REVIEW

Review
  • 文章类型: Journal Article
    目的:髋关节镜检查可有效治疗髋关节发育不良(BDDH),但是在中国只有很少的临床报道,其术后失败率仍然是一个不容忽视的问题。本研究旨在分析我国髋关节镜治疗BDDH的临床效果,探讨影响髋关节镜治疗BDDH疗效的危险因素。
    方法:对我院2017年3月至2022年2月采用关节镜治疗的22例BDDH患者进行回顾性分析。包括10名男性和12名女性,平均年龄34.7±9.5岁(19-53岁)。所有患者均接受关节镜下髋臼成形术治疗,唇修复,股骨骨成形术,和包膜折叠。视觉模拟量表(VAS),改良哈里斯髋关节得分(mHHS),在手术前和随访时测量髋关节结果评分-日常生活活动(HOS-ADL)和国际髋关节结果工具-12(iHOT-12),并进行统计学分析。还获得了最小临床显著差异(MCID)和患者可接受症状状态(PASS)。
    结果:22例患者获得随访,随访时间≥1年,平均21.4±8.2个月。术后VAS评分由术前5.27±1.58分下降至随访时1.96±0.92分,差异有统计学意义(t=9.05,P<0.001)。mHHS评分由术前64.84±13.58分提高至随访时90.4±10.11分,差异有统计学意义(t=-7.07,P<0.001)。HOS-ADL评分由术前68.92±11.76分上升至随访时88.91±9.51分,差异有统计学意义(t=-8.15,P<0.001)。iHOT-12评分由术前49.32±12.01分提高至随访时79.61±15.89分,差异有统计学意义(t=-7.66,P<0.001)。MCID(mHHS)和MCID(HOS-ADL)分别为81.8%和77.3%,随访时PASS(mHHS)和PASS(HOS-ADL)分别为86.4%和72.7%。
    结论:髋关节镜治疗BDDH可取得良好的短期疗效。
    方法:IV治疗性研究。
    OBJECTIVE: Hip arthroscopy is effective in treating bordline developmental dysplasia of the hip (BDDH), but there are only a few clinical reports in China, and its postoperative failure rate is still a problem that cannot be ignored. The aim of this study was to analyze the clinical effect of hip arthroscopy in BDDH treatment in China and to explore the risk factors influencing the efficacy of hip arthroscopy in BDDH treatment.
    METHODS: All of 22 cases of BDDH treated with arthroscopy in our hospital from November March 2017 to February 2022 were analyzed retrospectively, including ten males and 12 females, with an average age of 34.7 ± 9.5 years (19-53 years). All patients underwent arthroscopic treatment with acetabular plasty, labral repair, femoral osteoplasty, and capsular plication. Visual Analogue Scale (VAS), modified Harris Hip Scores (mHHS), Hip Outcome Score-activities of Daily Living (HOS-ADL) and International Hip Outcome Tool-12 (iHOT-12) were measured before operation and at the follow-up, and statistical analysis was performed. The Minimum clinically significant difference (MCID) and Patient Acceptable Symptom State (PASS) were also obtained.
    RESULTS: 22 patients were followed up, and the follow-up time was ≥ one year, with an average of 21.4 ± 8.2 months. The VAS score decreased from 5.27 ± 1.58 points before surgery to 1.96 ± 0.92 points at the follow-up, and the difference was statistically significant (t = 9.05,P < 0.001). The mHHS score increased from 64.84 ± 13.58 points before surgery to 90.4 ± 10.11 points at the follow-up, and the difference was statistically significant (t=-7.07, P < 0.001). The HOS-ADL score increased from 68.92 ± 11.76 points before surgery to 88.91 ± 9.51 points at the follow-up, and the difference was statistically significant (t=-8.15,P < 0.001). The iHOT-12 score increased from 49.32 ± 12.01 points before surgery to 79.61 ± 15.89 points at the follow-up, and the difference was statistically significant (t=-7.66,P < 0.001). The MCID (mHHS) and MCID (HOS-ADL) were 81.8% and 77.3% respectively, and the PASS (mHHS) and PASS (HOS-ADL) were 86.4% and 72.7% respectively at the follow-up.
    CONCLUSIONS: Hip arthroscopy can achieve good short-term outcomes in the treatment of BDDH.
