Review Literature as Topic

作为主题的文献综述
  • 文章类型: Journal Article
    暂无摘要。
    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:患有轻度和中度智力残疾(MMID)的人有权参与社会的各个方面,并获得平等的机会来充分发挥其潜力。然而,由于许多不同的障碍,对于具有MMID的人来说,寻找和维持就业是一个挑战。目前,南非没有与上下文相关的框架,考虑到MMID患者的独特就业支持需求和住宿,这可以指导和告知向就业干预的过渡,战略和国家政策指令。
    方法:拟议的范围界定审查将由JoannaBriggsInstitute(JBI)和JBICollaboration的一个工作组开发的方法框架指导。相关研究的搜索将在12个研究数据库中进行。将进行审查研究的参考挖掘。将使用三步搜索策略,包括使用信息管理软件来管理搜索结果。三名独立审稿人将筛选全文研究,以最终确定纳入和排除研究的列表。将使用关键评估工具评估纳入的研究的方法学质量。数据将由一名独立审查员绘制图表,并由两名独立审查员评估,使用数据图表工具。数据图表将使用描述所审查研究的人口统计学特征的表格和图表来呈现,并解释了主题分析的结果。
    背景:本范围审查已获得伦理批准(BM22/10/11)。该研究结果的摘要将发表在同行评审的期刊上。这项范围界定审查将有助于更好地理解支持多层次过渡到就业框架的组成部分的关键特征或因素,这将导致具有MMID的人的开放劳动力市场就业。
    BACKGROUND: Persons with mild and moderate intellectual disability (MMID) have the right to participate in all aspects of society and be afforded equal opportunities to realise their full potential. However, it is a challenge for persons with MMID to find and maintain employment due to many different barriers. Currently, there is no contextually relevant framework in South Africa that considers the unique employment support needs and accommodation of persons with MMID, which can guide and inform the transition to employment interventions, strategies and national policy directives.
    METHODS: The proposed scoping review will be guided by the methodological framework developed by a working group from the Joanna Briggs Institute (JBI) and the JBI Collaboration. The search for relevant studies will be conducted across 12 research databases. Reference mining of review studies will be conducted. A three-step search strategy will be used, including the use of information management software to manage the search results. Three independent reviewers will screen the full-text studies to finalise the list of included and excluded studies. Included studies will be assessed for methodological quality using a critical appraisal tool. Data will be charted by one independent reviewer and assessed by two independent reviewers, using a data charting instrument. The data chart will be presented using tables and charts describing the demographic features of the reviewed studies, with an explanation of the thematically analysed results.
    BACKGROUND: This scoping review has received ethical approval (BM22/10/11). A summary of the findings of the study will be published in a peer-reviewed journal. This scoping review will contribute to a better understanding of the key characteristics or factors underpinning the components of a multilevel transition to employment framework that will result in open labour market employment for persons with MMID.
    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:许多医疗保健领域受到缺乏可转化为临床实践的研究的影响。利用现实世界数据的研究,例如常规收集的患者数据,可能是有效创建证据以告知实践和服务交付的一种选择。这些研究对于探索服务和成果的公平性也很有价值,并受益于使用代表“现实世界”中服务的种群多样性的非选择样本。本范围审查旨在识别和绘制已发表的利用常规收集的临床医疗保健数据的研究。次要目的是探索这些文献在多大程度上支持在健康中追求社会正义,包括健康不平等和交叉方法。
    方法:本综述利用Arksey和O\'Malley\的方法框架进行范围审查,并借鉴了该框架的建议增强功能,以促进基于团队和混合方法的方法。这包括根据预先指定的纳入和排除标准搜索电子数据库和筛选文件。与研究目标相关的数据将从包含的论文中提取,包括该主题的临床/专业领域,使用的数据源,以及它是否涉及社会正义的要素。所有的筛选和审查将是协作和迭代的,将利用研究团队的优势并应对挑战。定量数据将进行描述性分析,概念内容分析将用于理解定性数据。这些将根据研究目标进行集体综合。
    结论:我们的研究结果将强调进行和发表此类研究的程度,包括差距,并为现实世界数据研究的未来努力提出建议。这次范围审查的结果将与从业人员和研究人员相关,以及卫生服务经理,专员,和研究资助者。
    BACKGROUND: Many areas of healthcare are impacted by a paucity of research that is translatable to clinical practice. Research utilising real-world data, such as routinely collected patient data, may be one option to efficiently create evidence to inform practice and service delivery. Such studies are also valuable for exploring (in)equity of services and outcomes, and benefit from using non-selected samples representing the diversity of the populations served in the \'real world\'. This scoping review aims to identify and map the published research which utilises routinely collected clinical healthcare data. A secondary aim is to explore the extent to which this literature supports the pursuit of social justice in health, including health inequities and intersectional approaches.
