Lu Zhou, Lei Wang, Gao Liu, EnLi Cai
INTRODUCTION: Post-stroke depression (PSD) is a prevalent complication that has been shown to have a negative impact on rehabilitation outcomes and quality of life and poses a significant risk for suicidal intention. However, models for discriminating and predicting PSD in stroke survivors for effective secondary prevention strategies are inadequate as the pathogenesis of PSD remains unknown. Prognostic prediction models that exhibit greater rule-in capacity have the potential to mitigate the issue of underdiagnosis and undertreatment of PSD...
May 22, 2024: Systematic Reviews
Clemens Ley, Peter Putz
BACKGROUND: Adherence to physiotherapeutic treatment and recommendations is crucial to achieving planned goals and desired health outcomes. This overview of systematic reviews synthesises the wide range of additional interventions and behaviour change techniques used in physiotherapy, exercise therapy and physical therapy to promote adherence and summarises the evidence of their efficacy. METHODS: Seven databases (PEDro, PubMed, Cochrane Library, Web of Science, Scopus, PsycINFO and CINAHL) were systematically searched with terms related to physiotherapy, motivation, behaviour change, adherence and efficacy (last searched on January 31, 2023)...
May 21, 2024: Systematic Reviews
Arash Ziapour, Mohsen Kazeminia, Mohammad Rouzbahani, Saeedeh Bakhshi, Nafiseh Montazeri, Murat Yıldırım, Hani Tadbiri, Farideh Moradi, Parisa Janjani
BACKGROUND: Sexual dysfunction poses a significant challenge for patients with cardiac conditions. Concerning the prevalence of sexual disorders in cardiovascular patients, several seminal studies conducted in various regions of the world have provided diverse facts and figures pertaining to sexual dysfunction among cardiovascular patients. Therefore, the present study aimed to analyze, summarize, and integrate the findings of seminal studies on the effect of underlying factors and estimate the global rate of sexual disorders in cardiovascular patients...
May 20, 2024: Systematic Reviews
Celeste Ci Ying Gue, Noorul Dharajath Abdul Rahim, William Rojas-Carabali, Rupesh Agrawal, Palvannan Rk, John Abisheganaden, Wan Fen Yip
We aimed to compare the concordance of information extracted and the time taken between a large language model (OpenAI's GPT-3.5 Turbo via API) against conventional human extraction methods in retrieving information from scientific articles on diabetic retinopathy (DR). The extraction was done using GPT3.5 Turbo as of October 2023. OpenAI's GPT-3.5 Turbo significantly reduced the time taken for extraction. Concordance was highest at 100% for the extraction of the country of study, 64.7% for significant risk factors of DR, 47...
May 16, 2024: Systematic Reviews
Rosie Hanneke, Amelia Brunskill
BACKGROUND: The social determinants of health (SDOH) are the focus of an exponentially increasing number of publications, including evidence syntheses. However, there is not an established standard for searching for SDOH literature. This study seeks to identify published evidence syntheses pertaining to the SDOH, analyzing the search strategies used and the studies included within these reviews. The primary objectives are to compare search strategies and create a test set of SDOH publications...
May 16, 2024: Systematic Reviews
Karina Karolina De Santis, Mathia Kirstein, Christina Kien, Ursula Griebler, Sam McCrabb, Tina Jahnel
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...
May 15, 2024: Systematic Reviews
Josephine Akua Ackah, Kobina Esia-Donkoh, Antoinette P Amponsah, Wonder Agbemavi, Vincent Bio Bediako, Gloria N A Tettey
BACKGROUND: Within the sub-Saharan African region, there is a growing concern for sexual and reproductive health and rights communication, and more particularly, for adolescents. Given the existing barriers associated with face-to-face access, the need to use digital media to access information and services has become desirable and imperative, especially so due to the COVID-19 pandemic. However, in sub-Saharan Africa, a synthesis of evidence that informs adolescents' digital media engagements for sexual and reproductive health and rights (SRHR) communication is limited...