    METHODS: IV Therapeutic Study.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    Taxus,一种稀有和受保护的属,主要分布在北半球的温带地区,由于其在医学研究和药物开发方面的巨大潜力而引起了全球关注,在栽培技术和医疗技术的进步的支持下。本文主要对红豆杉的化学成分和药理活性进行综述,强调这些组件在临床应用中的进展和潜力。最近的研究表明,红豆杉不仅含有紫杉烷活性成分,还含有具有不同活性的黄酮类化合物和多糖。这些来自红豆杉的化合物表现出有效的抗肿瘤作用,抗炎,免疫调节,抗菌,和具有明显作用机制的抗糖尿病特性。值得注意的是,代表性化合物,紫杉醇,在治疗各种癌症方面表现出显著的疗效,如卵巢,乳房,还有肺癌.本文还综述了红豆杉药物制剂的基本情况,与提取物主要口服和单体紫杉烷通常通过注射,反映了口服制剂正在进行的研究的成熟发展阶段。最后,这篇综述总结了红豆杉中关键化合物的药代动力学特征,包括它们的吸收,分布,新陈代谢,和人体的排泄模式。这些药代动力学曲线为评估紫杉及其成分的总体给药方案提供了至关重要的指导。本文最后对这些化合物在疾病治疗中的潜在应用进行了前瞻性分析,设想他们在未来医疗和制药进步中的作用。
    Taxus, a rare and protected genus predominantly distributed across the Northern Hemisphere\'s temperate regions, has garnered global attention due to its significant potential in medical research and pharmaceutical development, bolstered by advancements in cultivation techniques and medical technology. This review primarily focuses on the chemical constituents and pharmacological activities of Taxus, underscoring the progress and potential of these components in clinical applications. Recent studies have revealed that Taxus contains not only taxane active components but also flavonoids and polysaccharides with distinct activities. These compounds from Taxus exhibit potent antitumor, anti-inflammatory, immunomodulatory, antibacterial, and antidiabetic properties with evident mechanisms of action. Notably, the representative compound, paclitaxel, has demonstrated significant efficacy in treating various cancers, such as ovarian, breast, and lung cancer. This paper also reviews the basic situation of Taxus drug formulations, with extracts primarily administered orally and monomeric taxanes typically via injection, reflecting a mature development stage with ongoing research into oral formulations. Finally, this review summarizes the pharmacokinetic characteristics of crucial compounds in Taxus, including their absorption, distribution, metabolism, and excretion patterns in the human body. These pharmacokinetic profiles provide crucial guidance for evaluating the overall dosing regimen of Taxus and its components. The paper concludes with a forward-looking analysis of the potential applications of these compounds in disease treatment, envisioning their role in the future of medical and pharmaceutical advancements.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    目的:进行了文献计量学研究,以更深入地了解糖尿病和生物钟(BC)的研究现状。
    方法:该研究涉及对1992年至2023年在WebofScience数据库中发表的与糖尿病和BC有关的文献的全面搜索。
    结果:在65种期刊上发表了95篇文章,截至2022年,其中六本期刊未列入期刊引文报告。在剩下的59种期刊中,10的影响因子(IF)大于10,21的IF大于5。29种期刊属于Quartile1,而16种期刊属于Quartile2。这些文章由来自22个国家的研究人员提供,荷兰和美国是最多产的贡献者。然而,来自美国的文章的引用总数明显高于荷兰.标题和抽象关键词的共现分析主要集中在研究BC的机制上。关于作者关键字和关键字加,共现分析集中在糖尿病和BC.发达国家之间的国际合作十分突出,与荷兰,美国,法国是主要参与者。机构间的合作主要发生在荷兰的两个研究机构之间。总的来说,这95篇文章收到了5157次引用,平均每篇文章引用54.28次。
    结论:为了促进这一领域的进步,需要更多的关注和国际合作。强调协作努力可以推动新方法的发展来有效地管理糖尿病和调节血糖水平。
    OBJECTIVE: A bibliometric study was conducted to gain deeper insights into the current state of research on diabetes and the biological clock (BC).
    METHODS: The study involved a comprehensive search for literature related to diabetes and BC published between 1992 and 2023 in the Web of Science database.