    METHODS: This review utilises Arksey and O\'Malley\'s methodological framework for scoping reviews and draws on the recommended enhancements of this framework to promote a team-based and mixed methods approach. This includes searching electronic databases and screening papers based on a pre-specified inclusion and exclusion criteria. Data relevant to the research aims will be extracted from included papers, including the clinical/professional area of the topic, the source of data that was used, and whether it addresses elements of social justice. All screening and reviewing will be collaborative and iterative, drawing on strengths of the research team and responsive changes to challenges will be made. Quantitative data will be analysed descriptively, and conceptual content analysis will be utilised to understand qualitative data. These will be collectively synthesised in alignment to the research aims.
    CONCLUSIONS: Our findings will highlight the extent to which such research is being conducted and published, including gaps and make recommendations for future endeavours for real-world data studies. The findings from this scoping review will be relevant for practitioners and researchers, as well as health service managers, commissioners, and research funders.
    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:尽管近期全球疟疾病例和死亡人数显著减少,这种健康问题的持续存在需要从传统的自上而下的方法转变。因此,疟疾控制举措越来越注重通过以社区为中心的战略增强当地社区的能力。因此,这项范围界定审查协议系统地探讨了全球疟疾计划中采用的各种社区知识方法及其相关结果。
    方法:严格遵守系统审查的首选报告项目和范围审查的荟萃分析扩展(PRISMA-ScR)指南,制定了全面的范围审查方案.与研究馆员合作,系统的搜索策略针对来自PubMed等数据库的同行评审文献,Embase,Scopus,和WebofScience,辅以全面的灰色文献检索。标题和摘要将被筛选,然后使用标准化框架提取书目详细信息和结果信息。随后,结果将被系统地总结和呈现在一个结构化的表格格式(S1清单).
    结论:本范围审查保证了对当前有关社区知识在疟疾规划中的影响的研究的深入了解。查明知识差距和干预需求是受疟疾影响国家的宝贵资源。社区知识的深远影响强调了其在提高预防效力方面的关键作用,control,消除努力。这次审查的见解将有助于政策制定者,授权实施者和社区领导人设计有效的干预措施。这种共同努力旨在巧妙地利用社区知识,从而推动实现消除疟疾目标的进展。
    BACKGROUND: Despite significant reductions in recent malaria cases and deaths globally, the persistence of this health concern necessitates a shift from traditional top-down approaches. Consequently, malaria control initiatives increasingly focus on empowering local communities through community-centred strategies. Therefore, this scoping review protocol systematically explores diverse community knowledge approaches adopted in malaria programmes worldwide and their associated outcomes.
    METHODS: Adhering rigorously to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guidelines, a comprehensive scoping review protocol was developed. Collaborating with a research librarian, a systematic search strategy targeted peer-reviewed literature from databases such as PubMed, Embase, Scopus, and Web of Science, complemented by a thorough grey literature search. Titles and abstracts will be screened, followed by extracting bibliographic details and outcome information using a standardized framework. Subsequently, the results will be systematically summarized and presented in a structured tabular format (S1 Checklist).
