Review Literature as Topic

作为主题的文献综述
  • 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.
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  • 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.
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  • 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.
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  • 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.
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  • 文章类型: English Abstract
    In recent years, as a result of the dramatic increase in the number of systematic reviews, a new type of systematic review, the \'systematic reviews of systematic reviews\', also known as umbrella reviews, reviews of reviews, meta-reviews or synthesis of review, was developed. The aim of this article is to provide recommendations on how this type of systematic review should be conducted and reported to ensure its quality and usefulness. These reviews are designed to compile evidence from multiple systematic reviews of interventions into an accessible and usable document and are one of the highest levels of evidence synthesis.
    Nos últimos anos, em consequência do aumento dramático do número de revisões sistemáticas, surgiu um novo tipo de revisões sistemáticas, as revi- sões sistemáticas das revisões sistemáticas, também conhecidas como umbrella reviews, reviews of reviews, meta-reviews, ou synthesis of review. O objetivo deste artigo é fornecer recomendações sobre como este tipo de revisão sistemática deve ser conduzido e relatado para garantir a sua qualidade e utilidade. Estas revisões são concebidas para compilar evidências de múltiplas revisões sistemáticas de intervenções num documento acessível e utilizável e constituem um dos níveis mais elevados de síntese de evidência.
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  • 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.
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  • 文章类型: Journal Article
    背景:撒哈拉以南非洲(SSA)地区的宫颈癌(CC)负担最高,占全球死亡率的近四分之一。SSA中的许多妇女不愿接受CC筛查,因为她们不愿意将自己的私处暴露给医疗保健提供者。在SSA中经历过自我采样的女性的看法尚待审查。本范围审查将探讨有关妇女对收集宫颈阴道样本以进行SSA中的人乳头瘤病毒(HPV)检测的方法的看法和态度的文献。
    方法:将使用Arksey和O\'Malley框架进行广泛的搜索。搜索标准将仅限于在过去10年中在SSA的社区或临床环境中进行的原始研究。四个数据库,即,pubmed,科克伦,非洲在线期刊和谷歌学者,将被搜索。两个独立的人(UIAB和DOO)将使用人口筛选标题和摘要以及后来的全文,干预,比较和结果标准。只要在选择资格标准方面没有达成一致,IOMB将充当决胜局。筛选过程将使用用于范围审查流程格式的系统审查和荟萃分析的首选报告项目进行展示。将对符合条件的范围审查研究的描述性分析进行总结。我们将描述包括疼痛的态度和感知的主题,尴尬,隐私和舒适,愿意自我抽样,焦虑和自信。
    背景:这是一个范围审查方案,不需要道德批准。这次审查的结果将通过同行评审的出版物传播,制作政策简报,以及在当地和国际会议上的演讲。
    BACKGROUND: Sub-Saharan Africa (SSA) regions have the highest burden of cervical cancer (CC), accounting for nearly a quarter of global mortality. Many women in SSA are reluctant to access CC screening because they are uncomfortable exposing their private parts to healthcare providers. The perception of women who have experienced self-sampling in SSA is yet to be reviewed. This scoping review will explore the literature on the perception and attitude of women towards methods of collecting cervicovaginal samples for human papillomavirus (HPV) testing in SSA.
    METHODS: An extensive search using the Arksey and O\'Malley framework will be conducted. The search criteria will be limited to original research conducted in community or clinical settings in SSA within the last 10 years. Four databases, namely, PUBMED, Cochrane, African Journals Online and Google Scholar, will be searched. Two independent persons (UIAB and DOO) will screen the titles and abstracts and later full texts using population, intervention, comparison and outcome criteria. IOMB will serve as a tiebreaker whenever there is no agreement on the choice of eligibility criteria. The screening process will be presented using Preferred Reporting Items for Systematic Reviews and Meta-Analyses for the scoping review flow format. The descriptive analysis of eligible studies for scoping reviews will be summarised. We will describe themes of attitude and perception covering pain, embarrassment, privacy and comfortability, willingness to self-sample, anxiety and confidence.
    BACKGROUND: This is a scoping review protocol and does not require ethical approval. Findings from this review will be disseminated through peer-reviewed publications, the production of policy briefs, and presentations at local and international conferences.