    RESULTS: Ninety-five articles were published in 65 journals, with six of these journals not included in the Journal Citation Reports as of 2022. Among the remaining 59 journals, 10 had an impact factor (IF) greater than 10, and 21 had an IF greater than 5. Twenty-nine journals belonged to Quartile 1, while 16 journals were part of Quartile 2. The articles were contributed by researchers from 22 countries, with the Netherlands and the USA being the most prolific contributors. However, the total number of citations for articles from the USA was significantly higher than that of the Netherlands. The co-occurrence analysis of title and abstract keywords primarily focused on investigating the mechanisms of BC. Regarding author keywords and keyword-plus, the co-occurrence analysis centered around diabetes and BC. International collaboration was prominent among developed countries, with the Netherlands, the USA, and France being major participants. Institution- wise cooperation primarily occurred between two research institutions in the Netherlands. In total, the 95 articles received 5,157 citations, averaging 54.28 citations per article.
    CONCLUSIONS: To foster advancements in this area, more attention and international cooperation are necessary. Emphasizing collaborative efforts can drive the development of novel approaches to manage diabetes and regulate blood glucose levels effectively.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    目的:本研究的目的是确定猫免疫缺陷病毒(FIV)全球流行的知识差距,并获得有关FIV在选定国家的专业意见和经验。我们对报道FIV流行的摘要进行了文献综述,并采访了来自不同国家的猫医学和逆转录病毒专家,以确定区域观点。
    方法:对1980年至2017年间报告FIV患病率作为主要无偏人群水平分析的90篇文章进行了索引。FIV患病率,人口统计,年和地点进行了分析。进行统计学评价和比较。总的来说,采访了10位专家。分析结果与文献综述的结果一致。
    结果:FIV患病率通常在5-8%的范围内,全球患病率为4.7%,在报告期内(1980-2017年)基本保持不变。超过90%的文章报道了老年雄性猫的患病率更高。在北美和欧洲进行了更多的研究,报告的患病率最低。专家估计的患病率近似文献综述患病率。专家对管理的态度和建议是一致的。本综述的局限性包括不同研究中测试的猫的不同纳入标准,测试方式的差异和无法在不同队列中进行汇总统计。
    结论:自40年前发现FIV以来,其全球患病率没有改变。老年雄性猫的患病率较高,北美和欧洲的患病率低于其他大陆。专家认为,FIV通常不是一种高度关注的疾病,并且通常与口腔感染有关。通常不建议接种疫苗,并且在北美已停止接种。评估FIV进展的危险因素有助于管理感染。未来研究的建议包括分析,以确定影响进展的copathogen和环境因素,寿命影响评估以及治疗效果和副作用的调查。
    OBJECTIVE: The purpose of this study was to identify knowledge gaps in the global prevalence of feline immunodeficiency virus (FIV) and to obtain professional opinions and experiences regarding FIV in selected countries. We conducted a literature review of abstracts that reported the prevalence of FIV and interviewed experts in feline medicine and retroviruses from different countries to determine regional perspectives.
    METHODS: A total of 90 articles reporting FIV prevalence as a primary unbiased population-level analysis between 1980 and 2017 were indexed. FIV prevalence, demographics, year and location were analyzed. Statistics were evaluated and compared. In total, 10 experts were interviewed. Results were analyzed for congruence with the findings of the literature review.
    RESULTS: FIV prevalence was typically in the range of 5-8%, with a global prevalence of 4.7%, and remained largely constant over the reporting period (1980-2017). Over 90% of articles reported greater prevalence in older male cats. More studies were conducted in North America and Europe and reported the lowest prevalence. Expert-estimated prevalence approximated literature review prevalence. Attitudes and recommendations for management were consistent among experts. The limitations of the present review include varying inclusion criteria of cats tested in different studies, variation in testing modalities and the inability to conduct summary statistics across dissimilar cohorts.