    CONCLUSIONS: This scoping review promises an in-depth understanding of current research regarding the impact of community knowledge in malaria programmes. The identification of knowledge gaps and intervention needs serves as a valuable resource for malaria-affected countries. The profound implications of community knowledge underscore its pivotal role in enhancing the effectiveness of prevention, control, and elimination efforts. Insights from this review will assist policymakers, empowering implementers and community leaders in designing effective interventions. This concerted effort aims to adeptly leverage community knowledge, thereby propelling progress toward the achievement of malaria elimination goals.
    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:体外受精导致的妊娠与发生妊娠期高血压疾病的风险增加有关,如先兆子痫,与自然怀孕相比。
    目的:在被确定为先兆子痫高风险的自然妊娠中,阿司匹林预防降低先兆子痫发生率的功效已得到证实。然而,阿司匹林对所有体外受精妊娠的先兆子痫发生率的降低效果仍不确定,尽管体外受精是子痫前期的一个众所周知的危险因素。因此,本研究的目的是全面概述目前有关使用小剂量阿司匹林预防体外受精后妊娠高血压疾病的文献.
    方法:本综述将确定所有同行评审发表的文章,包括在体外受精后接受胚胎移植的孕妇,并服用低剂量阿司匹林以降低妊娠期高血压疾病的风险。
    方法:我们设计了一种全面的搜索策略,以系统地识别2000年1月至2024年5月在Medline(PubMed界面)内发表的相关研究,Embase和Scopus数据库。搜索策略是基于关键词\'阿司匹林,\'\'妊娠高血压,\'和(\'体外受精\'或\'卵母细胞捐赠\'或\'胚胎移植\'或\'供体受孕\')。两名审阅者将独立筛选标题,摘要和全文文章选择相关文章,使用Covidence软件。
    背景:本研究没有患者参与。这项研究旨在发表在同行评审的期刊上,并可以在会议上发表。
    BACKGROUND: Pregnancies resulting from in vitro fertilisation are associated with an increased risk of developing hypertensive disorders of pregnancy, such as preeclampsia, when compared with naturally conceived pregnancies.
    OBJECTIVE: The efficacy of aspirin prophylaxis to reduce the incidence of preeclampsia is well established in naturally conceived pregnancies identified as high risk for developing preeclampsia. However, the efficacy of aspirin to reduce the rate of preeclampsia for all pregnancies resulting from in vitro fertilisation remains uncertain, although in vitro fertilisation conception is a well-known risk factor for preeclampsia. Therefore, the purpose of this scoping review is to provide a comprehensive overview of the current literature regarding the use of low-dose aspirin to prevent hypertensive disorders of pregnancy after in vitro fertilisation.
    METHODS: This review will identify all peer-reviewed published articles including pregnant women who underwent embryo transfer after in vitro fertilisation and were prescribed low-dose aspirin to reduce the risk of hypertensive disorders of pregnancy.
    METHODS: We have devised a comprehensive search strategy to systematically identify pertinent studies published from January 2000 until May 2024, within the Medline (PubMed interface), Embase and Scopus databases. The search strategy is based on the keywords \'aspirin,\' \'pregnancy-induced hypertension,\' and (\'in vitro fertilization\' OR \'oocyte donation\' OR \'embryo transfer\' OR \'donor conception\'). Two reviewers will independently screen the titles, abstracts and full-text articles to select the relevant articles, using the Covidence software.
    BACKGROUND: No patients are involved in this study. This study aims to be published in a peer-reviewed journal and could be presented at a conference.
