Scoping Review

范围审查
  • 文章类型: Journal Article
    背景:规范实践和提高患者安全性的一种方法是引入临床护理路径;但是,这些途径通常旨在协助临床医生和医疗机构进行循证实践。许多痴呆症护理途径存在,没有商定的护理途径版本,也没有关于其使用或结果的经验的数据。审查的目的是:(1)确定痴呆症护理途径的目的,用于部署路径的方法,和预期的用户类型;(2)识别护理路径的核心组件,预期结果,和对痴呆症患者及其护理伙伴的影响;(3)确定痴呆症患者和/或其护理伙伴参与发展的程度,实施,并评估护理途径。
    方法:我们在2023年9月利用Arskey和O\'Malley的范围审查框架,系统地搜索了六个文献数据库,以获取英语发表的文献。
    结果:来自痴呆症护理途径(n=13)的发现证明了临床医生对痴呆症诊断和管理实践的帮助,并在临床环境中提供了结构化护理流程。出于这个原因,这些途径强调评估和介入诊断后支持,较少强调以社区为基础的综合痴呆症护理。
    结论:未来的痴呆症护理途径发展可以寻求痴呆症患者和护理伙伴参与设计,实施和评估这些途径,确保结果衡量标准正确反映对有痴呆症患者及其护理伙伴的影响。
    BACKGROUND: One way of standardizing practice and improving patient safety is by introducing clinical care pathways; however, such pathways are typically geared towards assisting clinicians and healthcare organizations with evidence-based practice. Many dementia care pathways exist with no agreed-upon version of a care pathway and with little data on experiences about their use or outcomes. The objectives of the review were: (1) to identify the dementia care pathway\'s purpose, methods used to deploy the pathway, and expected user types; (2) to identify the care pathway\'s core components, expected outcomes, and implications for persons with dementia and their care partners; and (3) determine the extent of involvement by persons with dementia and/or their care partners in developing, implementing, and evaluating the care pathways.
    METHODS: We systematically searched six literature databases for published literature in the English language in September 2023 utilizing Arskey and O\'Malley\'s scoping review framework.
    RESULTS: The findings from the dementia care pathways (n = 13) demonstrated assistance in dementia diagnostic and management practices for clinicians and offered structured care processes in clinical settings. For this reason, these pathways emphasized assessment and interventional post-diagnostic support, with less emphasis on community-based integrated dementia care.
    CONCLUSIONS: Future dementia care pathway development can seek the involvement of persons with dementia and care partners in designing, implementing and evaluating such pathways, ensuring that outcome measures properly reflect the impact on persons with lived dementia experience and their care partners.
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  • 文章类型: Journal Article
    目标:获得卫生服务受到越来越多的关注,国际癌症研究机构(IARC)将“可用性”作为评估癌症筛查的指标之一。评估,监测,癌症筛查的决策取决于获得癌症筛查的系统定量证据,但是指标目前不一致,如果有报道的话。这可以通过开发用于评估和报告癌症筛查的系统指标来改善。这需要彻底了解目前癌症筛查的指标。
    方法:范围审查。
    方法:我们完成了对2013年至2022年获得癌症筛查服务的研究的范围审查。提取了相关指标,量化,然后与两个广泛使用的框架相匹配:用于获得医疗保健的通用五维概念框架(\'U5D\')和关于IARC认可的筛查指标的可用性/使用的癌症特定框架/列表。
    结果:共纳入331项关于获得癌症筛查服务的研究。基于U5D框架,来自供应方的出版物报告了可接近性(出版物数量=16),可接受性(6),可用性和住宿(44),负担能力(30),和适当性(11);在这个过程中,确定了17个分项指标。相应地,需求方的出版物报告了感知能力(170),寻求能力(85)能力(58),支付能力(59)和参与能力(2);确定了26个分项指标。更宏观的,IARC认可的指标出版物报告了筛查政策和指导方针的可用性(13),提供的筛选类型(3),人口覆盖率和参与率(76),和人口/行为相关的考虑因素(167)。通过整合通用和癌症特异性框架,提出了一个新的调整框架。
    结论:这项研究确定并整理了评估获得癌症筛查服务的指标,并确定了当前各种指标应用中的差距。预计这些发现将有助于进一步开发获得癌症筛查服务的评估指标体系。
    OBJECTIVE: Access to health services has received increasing attention, and the International Agency for Research on Cancer (IARC) includes \'availability\' as one of the indicators to evaluate cancer screening. Evaluating, monitoring, and decision-making on cancer screening depends on systematic quantitative evidence on access to cancer screening, but indicators are currently inconsistently, if they are reported at all. This can be improved by developing systematic indicators for evaluating and reporting access to cancer screening. This requires a thorough understanding of current indicators of access to cancer screening.