    CONCLUSIONS: The global prevalence of FIV has not changed since its discovery 40 years ago. Prevalence is higher in older male cats and is lower in North America and Europe than other continents. Experts agree that FIV is not typically a disease of high concern and is often associated with infections of the oral cavity. Vaccination is not typically recommended and has been discontinued in North America. The evaluation of risk factors for FIV progression is useful in managing infections. Recommendations for future research include analyses to determine copathogen and environmental factors that impact progression, assessment of life span impacts and investigations of treatment efficacy and side effects.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    目的:本研究的目的是报告在妊娠中期和中期接受厄洛替尼治疗的妊娠患者的临床和药理学观察结果。
    方法:评价了埃罗替尼及其代谢产物的母婴血药浓度和安全性。监测儿童发育6年。
    结果:一名31岁的IV期肺腺癌患者在妊娠17周时开始接受埃罗替尼150mg/天的治疗。尽管在怀孕期间多次观察到胎儿生长迟缓和羊水过少,由于产妇表现的严重程度,继续治疗,正在进行胎儿监测。胎儿似乎在没有具体干预的情况下耐受和恢复良好。一名健康的男婴在妊娠37周时分娩。孩子成长和发展没有任何明显的问题。在最后的随访中,6岁时,他以适合自己年龄的年级上学,没有健康或发育问题。在妊娠18-37周时,厄洛替尼的血液水平为397-856ng/mL,产后8周时为1190ng/mL。OSI-413-埃罗替尼的血药浓度比在妊娠18-37周时为0.167至0.253,不包括24周,产后8周时为0.131。厄洛替尼的母婴转移率,OSI-420和OSI-413分别为24.5、34.8和20.3%,分别。
    结论:在妊娠中期和晚期使用厄洛替尼似乎不会对发育中的胎儿造成任何不良影响,或在对孩子进行6年的随访期间可以检测到的任何持久影响。
    OBJECTIVE: The aim of the study is to report the clinical and pharmacological observations from a pregnant patient treated with erlotinib in the second and third trimesters of pregnancy.
    METHODS: Maternal and neonatal blood levels and safety of erlotinib and its metabolites were evaluated. Child development was monitored for 6 years.
    RESULTS: A 31-year-old woman with stage IV lung adenocarcinoma with EGFR exon19 deletion began treatment with erlotinib 150 mg/day at 17 weeks of gestation. Although foetal growth retardation and oligohydramnios were observed at several times during the pregnancy, treatment was continued due to the severity of the maternal presentation, with ongoing foetal monitoring. The foetus seemed to tolerate and recover well without specific interventions. A healthy baby boy was delivered at 37 weeks gestation. The child grew and developed without any obvious issues. At last follow-up, at age 6 years, he was attending school at a grade appropriate for his age without health or developmental problems. Blood levels of erlotinib were 397-856 ng/mL at 18-37 weeks of gestation and 1190 ng/mL at 8 weeks postpartum. The blood concentration ratios of OSI-413-to-erlotinib ranged from 0.167 to 0.253 at 18-37 weeks of gestation, excluding 24 weeks, and 0.131 at 8 weeks postpartum. The maternal-to-foetal transfer rate of erlotinib, OSI-420 and OSI-413 were 24.5, 34.8 and 20.3%, respectively.
    CONCLUSIONS: Erlotinib use during the second and third trimester of pregnancy did not seem to cause any untoward effects on the developing foetus, or any long-lasting effects that could be detected during 6 years of follow-up of the child.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    白血病是一种危及生命的造血系统恶性肿瘤。目前,主要治疗方式是化疗和造血干细胞移植。然而,由于白血病细胞对化疗药物的敏感性降低而导致的耐药性增加对目前的治疗提出了重大挑战。参与自噬启动的自噬相关蛋白现已被证明参与各种类型的白血病细胞的发展并与耐药性有关。因此,本综述将探讨自噬相关蛋白在四个关键自噬过程中的作用:诱导自噬和吞噬形成,吞噬体延伸,和自噬体的形成,关于各种类型白血病的发展以及耐药性。自噬可能成为治疗白血病的一个有希望的治疗靶点。