    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:正在进行和发布对商业和公共智能手机(移动)健康应用程序(mHealthapp评论)的评论。然而,mHealthapp评论的行为和报告存在差异,没有现有的报告准则。基于系统审查和荟萃分析(PRISMA)指南的首选报告项目,我们的目标是制定APP审查报告项目共识(CAPPRRI)指南,支持mHealthapp评论的进行和报告。对已发布的mHealth应用程序评论的范围审查将探讨它们的一致性,偏差,和修改PRISMA2020项目进行系统审查,并确定可能包括在CAPPRRI中的项目清单。
    方法:我们遵循JoannaBriggs研究所的方法以及Arksey和O'Malley的五步过程。患者和公众贡献者,mHealth应用程序审查,数字健康研究和证据综合专家,医疗保健专业人员和专业图书馆员对这些方法进行了反馈。我们将搜索SCOPUS,CINAHLPlus,AMED,EMBASE,Medline,APAPsycINFO和ACM数字图书馆用于报告mHealth应用程序评论的文章,并使用两步筛选过程来识别符合条件的文章。关于作者是否报告过的信息,或者他们如何修改报告中的PRISMA2020项目,将被提取。数据提取还将包括文章特征,协议和注册信息,审查使用的问题框架,有关搜索和筛选过程的信息,如何评估应用程序以及利益相关者参与的证据。这将使用内容综合方法进行分析,并使用描述性统计和摘要进行介绍。此协议在OSF(https://osf.io/5ahjx)上注册。
    背景:不需要道德批准。研究结果将通过同行评审的期刊出版物传播(在我们的项目网站和CAPPRRI指南已注册为正在开发的EQUATOR网络网站上共享),会议演示文稿和博客和社交媒体帖子的外行语言。
    BACKGROUND: Reviews of commercial and publicly available smartphone (mobile) health applications (mHealth app reviews) are being undertaken and published. However, there is variation in the conduct and reporting of mHealth app reviews, with no existing reporting guidelines. Building on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we aim to develop the Consensus for APP Review Reporting Items (CAPPRRI) guidance, to support the conduct and reporting of mHealth app reviews. This scoping review of published mHealth app reviews will explore their alignment, deviation, and modification to the PRISMA 2020 items for systematic reviews and identify a list of possible items to include in CAPPRRI.
    METHODS: We are following the Joanna Briggs Institute approach and Arksey and O\'Malley\'s five-step process. Patient and public contributors, mHealth app review, digital health research and evidence synthesis experts, healthcare professionals and a specialist librarian gave feedback on the methods. We will search SCOPUS, CINAHL Plus, AMED, EMBASE, Medline, APA PsycINFO and the ACM Digital Library for articles reporting mHealth app reviews and use a two-step screening process to identify eligible articles. Information on whether the authors have reported, or how they have modified the PRISMA 2020 items in their reporting, will be extracted. Data extraction will also include the article characteristics, protocol and registration information, review question frameworks used, information about the search and screening process, how apps have been evaluated and evidence of stakeholder engagement. This will be analysed using a content synthesis approach and presented using descriptive statistics and summaries. This protocol is registered on OSF (https://osf.io/5ahjx).
    BACKGROUND: Ethical approval is not required. The findings will be disseminated through peer-reviewed journal publications (shared on our project website and on the EQUATOR Network website where the CAPPRRI guidance has been registered as under development), conference presentations and blog and social media posts in lay language.
    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:子宫肌瘤是在育龄期妇女中发现的最常见的盆腔良性肿瘤,到更年期可能影响所有妇女的70%。子宫肌瘤给妇女和社会带来沉重负担,导致生活质量低下,自我形象受损,和受损的社会,性,情感,以及受影响个体的身体健康。
    目的:本研究旨在绘制撒哈拉以南非洲子宫肌瘤负担的证据;子宫肌瘤地理负担,诊断为子宫肌瘤的妇女的子宫肌瘤费用估算和报告经验。
    方法:文章将从撒哈拉以南非洲国家中选择。
    方法:此范围审查将由Arksey&O\'Malley框架指导,由Levac等人(2010)增强。将搜索以下电子数据库;PubMed,EBSCOhost(护理和相关健康文献和健康来源的累积指数),医学文献在线分析与检索系统,科克伦图书馆,Scopus,WebofScience,非洲在线杂志,谷歌学者。将使用人口概念和背景(PCC)框架,PRISMA流程图也将用于显示文献检索和研究选择。将使用描述性数据分析;结果将以主题形式呈现,叙述摘要,tables,和图表。
    结论:该研究预计会发现有关子宫肌瘤分布的相关文献,子宫肌瘤在地理分布方面的负担,年龄分布,和与疾病相关的成本逼近。这将有助于确定研究差距,以指导未来的研究为科学知识体系做出贡献,并制定该疾病的预防策略。
    BACKGROUND: Uterine fibroids are the most common pelvic benign tumours found in reproductive-aged women and may affect up to 70% of all women by menopause. Uterine fibroids place a heavy burden on women and society resulting in poor quality of life, impaired self-image, and impaired social, sexual, emotional, and physical well-being of affected individuals.