    METHODS: Scoping review.
    METHODS: We completed a scoping review of studies on access to cancer screening services from 2013 to 2022. The relevant indicators were extracted, quantified, and then matched to two widely used frameworks: a universal five-dimensional conceptual framework for access to healthcare (\'U5D\') and a cancer-specific framework/list on the availability/use of screening indicators endorsed by the IARC.
    RESULTS: A total of 331 studies on access to cancer screening services were included. Based on the U5D framework, publications from supply side reported approachability (number of publications = 16), acceptability (6), availability and accommodation (44), affordability (30), and appropriateness (11); among this process, 17 sub-indicators were identified. Correspondingly, publications from demand side reported ability to perceive (170), ability to seek (85), ability to reach (58), ability to pay (59), and ability to engage (2); 26 sub-indicators were identified. More macroscopically, the publications of the IARC-endorsed indicators reported availability of policies and guidelines for screening (13), type of screening provided (3), extent of population coverage and participation rates (76), and demographic/behavioural related considerations (167). By integrating the universal and cancer-specific frameworks, a new adapted framework was proposed.
    CONCLUSIONS: This study identified and collated indicators for evaluating access to cancer screening services, and determined the gaps in the current application of various indicators. The findings are anticipated to facilitate further development of an evaluation indicator system for access to cancer screening services.
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  • 文章类型: Journal Article
    背景:头颈部癌症(HNC)患者的姑息治疗(PC)需求很复杂,由于高而独特的症状负担。统一的结果测量对于评估PC干预对HNC的影响至关重要。
    方法:使用PubMed,Embase,和WebofScience从1980年到2022年。
    结果:在20项符合条件的研究中,确定了19种独特的仪器,评估了22种物理仪器,5心理,4社会,7相关的生活质量,和9项高级护理计划结果。仪器利用不足,使用的仪器可衡量的结果数量比报告的多。平均仪器评估了三个领域,而平均研究仅报告了两个领域的结果。
    结论:由于结局指标的异质性,不同研究之间的比较是有限的。需要未来的工作来开发用于HNC护理的核心PC结果度量。
    BACKGROUND: The palliative care (PC) needs of patients with head and neck cancer (HNC) are complex, due to high and unique symptom burdens. Uniform outcome measures are critical to assessing the impact of PC interventions in HNC.
    METHODS: A scoping review of outcome measures used in patients with HNC receiving PC was performed using PubMed, Embase, and Web of Science from 1980 to 2022.
    RESULTS: Of 20 eligible studies, 19 unique instruments were identified which assessed 22 physical, 5 mental, 4 social, 7 related quality of life, and 9 advanced care planning outcomes. Instruments were underutilized, with a larger number of outcomes measurable for instruments used than were reported. The average instrument assessed three domains whereas the average study only reported outcomes from two domains.
    CONCLUSIONS: Comparison across studies is limited due to heterogeneity in outcome measures. Future work is needed to develop core PC outcome measures for use in HNC care.
