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Systematic Reviews

Lucia Otero Varela, Natalie Wiebe, Daniel J Niven, Paul E Ronksley, Nicolas Iragorri, Helen Lee Robertson, Hude Quan
BACKGROUND: Electronic health records (EHRs) are increasing in popularity across national and international healthcare systems. Despite their augmented availability and use, the quality of electronic health records is problematic. There are various reasons for poor documentation quality within the EHR, and efforts have been made to address these areas. Previous systematic reviews have assessed intervention effectiveness within the outpatient setting or within paper documentation. This systematic review aims to assess the effectiveness of different interventions seeking to improve EHR documentation within an inpatient setting...
February 13, 2019: Systematic Reviews
Chris Kite, Ian M Lahart, Islam Afzal, David R Broom, Harpal Randeva, Ioannis Kyrou, James E Brown
BACKGROUND: Typically, management of PCOS focuses on lifestyle changes (exercise and diet), aiming to alleviate symptoms, and lower the associated risk of type 2 diabetes and cardiovascular disease. Our objective was to analyse evidence on the effectiveness of exercise in the management of PCOS, when compared to (i) usual care, (ii) diet alone, and (iii) exercise combined with diet, and also exercise combined with diet, compared to (i) control or usual care and (ii) diet alone. METHODS: Relevant databases were searched (June 2017) with no time limit for trial inclusion...
February 12, 2019: Systematic Reviews
Luke A Robles, Karen Dawe, Richard M Martin, Julian P T Higgins, Sarah J Lewis
BACKGROUND: Evidence from studies on prostate cancer progression have identified vitamin D to be a potentially important nutrient. However, the World Cancer Research Fund and American Institute for Cancer Research have reported the quality of this evidence to be limited and warrant further investigation. We plan to use the recently developed WCRF International/University of Bristol mechanistic systematic review framework to determine whether the observed association between vitamin D and prostate cancer exists through a plausible biological pathway...
February 12, 2019: Systematic Reviews
Rasmus Tolstrup Larsen, Vibeke Wagner, Camilla Keller, Carsten Bogh Juhl, Henning Langberg, Jan Christensen
OBJECTIVE: The use of physical activity monitors (PAMs) in the adult population is increasing rapidly and previous systematic reviews are outdated. The objective of this systematic review and meta-analysis is to estimate the effect of PAM-based interventions on physical activity behavior in adults. Furthermore, the impact of intervention, study, and participants characteristics will be investigated. METHODS AND DESIGN: Randomized controlled trials and randomized cross-over trials including adult participants will be included if the study compares any PAM-based intervention where the participants receive feedback on their physical activity level measured by PAMs, to control interventions where participants do not receive feedback from PAMs...
February 12, 2019: Systematic Reviews
Janet E Squires, Ian D Graham, Doris Grinspun, John Lavis, France Légaré, Robert Bell, Stephen Bornstein, Susan E Brien, Mark Dobrow, Megan Greenough, Carole A Estabrooks, Michael Hillmer, Tanya Horsley, Alan Katz, Christina Krause, Wendy Levinson, Adrian Levy, Michelina Mancuso, Alies Maybee, Steve Morgan, Letitia Nadalin Penno, Andrew Neuner, Tamara Rader, Janet Roberts, Gary Teare, Joshua Tepper, Amanda Vandyk, Denise Widmeyer, Michael Wilson, Jeremy M Grimshaw
BACKGROUND: There is increasing recognition in Canada and globally that a substantial proportion of health care delivered is inappropriate as evidenced by (1) harmful and/or ineffective practices being overused, (2) effective clinical practices being underused, and (3) other clinical practices being misused. Inappropriate health care leads to negative patient experiences, poor health outcomes, and inefficient use of scarce health care resources. The purpose of this study is to conduct a systematic review of inappropriate health care in Canada...
February 11, 2019: Systematic Reviews
Ferrán Catalá-López, Manuel Ridao, Amparo Núñez-Beltrán, Ricard Gènova-Maleras, Adolfo Alonso-Arroyo, Rafael Aleixandre-Benavent, Miguel A Catalá, Rafael Tabarés-Seisdedos
BACKGROUND: Attention deficit hyperactivity disorder (ADHD) is a childhood-onset disorder characterized by a persistent pattern of symptoms of developmentally inappropriate and impaired inattention and/or hyperactivity/impulsivity, with difficulties often continuing into adulthood. ADHD can come with other comorbid conditions. The aim of this study will be to quantify the prevalence and comorbidity of ADHD among children, adolescent, and adult population in Spain. METHODS/DESIGN: We designed and registered a study protocol for an update and expansion of a systematic review and meta-analysis of pooled prevalence data...