    Leukemia is a life-threatening malignant tumor of the hematopoietic system. Currently, the main treatment modalities are chemotherapy and hematopoietic stem cell transplantation. However, increased drug resistance due to decreased sensitivity of leukemia cells to chemotherapeutic drugs presents a major challenge in current treatments. Autophagy-associated proteins involved in autophagy initiation have now been shown to be involved in the development of various types of leukemia cells and are associated with drug resistance. Therefore, this review will explore the roles of autophagy-related proteins involved in four key autophagic processes: induction of autophagy and phagophore formation, phagophore extension, and autophagosome formation, on the development of various types of leukemias as well as drug resistance. Autophagy may become a promising therapeutic target for treating leukemia.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    肉芽肿性乳腺炎(GLM)是一种罕见且复杂的乳房慢性炎症性疾病,原因不明,有复发的趋势。随着医学科学的进步,原因,治疗策略,GLM的综合管理日益引起广泛关注。本研究的目的是使用文献计量分析评估GLM领域过去24年的发展趋势和研究重点。
    使用GLM,肉芽肿性乳腺炎(GM),特发性肉芽肿性小叶性乳腺炎(IGLM),以特发性肉芽肿性乳腺炎(IGM)为关键词,我们从WebofScience检索了2000年至2023年与GLM相关的出版物,排除与本研究无关的文章。Citespace和VOSviewer用于数据分析和可视化。
    该分析中包括总共347种出版物。在过去的24年里,出版物数量稳步增加,土耳其是出版物和引文方面的主要贡献者。健康科学大学,伊斯坦布尔大学,伊斯坦布尔Cerrahpasa大学是最具影响力的机构。乳房杂志,乳房护理,和《调查外科杂志》是在这个主题上发表最多的期刊。这项研究主要集中在原因上,鉴别诊断,治疗,和GLM的综合管理。与复发有关的问题,高催乳素血症,和棒状杆菌成为当前的研究热点。
    我们的文献计量研究概述了GLM领域的历史发展,并确定了最近的研究重点和趋势,这可以帮助研究人员确定研究热点和方向,从而推进了GLM的研究。
    UNASSIGNED: Granulomatous mastitis (GLM) is a rare and complex chronic inflammatory disease of the breast with an unknown cause and a tendency to recur. As medical science advances, the cause, treatment strategies, and comprehensive management of GLM have increasingly attracted widespread attention. The aim of this study is to assess the development trends and research focal points in the GLM field over the past 24 years using bibliometric analysis.
    UNASSIGNED: Using GLM, Granulomatous mastitis (GM), Idiopathic granulomatous lobular mastitis (IGLM), and Idiopathic granulomatous mastitis (IGM) as keywords, we retrieved publications related to GLM from 2000 to 2023 from the Web of Science, excluding articles irrelevant to this study. Citespace and VOSviewer were employed for data analysis and visualization.
    UNASSIGNED: A total of 347 publications were included in this analysis. Over the past 24 years, the number of publications has steadily increased, with Turkey being the leading contributor in terms of publications and citations. The University of Health Sciences, Istanbul University, and Istanbul University Cerrahpasa were the most influential institutions. The Breast Journal, Breast Care, and Journal of Investigative Surgery were the journals that published the most on this topic. The research primarily focused on the cause, differential diagnosis, treatment, and comprehensive management of GLM. Issues related to recurrence, hyperprolactinemia, and Corynebacterium emerged as current research hotspots.
    UNASSIGNED: Our bibliometric study outlines the historical development of the GLM field and identifies recent research focuses and trends, which may aid researchers in identifying research hotspots and directions, thereby advancing the study of GLM.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    背景:本文通过对出版物数量的文献计量分析,评估了中国体力活动和健康研究的演变,研究领域,作者身份的性别平衡。
    方法:全球身体活动观察站在1950年至2019年期间对“身体活动与健康”出版物进行了系统审查。这里,我们专注于已确定的610种中文出版物,定义为在中国进行数据收集的数据。我们评估了出版物的数量,将它们分为5个区域(1)监视,(2)相关因素和决定因素,(3)健康后果,(4)干预措施,(5)政策,并分析了女性参与作者身份。
    结果:评论中发现的第一个中文出版物是在1990年。因为,体育活动和健康出版物的平均数量从1990年代的每年一份增加到2000年代的每年7.6份,到2010年代每年47。大多数出版物都集中在相关因素和决定因素(38.7%)以及体育锻炼的健康后果(35.9%)。体育活动政策占出版物的2.3%。在1990年代,64%的出版物至少包括一名女性作者;这一比例在2010年代增加到90%。
    结论:尽管起步缓慢,自2000年以来,中国对身体活动与健康的研究迅速发展。按研究领域和女性参与作者身份分列的出版物分布与全球观察到的情况相似,与其他主题相比,专注于干预措施和政策的出版物较少。
    BACKGROUND: This article evaluates the evolution of physical activity and health research in China through a bibliometric analysis focused on number of publications, study areas, and sex balance in authorship.
