Results of Systematic Review of Research on

AHRQ

2006-07-13

Julius.Patterson

PSG