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  • 文章类型: Journal Article
    粘连性小肠梗阻(ASBO)是一种常见的急性腹部并发症。虽然非手术治疗是主要的治疗方法,越来越多的研究表明手术治疗可以降低发病率。腹腔镜粘连松解术(LA)具有微创手术的许多优点。但并非所有ASBO患者都适合LA。
    本次范围审查的目的是通过分析广泛的文献来总结成功洛杉矶的关键。
    在PubMed上对2000年1月至2024年2月发表的有关腹腔镜治疗ASBO的文章进行了文献检索。此范围审查遵循Arksey和O\'Malley建议的范围审查框架。
    通过分析所包含的研究,我们发现LA确实具有许多优点,并且可以安全地进行。然而,先决条件是尽可能选择简单粘连的患者,并注重合理的术中措施。为了提高LA的成功率,我们总结了以下患者的特点:无气腹相关禁忌症,先前很少进行腹部手术(≤2),没有怀孕,肠扩张直径<4厘米,简单的粘连,无弥漫性腹膜炎,没有腹部放疗史,<24小时的ASBO,以前腹部手术有限(附录,胆囊切除术),没有肠绞窄缺血,以及其他原因需要肠坏死或肠切除术。此外,总结合理的术中措施。
    腹腔镜粘连松解术具有许多优点。特定患者可以从LA中受益。本次范围综述总结了患者筛查的条件和合理的术中措施,旨在为外科医生提供参考。从而确保更多的患者受益于LA。
    UNASSIGNED: Adhesive small bowel obstruction (ASBO) is a common acute abdominal complication. Although non-surgical treatment is the primary treatment approach, more and more studies show that surgical treatment can reduce the incidence rate. Laparoscopic adhesiolysis (LA) has many advantages of minimally invasive surgery.But not all patients with ASBO are suitable for LA.
    UNASSIGNED: The aim of this scoping review was to summarize the keys to successful LA by analyzing the extensive literature.
    UNASSIGNED: A literature search was conducted in PubMed for articles on laparoscopic treatment of ASBO published between January 2000 and February 2024. This scoping review followed the framework suggested by Arksey and O\'Malley for a scoping review.
    UNASSIGNED: By analyzing the included studies we found that LA does have many advantages and can be performed safely. However, the prerequisite is to select patients with simple adhesions whenever possible and to focus on reasonable intraoperative measures. To improve the success rate of LA, we summarized the following characteristics of patients: no contraindications related to pneumoperitoneum, few previous abdominal operations (≤2), no pregnancy, bowel dilatation < 4 cm in diameter, simple adhesions, no diffuse peritonitis, no history of abdominal radiotherapy, <24 h of ASBO, limited previous abdominal surgery (appendix, cholecystectomy), no bowel strangulation ischemia, and bowel necrosis or bowel resection required for other reasons. In addition, we also summarized reasonable intraoperative measures.
    UNASSIGNED: Laparoscopic adhesiolysis has many advantages.Specific patients can benefit from LA. This scoping review Summarized the conditions for patient screening and reasonable intraoperative measures with the aim of providing a reference for surgeons, thereby ensuring that more patients benefit from LA.
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  • 文章类型: Journal Article
    回顾关于同性恋的文献,双性恋,Trans,和酷儿(GBTQ)男性和性同意。
    在2022年6月搜索了8个电子数据库,产生了1924篇文章;筛选后包括30个进行审查。
    我们发现越来越多的文献关注GBTQ男性,越来越多的交叉透镜。大多数研究采用了性同意的细微差别定义。许多人讨论了GBTQ男性为传达同意而开发的独特性脚本,尤其是在性场所,以及对这些脚本的不熟悉如何为新“外出”的男人造成漏洞。一个共同的主题是异系规范对GBTQ男性之间性接触的影响。
    回顾的文献对同意和误传攻击理论的二元定义进行了问题分析。它既庆祝又质疑GBTQ性文化。我们鼓励未来的研究采用更明确的反ceral方法来研究性同意和暴力。
    UNASSIGNED: To review the literature on Gay, Bisexual, Trans, and Queer (GBTQ) men and sexual consent.
    UNASSIGNED: Eight electronic databases were searched in June 2022, yielding 1924 articles; 30 were included for review after screening.
    UNASSIGNED: We found a growing body of literature focused on GBTQ men, with an increasingly intersectional lens. Most studies adopted a nuanced definition of sexual consent. Many discussed the unique sexual scripts developed by GBTQ men to communicate consent, especially in sex venues, and how unfamiliarity with these scripts creates vulnerability for newly \"out\" men. A common theme was the impact of heteromasculine norms on sexual encounters between GBTQ men.
