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Empowering workplace allies for lesbian, gay, bisexual, and transgender employees to prevent and minimize psychological distress: A scoping review 赋予女同性恋、男同性恋、双性恋和跨性别员工工作场所盟友权力,以预防和最大限度地减少心理困扰:范围界定综述
Pub Date : 2023-06-23 DOI: 10.1002/cesm.12018
Laurie Long Kwan Ho, Ankie Tan Cheung, Carlo Chak Yiu Chan, Eliza Lai Yi Wong, Wilson Wai San Tam, Wai Tong Chien

Introduction

Lesbian, gay, bisexual, and transgender (LGBT) employees have increasingly reported experiencing different forms of workplace discrimination/harassment. Workplace allyship may be positively associated with psychological health through creating inclusive organizational cultures or reducing discrimination/harassment. However, comprehensive literature reviews or evidence syntheses on the effects of workplace allyship in mental health protection/promotion for LGBT employees are limited.

Methods

This scoping review aimed to summarize available evidence regarding the effectiveness of workplace allies for LGBT employees in preventing/minimizing psychological distress and clarify the therapeutic components. This review included published research articles and grey literature identified through 11 electronic databases, a secondary search, and other sources.

Results

We identified 27 relevant articles. Most included studies used cross-sectional or qualitative research designs, and evidence from countries beyond the United States was limited. Three essential/effective components of workplace allies/allyship were identified that could create supportive/safe workplace relationships/climates: (a) knowledge, (b) empathy, and (c) action.

Conclusions

Further longitudinal studies and controlled trials are needed to increase the quality of evidence on the effects and change processes induced by workplace allyship. Qualitative studies are also recommended to understand the health needs and mechanism of actions of workplace allyships in different LGBT communities.

引言女同性恋、男同性恋、双性恋和跨性别(LGBT)员工越来越多地报告称,他们在工作场所受到了不同形式的歧视/骚扰。通过创造包容性的组织文化或减少歧视/骚扰,工作场所的盟友关系可能与心理健康呈正相关。然而,关于工作场所结盟对LGBT员工心理健康保护/促进的影响的全面文献综述或证据综合有限。方法本范围审查旨在总结有关LGBT员工工作场所盟友在预防/最大限度减少心理困扰方面的有效性的现有证据,并阐明治疗成分。这篇综述包括通过11个电子数据库、二次搜索和其他来源确定的已发表的研究文章和灰色文献。结果我们确定了27篇相关文章。大多数纳入的研究采用了横断面或定性研究设计,来自美国以外国家的证据有限。确定了工作场所盟友/盟友关系的三个重要/有效组成部分,它们可以创造支持性/安全的工作场所关系/氛围:(a)知识、(b)同理心和(c)行动。结论需要进一步的纵向研究和对照试验,以提高工作场所盟友关系的影响和变化过程的证据质量。还建议进行定性研究,以了解不同LGBT社区工作场所联盟的健康需求和行动机制。
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引用次数: 0
The impact of blinding on trial results: A systematic review and meta-analysis 盲法对试验结果的影响:系统综述和荟萃分析
Pub Date : 2023-06-20 DOI: 10.1002/cesm.12015
Tyler Pitre, Sarah Kirsh, Tanvir Jassal, Mason Anderson, Adelia Padoan, Alexander Xiang, Jasmine Mah, Dena Zeraatkar

Background

Blinding—the concealment of the arm to which participants have been randomized—is an important consideration for assessing the risk of bias of randomized trials. A growing body of evidence has, however, yielded inconsistent results on whether trials without blinding produce biased findings.

Objective

To conduct a systematic review and meta-analysis of the evidence addressing whether trials with and without blinding produce different results.