May 14, 2024: Systematic Reviews
Anna Romanova, Claire Touchie, Sydney Ruller, Victoria Cole, Susan Humphrey-Murto
BACKGROUND: The current paradigm of competency-based medical education and learner-centredness requires learners to take an active role in their training. However, deliberate and planned continual assessment and performance improvement is hindered by the fragmented nature of many medical training programs. Attempts to bridge this continuity gap between supervision and feedback through learner handover have been controversial. Learning plans are an alternate educational tool that helps trainees identify their learning needs and facilitate longitudinal assessment by providing supervisors with a roadmap of their goals...
May 14, 2024: Systematic Reviews
Xiaoying Sun, Qian Tao, Qing Cui, Yaqiong Liu, Shouzhen Cheng
BACKGROUND: Postintensive care syndrome (PICS) is common in critically ill adults who were treated in the intensive care unit (ICU). Although comparative analyses between types of non-pharmacological measures and usual care to prevent PICS have been performed, it remains unclear which of these potential treatments is the most effective for prevention. METHODS: To obtain the best evidence for non-pharmaceutical interventions in preventing PICS, a systematic review and Bayesian network meta-analyses (NMAs) will be conducted by searching nine electronic databases for randomized controlled trials (RCTs)...
May 14, 2024: Systematic Reviews
Paul Morris, Chong Wang, Annette O'Connor
BACKGROUND: Binary outcomes are likely the most common in randomized controlled trials, but ordinal outcomes can also be of interest. For example, rather than simply collecting data on diseased versus healthy study subjects, investigators may collect information on the severity of disease, with no disease, mild, moderate, and severe disease as possible levels of the outcome. While some investigators may be interested in all levels of the ordinal variable, others may combine levels that are not of particular interest...
May 9, 2024: Systematic Reviews
Edward Riley-Gibson, Alix Hall, Adam Shoesmith, Luke Wolfenden, Rachel C Shelton, Emma Doherty, Emma Pollock, Debbie Booth, Ramzi G Salloum, Celia Laur, Byron J Powell, Melanie Kingsland, Cassandra Lane, Maji Hailemariam, Rachel Sutherland, Nicole Nathan
BACKGROUND: The primary purpose of this review is to synthesise the effect of strategies aiming to sustain the implementation of evidenced-based interventions (EBIs) targeting key health behaviours associated with chronic disease (i.e. physical inactivity, poor diet, harmful alcohol use, and tobacco smoking) in clinical and community settings. The field of implementation science is bereft of an evidence base of effective sustainment strategies, and as such, this review will provide important evidence to advance the field of sustainability research...
May 9, 2024: Systematic Reviews
Katleen Verdoodt, Marianne Simons, Natascha de Hoog, Jennifer Reijnders, Nele Jacobs
BACKGROUND: Personal Growth Initiative (PGI) a multi-dimensional construct, conceptualised as a skill set that helps individuals to intentionally grow is considered an important construct throughout the life span. Coping with the challenges, transitions, experiences and stressors of life requires an active growth orientation. In previous empirical research, the construct has been measured by either the PGIS-I or PGIS-II, of which only the latter takes account of the theoretically established multi-dimensionality of the construct...
May 9, 2024: Systematic Reviews
Mia Holley, Salman Razvi, Mohammed Saif Farooq, Rosie Dew, Ian Maxwell, Scott Wilkes
BACKGROUND: Thyroid dysfunction is common in older people, with females at higher risk. Evidence suggests that thyroid-stimulating hormone (TSH) levels naturally increase with age. However, as uniform serum TSH reference ranges are applied across the adult lifespan, subclinical hypothyroidism (SCH) diagnosis is more likely in older people, with some individuals also being commenced treatment with levothyroxine (LT4). It is unclear whether LT4 treatment in older people with SCH is associated with adverse cardiovascular or bone health outcomes...
May 8, 2024: Systematic Reviews
Alba Palazón-Llecha, Beatriz Caparrós, Joan Trujols, Santiago Duran-Sindreu, Francesca Batlle, Mercè Madre, Núria Mallorquí-Bagué
BACKGROUND: Psychosocial approaches are the first-line treatments for cocaine dependence, although they still present high dropout and relapse rates. Thus, there is a pressing need to understand which variables influence treatment outcomes to improve current treatments and prevent dropout and relapse rates. The aim of this study is to explore predictors of treatment retention and abstinence in CUD. METHODS: This systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)...