    UNASSIGNED: The reviewed literature problematizes binary definitions of consent and miscommunication theories of assault. It both celebrates and problematizes GBTQ sexual cultures. We encourage future research to adopt more explicitly anti-carceral approaches to studying sexual consent and violence.
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  • 文章类型: Journal Article
    背景:作为一个新出现的概念和二十一世纪的产物,卫生信息治理正在迅速扩展。医疗行业信息治理的必要性是显而易见的,鉴于健康信息的重要性和当前管理它的需求。本范围审查的目的是确定健康信息治理的维度和组成部分,以发现这些因素如何影响医疗保健系统和服务的增强。
    方法:PubMed,Scopus,WebofScience,ProQuest和GoogleScholar搜索引擎从开始到2024年6月进行了搜索。方法学研究质量使用CASP清单对选定的文件进行评估。尾注20用于选择和审查文章和管理参考资料,MAXQDA2020用于内容分析。
    结果:共37份文件,包括18次审查,9项定性研究和10项混合方法研究,通过文献检索确定。根据调查结果,六个核心类别(包括卫生信息治理目标,优势和应用,原则,组件或元素,角色、责任和流程)和48个子类别被确定,以形成一个统一的总体框架,包括所有提取的维度和组件。
    结论:根据本范围审查的结果,卫生信息治理应被视为各国卫生系统改善和实现目标的必要条件,特别是在发展中国家和不发达国家。此外,鉴于2019年冠状病毒病(COVID-19)大流行在不同国家的不良影响,组织健康信息治理模型的开发和实施,国家和国际层面是紧迫的关切。研究人员可以将当前的发现用作开发健康信息治理模型的综合模型。这项研究的一个可能的限制是我们对某些数据库的访问有限。
    BACKGROUND: As a newly emerged concept and a product of the twenty-first century, health information governance is expanding at a rapid rate. The necessity of information governance in the healthcare industry is evident, given the significance of health information and the current need to manage it. The objective of the present scoping review is to identify the dimensions and components of health information governance to discover how these factors impact the enhancement of healthcare systems and services.
    METHODS: PubMed, Scopus, Web of Science, ProQuest and the Google Scholar search engine were searched from inception to June 2024. Methodological study quality was assessed using CASP checklists for selected documents. Endnote 20 was utilized to select and review articles and manage references, and MAXQDA 2020 was used for content analysis.
    RESULTS: A total of 37 documents, including 18 review, 9 qualitative and 10 mixed-method studies, were identified by literature search. Based on the findings, six core categories (including health information governance goals, advantages and applications, principles, components or elements, roles and responsibilities and processes) and 48 subcategories were identified to form a unified general framework comprising all extracted dimensions and components.
    CONCLUSIONS: Based on the findings of this scoping review, health information governance should be regarded as a necessity in the health systems of various countries to improve and achieve their goals, particularly in developing and underdeveloped countries. Moreover, in light of the undesirable effects of the coronavirus disease 2019 (COVID-19) pandemic in various countries, the development and implementation of health information governance models at organizational, national and international levels are among the pressing concerns. Researchers can use the present findings as a comprehensive model for developing health information governance models. A possible limitation of this study is our limited access to some databases.
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  • 文章类型: Journal Article
    目的:本范围审查旨在确定和绘制出院后患者和医疗保健专业人员之间如何使用异步数字双向通信的地图,以及确定促进者和实施障碍。
    方法:遵循JBI范围审查指南,我们在2022年8月29日搜索了七个数据库。Rayyan受雇于筛选文章,和数据是使用预定义和迭代修改的数据提取工具提取的。根据实施研究综合框架(CFIR)的领域和结构,对促进者和障碍进行了系统分类。
    结果:包括40篇文章,主要发表在2012年至2022年之间,来自美国。在大多数文章中(77.5%),异步数字双向通信是更大的电子健康干预措施的一部分。护士是最常被提及的医疗专业人员,他们回答患者的信息(35%),响应时间很少描述,在四个小时到三天之间变化。仅在37.5%的文章中提到了实现异步数字双向通信的努力。促进者包括方便访问,便利性,更少的干扰,与患者熟悉的专业人员分享对使用和沟通的期望。障碍包括担心忽视健康问题,答案有被延迟的风险,技术问题和不明确的响应时间。
    结论:描述出院后使用异步数字双向通信的研究与促进者和实施障碍的报告之间存在差距。
    结论:本范围审查概述了出院后异步数字双向通信的当前使用情况,并阐明了与此特定时期相关的促进因素和实施障碍。
    OBJECTIVE: This scoping review aimed to identify and map how asynchronous digital two-way communication is used between patients and healthcare professionals after hospital discharge, as well as identify facilitators and barriers to implementation.