February 11, 2019: Systematic Reviews
Martin Malcolm, Helen Frost, Julie Cowie
BACKGROUND: The health impacts of loneliness and social isolation among older adults are widely acknowledged. Despite this, there is no consensus on the possible causal nature of this relationship, which could undermine effectiveness of interventions. One body of thought is that loneliness and social isolation affect health-related behaviours to indirectly damage health. However, there has not been any systematic assessment of the association between loneliness and social isolation and health-related behaviours which considers the possible impact from confounding factors and the causal direction of this association...
February 7, 2019: Systematic Reviews
Berihun Assefa Dachew, Berhanu Boru Bifftu, Bewket Tadesse Tiruneh, Degefaye Zelalem Anlay, Meseret Adugna Wassie, Kim Betts
BACKGROUND: Mental distress is an important public health problem and becoming a common health problem among university students. This systematic review and meta-analysis will provide the pooled prevalence of mental distress and identify determinant factors associated with mental distress among university students in Ethiopia. METHOD: A systematic search of PubMed, EMBASE, and PsycINFO databases will be conducted. In addition, we will search grey literature resources such as a database/website of dissertations and theses, WHO websites, and websites of professional bodies...
February 7, 2019: Systematic Reviews
Ingrid Eshun-Wilson, Shahista Jaffer, Rhodine Smith, Samuel Johnson, Paul Hine, Alberto Mateo, Anne-Marie Stephani, Paul Garner
BACKGROUND: Research turnover in the HIV field is rapid, and as a result, maintaining high-quality, up-to-date, and relevant systematic reviews is a challenge. One approach is to frequently update published reviews. METHODS: We evaluated the methods and relevance of all HIV systematic reviews and protocols published in the Cochrane Library over a 16-year period (2000-2016) to determine the need to update published reviews or complete of reviews in progress. RESULTS: Of 148 published reviews and protocols, 129 (87%) were identified as not for updating or progression to publication, mostly due to research questions which were either entirely outdated or addressed questions in an outdated manner (N = 89; 60%); this was anticipated for older reviews, but was found also to be the case for recent publications...
February 7, 2019: Systematic Reviews
Gernot Wagner, Sabine Steiner, Gerald Gartlehner, Henrike Arfsten, Brigitte Wildner, Harald Mayr, Deddo Moertl
BACKGROUND: Transcatheter aortic valve replacement (TAVI) is an alternative treatment for patients with symptomatic severe aortic stenosis ineligible for surgical aortic valve replacement (SAVR) or at increased perioperative risk. Due to continually emerging evidence, we performed a systematic review and meta-analysis comparing benefits and harms of TAVI, SAVR, medical therapy, and balloon aortic valvuloplasty. METHODS: We searched MEDLINE, Embase, and Cochrane CENTRAL from 2002 to June 6, 2017...
February 5, 2019: Systematic Reviews
Mark Rockley, Prasad Jetty, George Wells, Kathleen Rockley, Dean Fergusson
BACKGROUND: Angioplasty is a fundamental treatment for atherosclerotic disease in the cardiac, cerebrovascular, and peripheral vascular beds. However, the optimal duration of balloon inflation has not been identified. Our study will investigate whether prolonged angioplasty balloon inflation of at least 1 min duration, when compared with brief inflation, affects residual stenosis after arterial angioplasty. METHODS: In compliance with PRISMA, two independent reviewers will conduct a systematic review of EMBASE, MEDLINE, CENTRAL, trial registries, grey literature, and ancestry and citation search...
February 5, 2019: Systematic Reviews
Lene Aasdahl, Vegard Moe Iversen, Eva Skovlund, Dagfinn Aune, Marius Steiro Fimland
BACKGROUND: Obesity is a global epidemic with profound consequences for individuals and societies. Physical exercise is important to weight reduction and weight loss maintenance. However, results on what the most effective type of exercise are unclear. The aim of this systematic review is to evaluate the effects of various exercise modalities with and without caloric restriction on body composition and metabolic health outcomes in overweight and obese adults. METHODS: We will perform a comprehensive literature search in PubMed, Embase (via Ovid) and CENTRAL (through the Cochrane Library)...
February 4, 2019: Systematic Reviews
Abiola Omodan, Pamela Pillay, Lelika Lazarus, Anil Madaree, Kapil Satyapal
BACKGROUND: In 2016, WHO reported a death rate of 303,000 newborns before 4 weeks of age due to congenital anomalies. Those that survive congenital anomalies may have long-term disabilities which may have significant impacts on the individual, their families, the healthcare system, and societies. Tessier craniofacial clefts numbers 3 and 4 are congenital anomalies that result in a partial or total defect of craniofacial tissues thereby seriously influencing the patient's appearance and impair normal functioning...