Methods

We searched MEDLINE, EMBASE, Cochrane Reviews, JBI EBP, and Web of Science, from inception to May 2022, for studies comparing the results of trials with and without blinding. Pairs of reviewers, working independently and in duplicate, reviewed search results for eligible studies and extracted data. We pooled the results of studies comparing trials with and without blinding of patients, healthcare providers/investigators, and outcome assessors/adjudicators using frequentist random-effects meta-analyses. We coded study results such that a ratio of odds ratio < 1 and difference in standardized mean difference < 0 indicate that trials without blinding overestimate the beneficial effects of treatments.

Results

We identified 47 eligible studies. For dichotomous outcomes, we found low certainty evidence that trials without blinding of patients and healthcare providers and trials without blinding of patients may slightly overestimate the beneficial effects of treatments. We found moderate certainty evidence that trials without blinding of outcome assessors overestimate the beneficial effects of treatments. For continuous outcomes, we found low certainty evidence that trials without blinding of patients and healthcare providers may overestimate the beneficial effects of treatments. We found moderate certainty evidence that trials without blinding of outcome assessors/adjudicators probably overestimate the beneficial effects of treatments.

Conclusion

Our systematic review and meta-analysis suggest that blinding may influence trial results in select situations—although the findings are of low certainty and the magnitude of effect is modest. In the absence of high-certainty evidence suggesting that trials with and without blinding produce similar results, investigators should be cautious about interpreting the results of

背景盲法是评估随机试验偏倚风险的一个重要考虑因素。然而,越来越多的证据表明,在没有盲法的试验是否会产生有偏见的结果方面,结果并不一致。目的对有盲法和无盲法试验是否产生不同结果的证据进行系统回顾和荟萃分析。方法从开始到2022年5月,我们在MEDLINE、EMBASE、Cochrane Reviews、JBI EBP和Web of Science上搜索了比较有盲法和无盲法试验结果的研究。成对的评审员,独立和重复工作,评审合格研究的搜索结果和提取的数据。我们使用频率随机效应荟萃分析汇总了对患者、医疗保健提供者/研究人员和结果评估者/裁决者进行盲法和非盲法试验比较的研究结果。我们对研究结果进行了编码,使得比值比 <; 1和标准化平均差的差异 <; 0表明没有盲法的试验高估了治疗的有益效果。结果我们确定了47项符合条件的研究。对于二分法的结果,我们发现了低确定性的证据,即没有对患者和医疗保健提供者进行盲法试验和没有对患者进行盲法的试验可能会略微高估治疗的有益效果。我们发现了适度的确定性证据,即没有对结果评估者进行盲法的试验高估了治疗的有益效果。对于持续的结果,我们发现了低确定性的证据,即没有对患者和医疗保健提供者进行盲法的试验可能高估了治疗的有益效果。我们发现了适度的确定性证据,即没有对结果评估者/裁决者进行盲法的试验可能高估了治疗的有益效果。结论我们的系统综述和荟萃分析表明,在某些情况下,盲法可能会影响试验结果——尽管研究结果的确定性很低,影响程度也不大。在缺乏高确定性证据表明有盲法和无盲法的试验产生相似结果的情况下,研究人员应谨慎解释无盲法试验的结果。
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引用次数: 0
Launching “methods and statistics tutorials”: A collection of resources for systematic reviewers 推出“方法和统计教程”:为系统评审员收集资源
Pub Date : 2023-06-18 DOI: 10.1002/cesm.12017
Kerry Dwan, Rachel Richardson

Robust and innovative methods are the lynchpin of Cochrane and remain the basis of its reputation as the home of high-quality systematic reviews. As methodology evolves to respond to the evidence needs of our stakeholders, it is crucial for Cochrane to be able to offer timely and clear advice to those working on our reviews.

Cochrane's Methods Support Unit (MSU) was established in 2019 [1] to provide methodological and statistical support to authors and editors working on Cochrane protocols and reviews. A key challenge in the first 2 years of the Unit was the introduction of our new tool [2] to assess the risk of bias in randomized controlled trials (RCTs), but we have dealt with a multiplicity of different issues since being established. By March 2023, the Unit has dealt with over 1200 referrals relating to protocols, systematic reviews, updates of reviews, and statistical and methodological queries relating to reviews. Our work has ranged from full methodological and statistical reviews of research incorporating network meta-analyses to individual queries about the use of an intracluster correlation coefficient to adjust data from an individual study.