    METHODS: Following the JBI guidance for scoping reviews, we searched seven databases on August 29, 2022. Rayyan was employed for screening the articles, and data were extracted using a predefined and iteratively modified data extraction tool. Facilitators and barriers were systematically categorized according to the domains and constructs of the Consolidated Framework for Implementation Research (CFIR).
    RESULTS: Forty articles were included, primarily published between 2012 and 2022 and from the USA. In the majority of articles (77.5 %), asynchronous digital two-way communication was a part of a larger eHealth intervention. Nurses were the healthcare professionals most frequently mentioned as answering patients\' messages (35 %) with response times sparsely described, and varying between four hours and three days. Efforts done to implement asynchronous digital two-way communication were only mentioned in 37.5 % of the articles. Facilitators included easy access, convenience, less disturbance, shared expectations for use and communication with professionals familiar to the patient. Barriers involved fear of overlooking health issues, risk of answers being delayed, technical issues and unclear response times.
    CONCLUSIONS: There is a gap in the literature between studies that describe the use of asynchronous digital two-way communication after hospital discharge exhaustively and reports on facilitators and barriers to implementation.
    CONCLUSIONS: This scoping review serves as an overview of the current use of asynchronous digital two-way communication after hospital discharge and sheds light on facilitators and barriers to implementation pertinent to this specific period.
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  • 文章类型: Journal Article
    运动恐惧症表示患者对身体活动或运动的过度和非理性的担忧,源于对疼痛损伤或再损伤的敏感性。心脏康复在心血管疾病患者的二级预防范围中起着关键作用,运动构成了这个方案的基石。然而,运动恐惧症的出现带来了巨大的挑战,降低患者对心脏康复方案的依从性,尤其是那些患有慢性心力衰竭的人。为了支持该队列中基于运动的康复计划,必须彻底理解诱发运动恐惧症的多方面因素。这篇综述试图描述慢性心力衰竭患者的运动恐惧症触发因素的流行证据和患病率。同时为未来的探索确定研究空白。
    采用范围审查方法,我们的调查收集了来自不同学术数据库的数据,包括Embase,PubMed,Scopus,CINAHL,WebofScience,Medline,Sinomed,CNKI,王凡,和VIP。
    经过全面评估,最终纳入9项符合纳入标准的研究。
    我们的研究结果强调了慢性心力衰竭患者运动恐惧症的明显患病率,主要受社会人口因素影响,心理和认知因素,疾病和治疗因素,以及生活方式和行为。有了这些见解,未来的干预措施可以量身定做,以减轻运动恐惧症的水平,在慢性心力衰竭患者中加强参与以运动为中心的心脏康复工作。
    UNASSIGNED: Kinesiophobia denotes an excessive and irrational apprehension towards physical activity or exercise among patients, stemming from a perception of susceptibility to painful injury or re-injury. Cardiac rehabilitation stands pivotal in the secondary prevention spectrum for individuals with cardiovascular ailments, with exercise constituting a cornerstone of this regimen. However, the emergence of kinesiophobia poses a formidable challenge, diminishing patient adherence to cardiac rehabilitation protocols, particularly among those grappling with chronic heart failure. To bolster exercise-based rehabilitation initiatives in this cohort, a thorough comprehension of the multifaceted factors precipitating kinesiophobia is imperative. This review endeavors to delineate prevailing evidence and prevalence concerning kinesiophobia triggers in chronic heart failure patients, while pinpointing research lacunae for future exploration.