February 4, 2019: Systematic Reviews
Bhawna Gupta, Narinder Kumar, Newell W Johnson
BACKGROUND: Regular/frequent dental visits, at least annually, can aid in reducing the public health burden of head and neck cancers (HNCs) by facilitating earlier detection of the disease. The aim of this study was to conduct a quantitative assessment of any independent association between past dental visits/check-ups and incidence of cancers of HN/upper aerodigestive tract (UADT) and oral cavity worldwide. METHODS: PubMed, CINAHL, and Cochrane databases were searched for all observational studies published until August 2017 in any language that assessed an association of past dental visits/dental check-ups among the incident cases of HNC/UADT cancers...
February 4, 2019: Systematic Reviews
Morgan Slater, Joanna Bielecki, Ana Carolina Alba, Lusine Abrahamyan, George Tomlinson, Susanna Mak, Jane MacIver, Shelley Zieroth, Douglas Lee, William Wong, Murray Krahn, Heather Ross, Valeria E Rac
BACKGROUND: Heart failure (HF) is a complex chronic condition, leading to frequent hospitalization, decreased quality of life, and increased mortality. Current guidelines recommend that multidisciplinary care be provided in specialized HF clinics. A number of studies have demonstrated the effectiveness of these clinics; however, there is a wide range in the services provided across different clinics. This network meta-analysis will aim to identify the aspects of HF clinic care that are associated with the best outcomes: a reduction in mortality, hospitalization, and visits to emergency department (ED) and improvements to quality of life...
February 2, 2019: Systematic Reviews
M Maagaard, E E Nielsen, C Gluud, J C Jakobsen
BACKGROUND: Coronary artery disease and heart failure are both highly prevalent diseases with a global prevalence of 93 million and 40 million. These patients are at increased risk of morbidity and mortality. The management of these patients involves medical therapy, and both diseases can be treated using the heart rate-lowering drug ivabradine. However, the evidence regarding the use of ivabradine in the treatment of coronary artery disease and/or heart failure is unclear. Our objective is to assess the beneficial and harmful effects of ivabradine in the treatment of coronary artery disease and/or heart failure...
February 1, 2019: Systematic Reviews
Émilie Dufour, Arnaud Duhoux, Jolianne Bolduc
BACKGROUND: The use of audit and feedback (A&F) interventions in health care has been demonstrated to generally be effective on medical teams. However, literature suggests that the response of nurses to this type of intervention may differ from that of other types of health professionals, in relation to their roles, power, and to the configuration of nursing care activities. To our knowledge, no review has been conducted on A&F interventions with nurses. The objective of this systematic review is to examine the evidence of measured and perceived effects of A&F interventions on nurses' performance...
February 1, 2019: Systematic Reviews
Jeannine Uwimana Nicol, Anke Rohwer, Taryn Young, Charlotte M Bavuma, Joerg J Meerpohl
AbstractFollowing publication of the original article [1], the author reported that their family name was misspelled.
January 31, 2019: Systematic Reviews
Doris Howell, Alison Richardson, Carl May, Lynn Calman, Rouhi Fazelzad, Saeed Moradian, Claire Foster
BACKGROUND: Cancer survivors face a myriad of biopsychosocial consequences due to cancer and treatment that may be potentially mitigated through enabling their self-management skills and behaviors for managing illness. Unfortunately, the cancer system lags in its systematic provision of self-management support (SMS) in routine care, and it is unclear what implementation approaches or strategies work to embed SMS in the cancer context to inform health policy and administrator decision-making...
January 31, 2019: Systematic Reviews
Monika Becker, Stefanie Bühn, Jessica Breuing, Catherine A Firanek, Simone Hess, Hisanori Nariai, Mark R Marshall, James A Sloand, Qiang Yao, Käthe Goossen, Dawid Pieper
BACKGROUND: Previous meta-analyses have found several advantages of icodextrin compared with glucose in the application of peritoneal dialysis (PD), such as an improvement of peritoneal ultrafiltration during the long dwell and a reduction in episodes of uncontrolled fluid overload. However, the effect of icodextrin on patient-relevant outcomes remains unclear. This review aims to evaluate the benefits and harms of icodextrin in comparison with conventional glucose PD solution in patients with end-stage kidney disease receiving PD...
January 30, 2019: Systematic Reviews
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