It quickly became apparent that similar queries were often raised and we noticed common problems when working on reviews. Our monthly web clinic series was set up to allow authors and editors to raise questions and then later to provide guidance on a specific topic in addition [3]. However, we also felt that there is a need for accessible help with these issues which would be instantly available.

Professor Doug Altman was a leader and pioneer in Cochrane and in the field of medical statistics [4]. One of Professor Altman's legacies was the Statistics Notes series in The BMJ, which provided clear advice on statistical concepts to medical researchers. Inspired by this work, former and current MSU managers (Dr Kerry Dwan and Rachel Richardson) are launching this series to provide easily accessible advice to the evidence synthesis community on the common methodological and statistical issues that we have observed within Cochrane. The hope is to make this as interactive and easy to understand as possible. In addition, the series will collaborate with Cochrane Training [5] to complement the articles in the series with visual learning, such as short videos or quick e-learning checks, to help those who learn better by doing or watching rather than reading.

There are various sources of advice on methodological and statistical issues already available to reviewers, including the Cochrane Handbook for Systematic Reviews of Intervention [6] and resources from specialized Cochrane Methods Groups. This series will complement existing sources by responding to the day-to-day difficulties encountered by reviewers when implementing systematic review methods. The MSU is in a unique position to provide advi

稳健和创新的方法是Cochrane的关键,也是其作为高质量系统评论之家的声誉的基础。随着方法的发展以满足利益相关者的证据需求,Cochrane能够为我们的审查工作人员提供及时、明确的建议至关重要。Cochrane的方法支持单位(MSU)成立于2019年[1],旨在为从事Cochrane方案和综述的作者和编辑提供方法和统计支持。在该单位成立的前两年,一个关键的挑战是引入了我们的新工具[2]来评估随机对照试验(RCT)中的偏倚风险,但自成立以来,我们已经处理了许多不同的问题。截至2023年3月,该股已处理了1200多起与方案、系统审查、审查更新以及与审查有关的统计和方法查询有关的转介。我们的工作包括对纳入网络荟萃分析的研究进行全面的方法论和统计审查,以及对使用群内相关系数调整个体研究数据的个体查询。很快就发现,类似的问题经常被提出,我们在进行审查时注意到了常见的问题。我们每月的网络诊所系列是为了让作者和编辑提出问题,然后再就特定主题提供指导[3]。然而,我们也认为,有必要在这些问题上获得即时可用的帮助。Doug Altman教授是Cochrane和医学统计学领域的领导者和先驱[4]。奥特曼教授的遗产之一是《英国医学杂志》的《统计学笔记》系列,该系列为医学研究人员提供了关于统计学概念的明确建议。受这项工作的启发,密歇根州立大学前任和现任管理人员(Kerry Dwan博士和Rachel Richardson)推出了这一系列活动,就我们在Cochrane中观察到的常见方法和统计问题向证据合成界提供易于获取的建议。希望能让它尽可能地具有交互性和易于理解性。此外,该系列将与Cochrane Training[5]合作,用视觉学习(如短视频或快速电子学习检查)来补充该系列中的文章,以帮助那些通过做或看而不是阅读学习得更好的人。关于方法和统计问题,有各种各样的建议来源可供审查人员使用,包括《干预系统审查Cochrane手册》[6]和专门的Cochrane方法小组的资源。本系列将通过回应审查人员在实施系统审查方法时遇到的日常困难来补充现有资料来源。密歇根州立大学在提供建议方面处于独特的地位;自我们成立以来,我们已经处理了数千个查询和同行评审请求,我们知道评审人员发现什么困难,以及为什么这些问题会引起混乱。我们还相信,将这些文章与Cochrane Training的资源联系起来,将使本系列变得特别有用。该系列的早期文章将重点关注系统综述中效果指标的使用,特别是标准化平均差和风险比与比值比的使用。这两个主题经常给作者和编辑带来困难。文章将举例说明何时使用这些措施、如何计算这些措施及其解释。我们还将在本系列的早期介绍集群随机对照试验。我们欢迎证据合成界成员就他们认为对作者来说是方法和统计挑战的领域提出的这一系列建议。文章应该是简短的教程,使用评论文章类型,通常少于1000字。Cochrane的使命是产生可信的综合证据,让所有人都能获得,并提倡使用它。确保证据综合方法得到明智和准确的实施是我们实现这一使命的基础。通过《方法与统计教程》系列,我们希望支持并加入更广泛、更多样化的作者社区,以产生下一代高质量的Cochrane综述和其他证据综合。Kerry Dwan:概念化;书写——原始草稿;写作——复习和编辑。Rachel Richardson:概念化;写作——复习和编辑。没有一个
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引用次数: 0
Identifying important questions for Cochrane systematic reviews in Eyes and Vision: Report of a priority setting exercise 确定Cochrane《眼睛与视觉》系统综述的重要问题:一项优先级设置练习的报告
Pub Date : 2023-05-24 DOI: 10.1002/cesm.12014
Jennifer R. Evans, Iris Gordon, Augusto Azuara-Blanco, Michael Bowen, Tasanee Braithwaite, Roxanne Crosby-Nwaobi, Stephen Gichuhi, Ruth E. Hogg, Tianjing Li, Virginia Minogue, Roses Parker, Fiona J. Rowe, Anupa Shah, Gianni Virgili, Jacqueline Ramke, John G. Lawrenson, Cochrane Eyes and Vision Priority Setting Group Authorship