    UNASSIGNED: Employing a scoping review methodology, our investigation culled data from diverse scholarly databases, including Embase, PubMed, Scopus, CINAHL, Web of Science, Medline, Sinomed, CNKI, Wangfan, and VIP.
    UNASSIGNED: After thorough evaluation, 9 studies that met the inclusion criteria were ultimately incorporated.
    UNASSIGNED: Our findings underscore a notable prevalence of kinesiophobia in chronic heart failure patients, predominantly influenced by socio-demographic factors, psychological and cognitive factors, disease and treatment factors, as well as lifestyle and behavior. Armed with these insights, future interventions can be tailored to mitigate kinesiophobia levels, fostering enhanced engagement in exercise-centric cardiac rehabilitation endeavors among patients grappling with chronic heart failure.
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  • 文章类型: Journal Article
    背景:过去几十年在与健康直接或间接相关的各个方面的技术进步,随着社会发展对公共卫生的重视,提高了生活质量。然而,流行病和危机的发生突显了个人生活的各个方面如何受到影响。COVID-19大流行造成的财务后果特别影响了牙科和公共口腔健康领域。这项研究旨在通过范围审查来调查COVID-19病毒对牙科的财务影响。
    方法:在四个数据库中进行了全面的文献检索(Medline通过PubMed,Embase,Scopus,和CochraneCentral)使用COVID-19及其等价物等关键词,牙科,口腔健康,牙科教育,牙科服务,牙科诊所,财务影响,金融机会和经济影响。然后筛选并审查了有关COVID-19对牙科和口腔健康的财务影响的文章。
    结果:在1015篇与COVID-19和牙科相关的文章中,84人关注COVID-19对牙科的财务影响。这些文章大部分来自美国,巴西,沙特阿拉伯,横断面文章和综述文章普遍存在。评论将文章分为两个主要主题:财务问题和提出的解决方案。此外,提取了以下主题:执业关闭对牙医和工作人员的影响,增加治疗成本和对口腔健康的影响,个人防护设备和不可预见的费用,金融问题的心理影响,以及牙科教育系统内的财务挑战。
    结论:尽管许多高收入国家似乎能够减轻COVID-19引起的金融问题,尽管大流行已经结束,但对牙科的经济影响可能会持续下去。这些财务挑战刺激了新的机遇和基础设施发展,但可能对社区口腔健康构成重大风险。本研究旨在突出这些问题并提出解决方案,促进改善全球社区口腔健康的努力。需要进一步研究以了解长期影响。
    BACKGROUND: The technological advancements of the past few decades in various aspects that are directly or indirectly related to health, along with the emphasis on public health in societal development, have improved the quality of life. However, the occurrence of pandemics and crises underscores how various aspects of individual life can be impacted. The financial consequences resulting from the COVID-19 pandemic have particularly affected the field of dentistry and public oral health. This study aims to investigate the financial effects of the COVID-19 virus on dentistry through a scoping review.
    METHODS: A comprehensive literature search was conducted across four databases (Medline through PubMed, Embase, Scopus, and Cochrane Central) using keywords such as COVID-19 and its equivalents, dentistry, oral health, dental education, dental services, dental clinics, financial impact, financial opportunities and economic impact. Articles addressing the financial impact of COVID-19 on dentistry and oral health were then screened and reviewed.
    RESULTS: Out of 1015 articles related to COVID-19 and dentistry, 84 were focused on the financial impact of COVID-19 on dentistry. The majority of these articles originated from the United States, Brazil, and Saudi Arabia, with a prevalence of cross-sectional and review articles. The review categorized the articles into two main themes: financial problems and proposed solutions. Moreover, the following themes were extracted: the effects of practice closure on dentists and staff, increased treatment costs and impacts on oral health, personal protective equipment and unforeseen costs, psychological effects of financial issues, and financial challenges within the dental education system.