    OBJECTIVE: This study aims to map the evidence on the burden of uterine fibroids in Sub-Saharan Africa; uterine fibroids\' burden by age, uterine fibroids\' geographic burden, uterine fibroids\' cost estimation and reported experiences among women diagnosed with uterine fibroids.
    METHODS: Articles will be selected from countries within Sub-Saharan Africa.
    METHODS: This scoping review will be guided by the Arksey & O\'Malley framework, enhanced by Levac et al (2010). The following electronic databases will be searched; PubMed, EBSCOhost (Cumulated Index to Nursing and Allied Health Literature and Health Source), Medical Literature Analysis and Retrieval System Online, Cochrane Library, Scopus, Web of Science, Africa Journal Online, and Google Scholar. The Population Concept and Context (PCC) framework will be used and the PRISMA flow diagram will also be used to show the literature search and selection of studies. Descriptive data analysis will be used; results will be presented in themes, narrative summaries, tables, and charts.
    CONCLUSIONS: The study anticipates finding relevant literature on the distribution of uterine fibroids, the burden of uterine fibroids in terms of geographic distribution, age distribution, and cost approximation related to the disease. This will assist in identifying research gaps to guide future research contribute to the body of scientific knowledge and develop preventative strategies for the disease.
    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:全球产后抑郁症(PPD)的估计患病率,在中国,上海是17.2%,18.0%和23.2%,分别。2021年,上海容纳了320万育龄妇女,由于经济原因,他们中的大多数人与丈夫一起移居城市。由于人们认为存在社会污名化的风险,中国的精神障碍普遍缺乏寻求帮助的行为。在上海,70%的妇女没有为围产期心理健康问题寻求专业帮助。我们的目标是从多个角度收集信息,例如患有PPD和围产期抑郁症(PND)的移民妇女,他们的照顾者,卫生服务提供者和社区,了解中国产后流动妇女PPD或PND的求助行为。
    方法:系统审查的首选报告项目和范围审查的荟萃分析框架将指导本次审查。一位双语研究图书馆员制定了一项全面的搜索策略,以检索已发表和未发表的中英文研究,这些研究涉及影响中国女性PPD或PND寻求帮助行为的因素。这些文献包括感知,视图,模式,接受和拒绝,倾向,概率,服务可访问性和利用率,和事实。我们将搜索PubMed,Embase,科学网和CINAHL为英国文学和CINKI为中国文学。后向和前向雪球方法将用于从选定论文的参考列表中识别其他相关论文。两名独立的审稿人将筛选标题和摘要,并审查所选论文的全文,以确定符合条件的文章进行数据提取。我们将建立一个MicrosoftAccess数据库来记录提取的数据。结果将在表格和因果图中显示,以证明提取的变量与PPD和PND的求助行为之间的关系。将根据文献中的信息制定概念模拟模型,以验证变量之间关系的逻辑,确定知识差距,并深入了解潜在的干预方法。将邀请专家和利益相关者在上海的小组模型构建(GMB)研讨会上对结果进行评论和评论。这些评论对于验证调查结果至关重要,接收反馈并获得更多见解。
    背景:我们研究的文献综述部分不需要伦理批准,因为收集的信息和数据将从公开可用的来源获得,并且不会涉及人类受试者。我们的合作研究伙伴,国际桃子妇幼医院,获得IRB批准(GKLW-A-2023-020-01),用于筛选和招募GMB研讨会的参与者。斯坦福大学根据第67419号方案获得IRB批准。完整的审查将在相关会议上提交,并提交给同行评审的科学期刊发表,以报告发现。
    BACKGROUND: The estimated prevalence of postpartum depression (PPD) worldwide, in China, and Shanghai is 17.2%, 18.0% and 23.2%, respectively. In 2021, Shanghai housed a population of 3.2 million childbearing-age migrant women, most of whom migrated to the city with their husbands for economic reasons. There is a general lack of help-seeking behaviour for mental disorders in China due to the perceived risk of social stigmatisation. In Shanghai, 70% of women did not seek professional help for perinatal mental health problems. We aim to gather information from multiple perspectives, such as the migrant women with PPD and perinatal depression (PND), their caregivers, health service providers and communities, to understand the help-seeking behaviour of postpartum migrant women with PPD or PND in China.