Introduction

Systematic reviews are important to inform decision-making for evidence-based health care and patient choice. Deciding which reviews should be prioritized is a key issue for decision-makers and researchers. Cochrane Eyes and Vision conducted a priority setting exercise for systematic reviews in eye health care.

Methods

We established a steering group including practitioners, patient organizations, and researchers. To identify potential systematic review questions, we searched global policy reports, research prioritization exercises, guidelines, systematic review databases, and the Cochrane Library (CENTRAL). We grouped questions into separate condition lists and conducted a two-round online modified Delphi survey, including a ranking request. Participants in the survey were recruited through social media and the networks of the steering group.

Results

In Round 1, 343 people ranked one or more of the condition lists. Participants were eye care practitioners (69%), researchers (37%), patients or carers (24%), research providers/funders (5%), or noneye health care practitioners (4%) and from all World Health Organization regions. Two hundred twenty-six people expressed interest in completing Round 2 and 160 of these (71%) completed the Round 2 survey. Reviews on cataract and refractive error, reviews relevant to children, and reviews on rehabilitation were considered to have an important impact on the magnitude of disease and equity. Narrative comments emphasized the need for reviews on access to eye health care, particularly for underserved groups, including people with intellectual disabilities.

Conclusion

A global group of stakeholders prioritized questions on the effective and equitable delivery of services for eye health care. When considering the impact of systematic reviews in terms of reducing the burden of eye conditions, equity is clearly an important criterion to consider in priority-setting exercises.