    CONCLUSIONS: While many high-income countries seem able to mitigate COVID-19-induced financial problems, the economic effects on dentistry might persist despite the pandemic\'s end. These financial challenges have spurred new opportunities and infrastructure development but can pose significant risks to community oral health. This study aimed to highlight these problems and propose solutions, contributing to efforts to improve the oral health of communities globally. Further research is needed to understand long-term impacts.
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  • 文章类型: Journal Article
    背景:有组织的乳腺癌筛查(BCS)计划是50-69岁女性预防德国第六大死亡原因的有效措施。尽管国家筛查计划的实施始于2005年,但参与率尚未达到欧盟标准。目前尚不清楚哪些社会人口统计学因素以及如何与BCS出勤率相关。这项范围审查旨在确定在德国实施有组织的筛查计划后,50-69岁女性在BCS出勤率方面的社会人口统计学不平等。
    方法:遵循PRISMA指南,我们搜索了科学网,Scopus,MEDLINE,PsycINFO,跟随PCC的CINAHL(人口,概念和上下文)标准。我们纳入了定量研究设计的主要研究,并审查了50-69岁女性的BCS出勤率,并收集了2005年以来德国的数据。制定了收获图,描绘了不同的社会人口统计学不平等以及最近两年或更少的BCS出勤率和终身BCS出勤率的影响大小方向。
    结果:我们筛选了476篇标题和摘要以及33篇全文。总的来说,分析了27条记录,14是国家报告,和13篇同行评议的文章。在收获地块中确定并总结了八个社会人口统计学变量:年龄,教育,收入,迁移状态,区的类型,就业状况,合伙同居和健康保险。生活在农村地区且缺乏私人保险的低收入和移民背景的老年妇女对BCS邀请的反应更积极。然而,从一生的角度来看,这些协会只适用于移民背景,在收入和城市居住权方面被逆转,并辅以伴侣同居。最后,生活在前东德萨克森州的妇女,梅克伦堡-西波美拉尼亚,萨克森-安哈尔特,和图林根,以及前西德下萨克森州,在过去两年中,BCS出勤率较高。
    结论:需要高质量的研究来确定在德国没有参加BCS的风险较高的女性,以解决现有研究的高异质性,特别是因为整体出勤率仍然低于欧洲标准。
    背景:https://osf.io/x79tq/。
    BACKGROUND: Organized breast cancer screening (BCS) programs are effective measures among women aged 50-69 for preventing the sixth cause of death in Germany. Although the implementation of the national screening program started in 2005, participation rates have not yet reached EU standards. It is unclear which and how sociodemographic factors are related to BCS attendance. This scoping review aims to identify sociodemographic inequalities in BCS attendance among 50-69-year-old women following the implementation of the Organized Screening Program in Germany.
    METHODS: Following PRISMA guidelines, we searched the Web of Science, Scopus, MEDLINE, PsycINFO, and CINAHL following the PCC (Population, Concept and Context) criteria. We included primary studies with a quantitative study design and reviews examining BCS attendance among women aged 50-69 with data from 2005 onwards in Germany. Harvest plots depicting effect size direction for the different identified sociodemographic inequalities and last two years or less BCS attendance and lifetime BCS attendance were developed.
    RESULTS: We screened 476 titles and abstracts and 33 full texts. In total, 27 records were analysed, 14 were national reports, and 13 peer-reviewed articles. Eight sociodemographic variables were identified and summarised in harvest plots: age, education, income, migration status, type of district, employment status, partnership cohabitation and health insurance. Older women with lower incomes and migration backgrounds who live in rural areas and lack private insurance respond more favourably to BCS invitations. However, from a lifetime perspective, these associations only hold for migration background, are reversed for income and urban residency, and are complemented by partner cohabitation. Finally, women living in the former East German states of Saxony, Mecklenburg-Western Pomerania, Saxony-Anhalt, and Thuringia, as well as in the former West German state of Lower Saxony, showed higher BCS attendance rates in the last two years.
    CONCLUSIONS: High-quality research is needed to identify women at higher risk of not attending BCS in Germany to address the existing research\'s high heterogeneity, particularly since the overall attendance rate still falls below European standards.
    BACKGROUND: https://osf.io/x79tq/ .
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