    METHODS: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses framework for Scoping Reviews will guide this review. A bilingual research librarian developed a comprehensive search strategy to retrieve published and unpublished English and Chinese studies involving factors influencing women\'s PPD or PND help-seeking behaviour in China. This literature includes perceptions, views, patterns, acceptance and refusal, tendencies, probability, service accessibility and utilisation, and facts. We will search PubMed, Embase, Web of Science and CINAHL for English literature and CINKI for Chinese literature. Backward and forward snowball approaches will be used to identify additional relevant papers from the reference lists of selected papers. Two independent reviewers will screen the title and abstract and review the full text of selected papers to identify eligible articles for data extraction. We will build a Microsoft Access database to record the extracted data. The results will be presented in tables and a causal map to demonstrate the relationships between extracted variables and help-seeking behaviours for PPD and PND. A conceptual simulation model will be formulated based on the information from the literature to validate the logic of the relationships between variables, identify knowledge gaps and gain insights into potential intervention approaches. Experts and stakeholders will be invited to critique and comment on the results during group model building (GMB) workshops in Shanghai. These comments will be essential to validate the findings, receive feedback and obtain additional insights.
    BACKGROUND: The literature review component of our study does not require ethical approval because the information and data collected will be obtained from publicly available sources and will not involve human subjects. Our collaborating research partner, International Peach Maternal Child Hospital, obtained the IRB approval (GKLW-A-2023-020-01) for screening and enrolling participants in GMB workshops. Stanford University received IRB approval under protocol number 67 419. The full review will be presented at a relevant conference and submitted to a peer-reviewed scientific journal for publication to report findings.
    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:可持续发展目标强调边缘化群体和社区的公平医疗服务。在低收入和中等收入国家(LMICs),结婚生子的残疾妇女(WWD)人数正在迅速增加。然而,这些妇女在中低收入国家寻求围产期护理方面面临多方面的挑战。这项范围审查的目的是记录WWD寻求围产期护理的主要促进者和障碍。我们还将为低收入国家的残疾妇女提出包容性围产期保健服务战略。
    方法:我们将对2010年至2023年在LMIC中对功能性残疾妇女寻求围产期护理的促进者和障碍进行定性和混合方法研究的同行评审和灰色文献(已发表报告)进行范围审查。将在Medline/PubMed进行电子搜索,Scopus和GoogleScholar数据库。两名研究人员将根据标题独立评估研究是否符合入选资格标准,摘要和全文回顾。
    背景:此范围界定审查基于已发表的文献,不需要伦理批准。研究结果将发表在同行评审的期刊上,并在与生殖健康有关的会议上发表。残疾和包容性健康论坛。
    BACKGROUND: The Sustainable Development Goals have put emphasis on equitable healthcare access for marginalised groups and communities. The number of women with disabilities (WWD) to marry and have children is rapidly increasing in low- and middle-income countries (LMICs). However, these women experience multifaceted challenges to seeking perinatal care in LMICs. The objective of this scoping review is to document key facilitators and barriers to seeking perinatal care by WWD. We also will propose strategies for inclusive perinatal healthcare services for women with disabilities in LMICs.
    METHODS: We will conduct a scoping review of peer-reviewed and grey literature (published reports) of qualitative and mixed-methods studies on facilitators and barriers to seeking perinatal care for women with functional disabilities from 2010 to 2023 in LMICs. An electronic search will be conducted on Medline/PubMed, Scopus and Google Scholar databases. Two researchers will independently assess whether studies meet the eligibility criteria for inclusion based on the title, abstract and a full-text review.