引言系统综述对于循证医疗保健和患者选择的决策很重要。对于决策者和研究人员来说,决定哪些审查应该被优先考虑是一个关键问题。Cochrane Eyes and Vision进行了一项眼科保健系统评估的优先级设置练习。方法我们成立了一个包括从业者、患者组织和研究人员的指导小组。为了确定潜在的系统审查问题,我们搜索了全球政策报告、研究优先顺序练习、指南、系统审查数据库和Cochrane图书馆(CENTRAL)。我们将问题分组到单独的条件列表中,并进行了两轮在线修改的Delphi调查,包括排名请求。调查参与者是通过社交媒体和指导小组的网络招募的。结果在第一轮中,343人在一个或多个条件列表中排名。参与者是来自世界卫生组织所有地区的眼科护理从业者(69%)、研究人员(37%)、患者或护理人员(24%)、研究提供者/资助者(5%)或非眼科保健从业者(4%)。226人表示有兴趣完成第二轮调查,其中160人(71%)完成了第二轮的调查。对白内障和屈光不正的审查、与儿童相关的审查以及对康复的审查被认为对疾病的严重程度和公平性有重要影响。叙述性评论强调,有必要对获得眼部保健的情况进行审查,特别是对服务不足的群体,包括智障人士。结论一个全球利益攸关方小组优先考虑了有效和公平提供眼科保健服务的问题。在考虑系统审查在减轻眼部疾病负担方面的影响时,公平显然是制定优先事项时需要考虑的一个重要标准。
{"title":"Identifying important questions for Cochrane systematic reviews in Eyes and Vision: Report of a priority setting exercise","authors":"Jennifer R. Evans,&nbsp;Iris Gordon,&nbsp;Augusto Azuara-Blanco,&nbsp;Michael Bowen,&nbsp;Tasanee Braithwaite,&nbsp;Roxanne Crosby-Nwaobi,&nbsp;Stephen Gichuhi,&nbsp;Ruth E. Hogg,&nbsp;Tianjing Li,&nbsp;Virginia Minogue,&nbsp;Roses Parker,&nbsp;Fiona J. Rowe,&nbsp;Anupa Shah,&nbsp;Gianni Virgili,&nbsp;Jacqueline Ramke,&nbsp;John G. Lawrenson,&nbsp;Cochrane Eyes and Vision Priority Setting Group Authorship","doi":"10.1002/cesm.12014","DOIUrl":"https://doi.org/10.1002/cesm.12014","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Systematic reviews are important to inform decision-making for evidence-based health care and patient choice. Deciding which reviews should be prioritized is a key issue for decision-makers and researchers. Cochrane Eyes and Vision conducted a priority setting exercise for systematic reviews in eye health care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We established a steering group including practitioners, patient organizations, and researchers. To identify potential systematic review questions, we searched global policy reports, research prioritization exercises, guidelines, systematic review databases, and the Cochrane Library (CENTRAL). We grouped questions into separate condition lists and conducted a two-round online modified Delphi survey, including a ranking request. Participants in the survey were recruited through social media and the networks of the steering group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In Round 1, 343 people ranked one or more of the condition lists. Participants were eye care practitioners (69%), researchers (37%), patients or carers (24%), research providers/funders (5%), or noneye health care practitioners (4%) and from all World Health Organization regions. Two hundred twenty-six people expressed interest in completing Round 2 and 160 of these (71%) completed the Round 2 survey. Reviews on cataract and refractive error, reviews relevant to children, and reviews on rehabilitation were considered to have an important impact on the magnitude of disease and equity. Narrative comments emphasized the need for reviews on access to eye health care, particularly for underserved groups, including people with intellectual disabilities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>A global group of stakeholders prioritized questions on the effective and equitable delivery of services for eye health care. When considering the impact of systematic reviews in terms of reducing the burden of eye conditions, equity is clearly an important criterion to consider in priority-setting exercises.</p>\u0000 </section>\u0000 </div>","PeriodicalId":100286,"journal":{"name":"Cochrane Evidence Synthesis and Methods","volume":"1 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cesm.12014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50143107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The equity group: Supporting Cochrane's social responsibility of improving health equity 公平团体:支持Cochrane提高健康公平的社会责任
Pub Date : 2023-05-15 DOI: 10.1002/cesm.12012
Roses Parker, Jennifer Petkovic, Jordi Pardo Pardo, Andrea Darzi, Omar Dewidar, Joanne Khabsa, Elizabeth Kristjansson, Tamara Lotfi, Olivia Magwood, Lawrence Mbuagbaw, Kevin Pottie, Alison Riddle, Ammar Saad, Eve Tomlinson, Peter Tugwell, Vivian Welch

Introduction

Health equity is a moral and ethical imperative for clinicians, researchers, policymakers, and all who use health research. Both Cochrane and the Campbell Collaboration have focused on health equity for many years.