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  • 文章类型: Journal Article
    背景:在加拿大健康研究的背景下,各种术语和标签被用来指代黑人人口。这种做法产生了意想不到的后果,即降低了研究的可比性和效率。此外,使用诸如“Black”之类的广义术语可能无法涵盖种族化人群的种族文化背景的多样性和复杂性。这也可能掩盖了他们的经历和健康结果的微妙之处。这项研究旨在研究健康研究人员如何在他们的工作范围内定义黑人,以及用于识别加拿大黑人人口的不同标签。
    方法:我们开发并采用了全面而敏感的搜索策略,以识别有关加拿大黑人人口健康和健康的文章。同行评审和灰色文献都将被搜索。将包括以英语和法语发表的原始文章。筛选过程将包括两个阶段:标题筛选和摘要筛选,其次是对全文文章的全面审查。此外,将进行单引文跟踪和手动搜索参考列表。将对黑人人口定义的研究特征和相关信息进行提取,其次是反思性的专题分析和主要调查结果的介绍。
    背景:此审查将不需要道德批准。我们将通过与利益攸关方的会议传播成果。从一开始,在与公民研究人员和社区倡导者协商后,决定了一种知识翻译方法。我们的研究结果也将通过口头和海报展示来传播,同行评审的出版物,和社交媒体。
    BACKGROUND: In the context of health research in Canada, various terms and labels have been employed to reference the Black population. This practice has had the unintended consequence of diminishing the comparability and efficiency of studies. Furthermore, using a broad term such as \'Black\' may fail to encompass the diversity and intricacy of the ethnocultural backgrounds of people who are racialised as such. It may also obscure the subtleties of their experiences and health outcomes. This study aims to examine how health researchers have defined Black within the scope of their work and different labels used to identify the Black population in Canada.
    METHODS: We have developed and employed a comprehensive and sensitive search strategy to identify articles concerning the health and wellness of the Black population in Canada. Both peer-reviewed and grey literature will be searched. Original articles published in both English and French will be included. The screening process will consist of two stages: the title and abstract screening, followed by a thorough examination of full-text articles. Additionally, single citation tracking and manual search of reference lists will be conducted. Study characteristics and relevant information on the definition of the Black population will be extracted, followed by reflective thematic analysis and presentation of the key findings.
    BACKGROUND: This review will not require ethical approval. We will disseminate the results through meetings with stakeholders. From the beginning, a knowledge translation approach was decided upon following consultation with citizen researchers and community champions. Our findings will also be disseminated through oral and poster presentations, peer-reviewed publications, and social media.
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  • 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.
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  • 文章类型: Journal Article
    背景:抗菌素耐药性的上升对全球健康构成了严重威胁,由于抗菌药物的过度和不当分配和使用而加剧,尤其是抗生素,专门针对细菌感染。全球抗生素消费量的激增在低收入和中等收入国家(LMICs)尤其令人担忧。非正式医疗保健提供者(IPs)在医疗保健领域发挥着至关重要的作用。通常是寻求医疗保健的个人的最初联系点,综合方案在这些地区提供初级保健服务方面发挥着至关重要的作用。尽管在许多LMIC中,IPs普遍分配抗生素,正如现有研究所强调的那样,在抗生素配药实践和影响因素的综合综合方面仍存在差距。因此,本范围审查旨在绘制和整合有关LMICIPs中抗生素配药及其驱动因素的文献.
    方法:本综述将遵循JoannaBriggsInstitute关于范围审查的指南。对九个电子数据库的全面搜索(MEDLINE,EMBASE,Scopus,全球卫生,CINAHL,WebofScience,LILACS,AJOL和IMSEAR)将被执行,通过手动搜索合格出版物的参考列表进行补充。搜索策略不会对研究设计施加任何限制,方法论,出版日期或语言。研究选择过程将根据系统审查的首选报告项目和范围审查的荟萃分析扩展进行报告。关于抗生素配药及其模式的发现将使用表格进行综合和描述性报道,视觉效果和叙述性总结。此外,影响抗生素配药的因素将通过归纳和演绎内容分析方法阐明。
    背景:范围审查不需要道德批准。调查结果将通过同行评审的出版物和相关会议的介绍传播。
    BACKGROUND: The rise of antimicrobial resistance represents a critical threat to global health, exacerbated by the excessive and inappropriate dispensing and use of antimicrobial drugs, notably antibiotics, which specifically target bacterial infections. The surge in antibiotic consumption globally is particularly concerning in low-income and middle-income countries (LMICs), where informal healthcare providers (IPs) play a vital role in the healthcare landscape. Often the initial point of contact for healthcare-seeking individuals, IPs play a crucial role in delivering primary care services in these regions. Despite the prevalent dispensing of antibiotics by IPs in many LMICs, as highlighted by existing research, there remains a gap in the comprehensive synthesis of antibiotic dispensing practices and the influencing factors among IPs. Hence, this scoping review seeks to map and consolidate the literature regarding antibiotic dispensing and its drivers among IPs in LMICs.
    METHODS: This review will follow the Joanna Briggs Institute guideline for scoping review. A comprehensive search across nine electronic databases (MEDLINE, EMBASE, SCOPUS, Global Health, CINAHL, Web of Science, LILACS, AJOL and IMSEAR) will be performed, supplemented by manual searches of reference lists of eligible publications. The search strategy will impose no constraints on study design, methodology, publication date or language. The study selection process will be reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. The findings on antibiotic dispensing and its patterns will be synthesised and reported descriptively using tables, visuals and a narrative summary. Additionally, factors influencing antibiotic dispensing will be elucidated through both inductive and deductive content analysis methods.
    BACKGROUND: Ethical approval is not required for scoping reviews. The findings will be disseminated through peer-reviewed publications and presentations at relevant conferences.
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