    BACKGROUND: This scoping review is based on published literature and does not require ethics approval. Findings will be published in peer-reviewed journals and presented at conferences related to reproductive health, disability and inclusive health forums.
    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:在以前的研究中,偏倚风险(RoB)评估的审阅者间可靠性缺乏共识。重要的是分析这些分歧,以提高RoB评估的可重复性。该研究的目的是评估高血压领域多项Cochrane综述中纳入的随机对照试验(RCT)的RoB评估中存在分歧的频率和原因。
    方法:采用横断面研究。我们从ARCHIE检索了高血压领域的多个Cochrane综述中包含的所有RCT。提取了RoB评估的结果,并分析了协议的分布和分歧的可能原因。
    结果:本研究纳入了26篇Cochrane综述。在一项以上的Cochrane审查中,共有78项RCT出现。协议级别从域到域不等。“结果评估致盲”显示出相当高的一致性(94.9%),而“结果数据不完整”,“选择性结果报告”和“其他偏见来源”显示中等程度的一致性(74.6%,79.2%和75.6%,分别)。然而,“分配隐藏”的域,“随机序列生成”和“参与者和人员致盲”显示出低水平的一致性(24.4%,23.5%,和47.4%,分别)。在“分配隐藏”和“参与者和人员致盲”领域,同意组发表年份≤1996年的比例高于不同意组(P=0.008和P<0.001)。在“对参与者和人员的致盲”中,影响因子在一致组中较高(P<0.001)。通过分析支持文本,我们发现最有可能的分歧原因是从相同的RCT中提取不同的信息.
    结论:对于使用2011版RoB工具在高血压领域的Cochrane评论,在RoB评估中有很大的分歧。建议使用2011版RoB工具的系统评价中的RoB评估结果需要谨慎解释。当我们综合临床证据时,需要从随机对照试验中收集更准确的信息。
    BACKGROUND: The inter-reviewer reliability of the risk of bias (RoB) assessment lacked agreement in previous studies. It is important to analyse these disagreements to improve the repeatability of RoB assessment. The objective of the study was to evaluate the frequency and reasons for disagreements in RoB assessments for randomised controlled trials (RCTs) that were included in multiple Cochrane reviews in the field of hypertension.
    METHODS: A cross-sectional study was employed. We retrieved any RCTs that had been included in multiple Cochrane reviews in the field of hypertension from ARCHIE. The results of the RoB assessments were extracted, and the distributions of agreements and possible reasons for disagreement were analyzed.
    RESULTS: Twenty-six Cochrane reviews were included in this study. A total of 78 RCTs appeared in more than one Cochrane review. The level of agreement ranged from domain to domain. \"Blinding of outcome assessment\" showed a reasonably high level of agreement (94.9%), while \"incomplete outcome data\", \"selective outcome reporting\" and \"other sources of bias\" showed moderate levels of agreement (74.6%, 79.2% and 75.6%, respectively). However, the domains of \"allocation concealment\", \"random sequence generation\" and \"blinding of participants and personnel\" showed low levels of agreement (24.4%, 23.5%, and 47.4%, respectively). In the domains of \"allocation concealment\" and \"blinding of participants and personnel\", the agreement group had higher proportion of publication year ≤ 1996 than the disagreement group (P = 0.008 and P < 0.001, respectively). In the \"blinding of participants and personnel\", the impact factor was higher in the agreement group (P < 0.001). By analyzing the support text, we found that the most likely reason for disagreement was extracting different information from the same RCT.
    CONCLUSIONS: For Cochrane reviews in the field of hypertension using the 2011 version of the RoB tool, there was a large disagreement in the RoB assessment. It is suggested that the results of RoB assessments in systematic reviews that used the 2011 version of the RoB tool need to be interpreted with caution. More accurate information from RCTs needs to be collected when we synthesize clinical evidence.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

公众号