Methods

The new Equity Group will continue and expand this work by designing a program of projects aiming to (1) promote equity in the evidence base, (2) ensure equitable processes for stakeholder engagement, (3) produce high-priority, equity-focused evidence syntheses, (4) build capacity for equity design, analysis, and reporting, and (5) promote equity in implementation tools.

Results

We will build on our current network of collaborators and create a group structure striving to recruit across the PROGRESS-Plus characteristics.

Conclusion

We invite readers to join our cause and contribute wherever they are able. Together, we can help Cochrane achieve its social responsibility of improving health equity at a planetary level.

引言健康公平是临床医生、研究人员、政策制定者和所有使用健康研究的人的道德和伦理义务。Cochrane和Campbell协作组织多年来一直专注于健康公平。方法新的权益小组将继续并扩大这项工作,设计一个项目计划,旨在(1)促进证据库中的公平,(2)确保利益相关者参与的公平程序,(3)产生高度优先、以公平为重点的证据综合,(4)建设公平设计、分析和报告的能力,(5)促进执行工具的公平性。结果我们将在现有合作者网络的基础上,建立一个团队结构,努力在PROGRESS Plus的特点下进行招聘。结语我们邀请读者加入我们的事业,尽他们所能做出贡献。我们可以共同帮助Cochrane履行其在全球范围内改善健康公平的社会责任。
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引用次数: 0
What did the scientific literature learn from internal company documents in the pharmaceutical industry? A scoping review 科学文献从制药行业的公司内部文件中学到了什么?范围审查
Pub Date : 2023-04-27 DOI: 10.1002/cesm.12011
Marc-André Gagnon, Miaoran Dong

Objective

To identify all scientific papers that used internal industry documents in the pharmaceutical sector and analyze what and how the scientific literature learned about corporate influence in the pharmaceutical sector through these internal documents.

Design

Scoping review.

Methods

Using different series of keywords, we searched six databases, PubMed, Scopus, Web of Science, CINAHL, Business Source Complete, and PAIS, for peer-reviewed journal articles analyzing pharmaceutical corporations' internal documents. We completed the scoping review using a purposive snowball sampling method to extract relevant case studies and peer-reviewed journal articles from relevant articles' reference lists when our search keywords failed to capture them. To analyze the content of the literature and better categorize the types of corporate strategies at play in the pharmaceutical sector, we used categories of ghost-management previously developed in the literature.

Results

We identified 37 peer-reviewed papers in the final results. All the articles included in the final results are published in English. Almost all articles obtained most of their internal document data through legal proceedings. All 37 articles unveil dynamic ghost-management strategies that pharmaceutical corporations employ to safeguard their corporate interest. The strategies identified relate to scientific capture (n = 28), professional capture (n = 16), regulatory capture (n = 6), media capture (n = 3), market capture (n = 4), technological capture (n = 2), civil society capture (n = 4), and others (n = 2).

Conclusion

The scientific literature using internal documents confirmed widespread corporate influence in the pharmaceutical sector. While the academic literature used internal documents related to only a handful of products, our research results, based on ghost-management categories, demonstrate the extent of corporate influence in every interstice of pharmaceutical markets, particularly in clinical research and clinical practice. It also allows us to better refine the conceptual categories of ghost-management to better map corporate influence and conflict of interest.