May 8, 2024: Systematic Reviews
Soledad Ballesteros, Michel Audifren, Andreea Badache, Vera Belkin, Christoforos D Giannaki, Antonia Kaltsatou, Uros Marusic, Mohammad Mosaferi Ziaaldini, Manca Peskar, Jose M Reales, Jennifer A Rieker, Pinelopi S Stavrinou, Juan Tortosa-Martinez, Claudia Voelcker-Rehage, Yael Netz
No abstract text is available yet for this article.
May 8, 2024: Systematic Reviews
Kevin T McDermott, Mark Perry, Willemijn Linden, Rachel Croft, Robert Wolff, Jos Kleijnen
BACKGROUND: The unprecedented volume and speed at which COVID-19-related systematic reviews (SRs) may have been produced has raised questions regarding the quality of this evidence. It is feasible that pandemic-related factors may have led to an impairment in quality (reduced internal validity, increased risk of bias [RoB]). This may have serious implications for decision-making related to public health and individual healthcare. OBJECTIVE: The primary objective was to compare the quality of SRs published during the pandemic that were related to COVID-19 with SRs published during the pandemic that were unrelated to COVID-19 (all of which were fully appraised in the KSR Evidence database of SRs in healthcare)...
May 8, 2024: Systematic Reviews
Michael Toal, Ruth Fergie, Michael Quinn, Christopher Hill, Ciaran O'Neill, Alexander P Maxwell
BACKGROUND: IgA nephropathy (IgAN) is a common cause of chronic kidney disease (CKD) and end-stage renal disease (ESRD). Outcomes are highly variable and predicting risk of disease progression at an individual level is challenging. Accurate risk stratification is important to identify individuals most likely to benefit from treatment. The Kidney Failure Risk Equation (KFRE) has been extensively validated in CKD populations and predicts the risk of ESRD at 2 and 5 years using non-invasive tests; however, its predictive performance in IgAN is unknown...
May 4, 2024: Systematic Reviews
Zahra Sadeghi, Mohamadreza Afshar, Asefeh Memarian, Heather L Flowers
BACKGROUND: Oropharyngeal dysphagia (OPD) can be functionally debilitating in persons with multiple sclerosis (pwMS). OPD induces alterations in safety and efficiency of food and/or liquid ingestion and may incur negative sequalae such as aspiration pneumonia or malnutrition/dehydration. Early detection and timely management of OPD in pwMS could prevent such complications and reduce mortality rates. Identifying risk factors of OPD relative to its onset or repeat manifestation will enable the development of care pathways that target early assessment and sustained management...
May 2, 2024: Systematic Reviews
Mikkel Zola Andersen, Philine Zeinert, Jacob Rosenberg, Siv Fonnes
BACKGROUND: Systematic reviews are viewed as the best study design to guide clinical decision-making as they are the least biased publications assuming they are well-conducted and include well-designed studies. Cochrane was initiated in 1993 with an aim of conducting high-quality systematic reviews. We aimed to examine the publication rates of non-Cochrane systematic reviews (henceforth referred to simply as "systematic reviews") and Cochrane reviews produced throughout Cochrane's existence and characterize changes throughout the period...
May 2, 2024: Systematic Reviews
Qiangji Bao, Xiaodong Huang, Xinting Wu, Hao Huang, Xiaoqiang Zhang, Mingfei Yang
BACKGROUND: Intravenous thrombolysis (IVT) before endovascular thrombectomy (EVT) is the standard treatment for patients with acute ischemic stroke caused by large vessel occlusion (AIS-LVO). However, the efficacy and safety of IVT before EVT in AIS-LVO patients with atrial fibrillation (AF) remains controversial. Thus, this study aims to assess the benefit of IVT plus EVT and direct EVT alone in AIS-LVO patients with AF. METHOD: Relevant studies that evaluated the outcomes of IVT plus EVT versus direct EVT alone in AIS-LVO patients with AF were systematically searched in PubMed, Embase, and Cochrane Library from inception to August 10, 2023...
April 30, 2024: Systematic Reviews
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