    METHODS: A systematic review was conducted by the Global Observatory for Physical Activity for \"physical activity and health\" publications between 1950 and 2019. Here, we focus on the 610 Chinese publications identified, defined as those in which data collection took place in China. We assessed the number of publications, classified them into 5 areas (1) surveillance, (2) correlates and determinants, (3) health consequences, (4) interventions, and (5) policy, and analyzed female participation in authorship.
    RESULTS: The first Chinese publication identified in the review was in 1990. Since, the average number of physical activity and health publications increased from one per year in the 1990s to 7.6 per year in the 2000s, and to 47 per year in the 2010s. Most publications focused on the correlates and determinants (38.7%) and the health consequences of physical activity (35.9%). Physical activity policy accounted for 2.3% of the publications. In the 1990s, 64% of the publications included at least one female author; this proportion increased to 90% in the 2010s.
    CONCLUSIONS: Despite a slow start, China\'s research on physical activity and health has grown rapidly since 2000. The distribution of publications by study areas and female participation in authorship is similar to that observed globally, with fewer publications focused on interventions and policy as compared with other topics.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    背景:这项横断面研究调查了Cochrane关于数字健康技术的评论的在线传播。
    方法:我们搜索了Cochrane系统评论数据库,该数据库从开始到2023年5月。Cochrane对任何人群的评论(P),任何数字技术支持的干预或概念(I),任何或没有比较(C),并包括任何健康结果(O)。关于评论特征的数据(书目信息,PICO,和证据质量)和传播策略被提取和处理。传播是使用Cochrane网站上的评论信息和Altmetric数据进行评估的,这些数据追踪了非学术在线渠道中学术出版物的提及。数据采用描述性统计和二元逻辑回归分析。
    结果:在搜索中确定的170条记录中,100条Cochrane评论,2005年至2023年出版的,包括在内。评论侧重于消费者(如患者、n=86),任何年龄的人(n=44),和临床人群(n=68)。所有评论都涉及数字技术支持的任何设备的干预措施或概念(n=73),移动设备(n=17),或计算机(n=10)。结果集中在疾病治疗上(n=56),健康促进和疾病预防(n=27),或护理交付管理(n=17)。所有评论包括1-132项研究,一半包括1-10项研究。在69篇综述中进行了荟萃分析,在46篇综述中,至少一项结局的证据确定性被评为高或中.根据Cochrane指南,所有评论都有简单的语言摘要(PLS),有3-14种语言版本.评论主要通过X/Twitter(n=99)和Facebook(n=69)传播(即在线提及)。总的来说,在Altmetric数据追踪的所有研究产出中,多达25%的研究中提到了51条评论,5%的研究中提到了49条评论。传播(即更高的Altmetric分数)与书目审查特征(即较早的出版年份和PLS以更多语言提供)相关,但不具有证据质量(即证据评级的确定性,研究的数量,或综述中进行的荟萃分析)。
    结论:在线关注Cochrane关于数字健康技术的评论。对于较旧的评论和具有更多PLS翻译的评论,传播率更高。需要采取措施改善基于证据质量的Cochrane评论的传播。
    背景:该研究在开放科学框架(https://osf.io/mpw8u/)上进行了前瞻性注册。
    BACKGROUND: This cross-sectional study investigated the online dissemination of Cochrane reviews on digital health technologies.
    METHODS: We searched the Cochrane Database of Systematic Reviews from inception up to May 2023. Cochrane reviews with any population (P), intervention or concept supported by any digital technology (I), any or no comparison (C), and any health outcome (O) were included. Data on review characteristics (bibliographic information, PICO, and evidence quality) and dissemination strategies were extracted and processed. Dissemination was assessed using review information on the Cochrane website and Altmetric data that trace the mentions of academic publications in nonacademic online channels. Data were analysed using descriptive statistics and binary logistic regression analysis.