目的识别所有在制药行业使用内部行业文件的科学论文,并分析科学文献通过这些内部文件了解到企业在制药行业的影响力以及如何了解到这些影响力。设计范围审查。方法使用不同系列的关键词,在PubMed、Scopus、Web of Science、CINAHL、Business Source Complete和PAIS六个数据库中搜索分析制药公司内部文件的同行评审期刊文章。当我们的搜索关键词未能捕捉到相关案例研究和同行评审期刊文章时,我们使用有目的的滚雪球抽样方法从相关文章的参考文献列表中提取相关案例分析和同行评审的期刊文章,完成了范围审查。为了分析文献的内容,更好地对制药行业中的企业战略类型进行分类,我们使用了文献中先前开发的幽灵管理类别。结果我们在最终结果中确定了37篇同行评审论文。最终结果中包含的所有文章均以英文发表。几乎所有文章都通过法律程序获得了大部分内部文件数据。所有37篇文章都揭示了制药公司为维护企业利益而采用的动态幽灵管理策略。所确定的策略与科学捕获(n = 28),专业捕捉(n = 16) ,监管捕获(n = 6) ,媒体捕获(n = 3) ,市场占有率(n = 4) ,技术捕获(n = 2) ,民间社会捕获(n = 4) ,和其他(n = 2) 。结论使用内部文件的科学文献证实了企业在制药行业的广泛影响力。虽然学术文献只使用了与少数产品相关的内部文件,但我们基于幽灵管理类别的研究结果表明,企业在制药市场的各个角落,特别是在临床研究和临床实践中的影响力。它还使我们能够更好地细化幽灵管理的概念类别,以更好地映射企业影响力和利益冲突。
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引用次数: 1
A context-specific conceptual framework of evidence synthesis to improve childhood cancer health outcomes and resource use in Egypt: Using real-world data and addressing the implementation gaps 埃及改善儿童癌症健康结果和资源使用的证据综合的具体背景概念框架:使用现实世界数据并解决实施差距
Pub Date : 2023-04-17 DOI: 10.1002/cesm.12010
Ranin Soliman

Introduction

Given the large numbers of children with cancer in Egypt, the limited resources, and inferior survival outcomes, there is a need to better target resources to improve outcomes efficiently based on evidence. Nevertheless, there is a gap in knowledge about childhood cancer health outcomes and resource use in Egypt. This commentary presents a “context-specific” conceptual framework of evidence synthesis to improve childhood cancer health outcomes and resource use in a resource-limited setting in Egypt, using real-world data and addressing the implementation gaps.

Methods

Real-world data is defined as data relating to health status and/or the delivery of health services routinely collected from various sources outside the contexts of randomized controlled trials that can be used to conduct prospective/retrospective observational research studies.

Results

To better address this context-specific clinical problem, the conceptual framework of evidence synthesis proposes to generate three types of evidence using hybrid research methods; (1) Real-world evidence (obtained from observational studies based on routinely collected data from local context); (2) systematic evidence from the literature (systematic review); and (3) qualitative evidence based on experts' opinions in the local setting (interview study). Generating evidence from the three pillars altogether makes for a stronger approach to better research and tackle the local problem in this specific resource-limited context, and address the implementation gaps.

Conclusions

This framework serves as a methodological roadmap to generate relevant evidence in similar resource-limited contexts in low- and middle-income countries, where there is a paucity of published studies in the literature about childhood cancer survival outcomes and resource use.

引言鉴于埃及癌症儿童人数众多,资源有限,生存结果较差,因此需要更好地利用资源,根据证据有效改善结果。尽管如此,埃及在儿童癌症健康结果和资源使用方面的知识仍存在差距。本评论提出了一个证据综合的“特定背景”概念框架,以改善埃及在资源有限的环境中的儿童癌症健康结果和资源使用,使用真实世界的数据并解决实施差距。方法真实世界数据是指在随机对照试验之外,从各种来源常规收集的与健康状况和/或卫生服务提供有关的数据,可用于进行前瞻性/回顾性观察性研究。结果为了更好地解决这一特定背景的临床问题,证据综合的概念框架提出使用混合研究方法生成三种类型的证据;(1) 真实世界的证据(从基于当地常规收集数据的观察性研究中获得);(2) 文献中的系统证据(系统综述);以及(3)基于专家在当地环境中的意见的定性证据(访谈研究)。从这三个支柱中收集证据,有助于采取更有力的方法,在资源有限的特定背景下更好地研究和解决当地问题,并解决实施差距。结论该框架可作为一个方法路线图,在低收入和中等收入国家类似的资源限制背景下生成相关证据,这些国家的文献中很少发表关于儿童癌症生存结果和资源使用的研究。
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引用次数: 0
How to develop rapid reviews of diagnostic tests according to experts: A qualitative exploration of researcher views 如何根据专家对诊断测试进行快速评估:研究人员观点的定性探索
Pub Date : 2023-04-13 DOI: 10.1002/cesm.12006
Ingrid Arevalo-Rodriguez, Susan Baxter, Karen R. Steingart, Andrea C. Tricco, Barbara Nussbaumer-Streit, David Kaunelis, Pablo Alonso-Coello, Patrick M. Bossuyt, Javier Zamora