    RESULTS: Out of 170 records identified in the search, 100 Cochrane reviews, published between 2005 and 2023, were included. The reviews focused on consumers (e.g. patients, n = 86), people of any age (n = 44), and clinical populations (n = 68). All reviews addressed interventions or concepts supported by digital technologies with any devices (n = 73), mobile devices (n = 17), or computers (n = 10). The outcomes focused on disease treatment (n = 56), health promotion and disease prevention (n = 27), or management of care delivery (n = 17). All reviews included 1-132 studies, and half included 1-10 studies. Meta-analysis was performed in 69 reviews, and certainty of evidence was rated as high or moderate for at least one outcome in 46 reviews. In agreement with the Cochrane guidelines, all reviews had a plain language summary (PLS) that was available in 3-14 languages. The reviews were disseminated (i.e. mentioned online) predominantly via X/Twitter (n = 99) and Facebook (n = 69). Overall, 51 reviews were mentioned in up to 25% and 49 reviews in 5% of all research outputs traced by Altmetric data. Dissemination (i.e. higher Altmetric scores) was associated with bibliographic review characteristics (i.e. earlier publication year and PLS available in more languages), but not with evidence quality (i.e. certainty of evidence rating, number of studies, or meta-analysis performed in review).
    CONCLUSIONS: Online attention towards Cochrane reviews on digital health technologies is high. Dissemination is higher for older reviews and reviews with more PLS translations. Measures are required to improve dissemination of Cochrane reviews based on evidence quality.
    BACKGROUND: The study was prospectively registered at the Open Science Framework ( https://osf.io/mpw8u/ ).
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    回归不连续设计(RDD)是一种准实验方法,通过利用分配变量截止时暴露概率的不连续性来研究暴露对以后结果的因果影响。为了促进RDD在健康与疾病发展起源(DOHaD)研究中的使用,我们描述了研究设计的主要方面,并回顾了研究,已调查的分配变量和暴露量,以确定早期生命暴露的短期和长期健康影响。我们还以DOHaD研究为例,简要概述了RDD鉴定的一些方法学考虑因素。越来越多的研究调查生命早期环境压力对健康结果的影响使用RDD,主要是在教育方面,社会和福利政策,医疗保健组织和保险,和临床管理。年龄和日历时间是最常用的分配变量来研究各种早期生活政策和计划的影响,休克事件和指南。产妇和新生儿的特点,比如年龄,出生体重和胎龄是研究新生儿护理类型影响的常用赋值变量,健康保险,和新生儿的好处,而社会经济措施已被用来研究社会和福利计划的影响。RDD有优势,包括直观的解释,和透明和简单的图形表示。它提供了有效的因果估计,如果假设,与其他非实验研究设计相比相对较弱,遇见了。它用于研究生命早期暴露对健康的影响,仅限于基于登记册和行政数据库的研究。虽然到目前为止还没有使用这种设计来利用出生队列数据。截止点附近的局部因果效应,与其他研究设计相比,难以达到较高的统计能力,政策和计划评估之外的罕见设置阻碍了RDD在DOHaD研究中的广泛使用。尽管如此,可以使用以前研究中应用的暴露的分配变量截止值,如果合适,在其他环境中,并有额外的结果来解决不同的研究问题。
    Regression discontinuity design (RDD) is a quasi-experimental approach to study the causal effect of an exposure on later outcomes by exploiting the discontinuity in the exposure probability at an assignment variable cut-off. With the intent of facilitating the use of RDD in the Developmental Origins of Health and Disease (DOHaD) research, we describe the main aspects of the study design and review the studies, assignment variables and exposures that have been investigated to identify short- and long-term health effects of early life exposures. We also provide a brief overview of some of the methodological considerations for the RDD identification using an example of a DOHaD study. An increasing number of studies investigating the effects of early life environmental stressors on health outcomes use RDD, mostly in the context of education, social and welfare policies, healthcare organization and insurance, and clinical management. Age and calendar time are the mostly used assignment variables to study the effects of various early life policies and programs, shock events and guidelines. Maternal and newborn characteristics, such as age, birth weight and gestational age are frequently used assignment variables to study the effects of the type of neonatal care, health insurance, and newborn benefits, while socioeconomic measures have been used to study the effects of social and welfare programs. RDD has advantages, including intuitive interpretation, and transparent and simple graphical representation. It provides valid causal estimates if the assumptions, relatively weak compared to other non-experimental study designs, are met. Its use to study health effects of exposures acting early in life has been limited to studies based on registries and administrative databases, while birth cohort data has not been exploited so far using this design. Local causal effect around the cut-off, difficulty in reaching high statistical power compared to other study designs, and the rarity of settings outside of policy and program evaluations hamper the widespread use of RDD in the DOHaD research. Still, the assignment variables\' cut-offs for exposures applied in previous studies can be used, if appropriate, in other settings and with additional outcomes to address different research questions.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

公众号