Background

Rapid reviews (RRs) have been used to provide timely evidence for policymakers, health providers, and the public in several healthcare scenarios, most recently during the coronavirus disease 2019 pandemic. Despite the essential role of diagnosis in clinical management, data about how to perform RRs of diagnostic tests are scarce. We aimed to explore the views and perceptions of experts in evidence synthesis and diagnostic evidence about the value of methods used to accelerate the review process.

Methods

We performed semistructured interviews with a purposive sample of experts in evidence synthesis and diagnostic evidence. We carried out the interviews in English between July and December 2021. Initial reading and coding of the transcripts were performed using NVIVO qualitative data analysis software.

Results

Of a total of 23 invited experts, 16 (70%) responded. We interviewed all 16 participants representing key roles in evidence synthesis. We identified 14 recurring themes including the review question, characteristics of the review team, and use of automation, as the topics with the highest number of quotes. Some participants considered several methodological “shortcuts” to be ineffective or risky, such as automating quality appraisal, using only one reviewer for diagnostic data extraction and only performing descriptive analysis. The introduction of limits might depend on whether the test being assessed is a new test, the availability of alternative tests, the needs of providers and patients, and the availability of high-quality systematic reviews.

Conclusions

Our findings suggest that organizational strategies (e.g., defining the review question, availability of a highly experienced team) may have a role in conducting RRs of diagnostic tests. Several methodological shortcuts were considered inadequate for accelerating the review process, though they need to be assessed in well-designed studies. Improved reporting of RRs would support evidence-based decision-making and help users of RRs understand their limitations.

背景快速审查(RR)已被用于在几种医疗保健情况下为决策者、卫生服务提供者和公众提供及时证据,最近一次是在2019冠状病毒病大流行期间。尽管诊断在临床管理中发挥着重要作用,但关于如何进行诊断测试的RR的数据却很少。我们旨在探讨证据合成和诊断证据专家对加速审查过程所用方法的价值的看法和看法。方法我们对证据合成和诊断证据方面的专家进行了半结构访谈。我们在2021年7月至12月期间用英语进行了采访。使用NVIVO定性数据分析软件进行转录物的初始读取和编码。结果在23名受邀专家中,16人(70%)作出了回应。我们采访了在证据综合中扮演关键角色的所有16名参与者。我们确定了14个重复出现的主题,包括审查问题、审查团队的特点和自动化的使用,作为引用次数最多的主题。一些参与者认为,一些方法上的“捷径”无效或有风险,例如自动化质量评估、只使用一名评审员提取诊断数据以及只进行描述性分析。限制的引入可能取决于正在评估的测试是否是一种新的测试、替代测试的可用性、提供者和患者的需求以及高质量系统审查的可用性。结论我们的研究结果表明,组织策略(例如,定义审查问题,是否有经验丰富的团队)可能在进行诊断测试的RR中发挥作用。一些方法上的捷径被认为不足以加快审查进程,尽管需要在精心设计的研究中进行评估。改进RR报告将支持循证决策,并帮助RR用户了解其局限性。
{"title":"How to develop rapid reviews of diagnostic tests according to experts: A qualitative exploration of researcher views","authors":"Ingrid Arevalo-Rodriguez,&nbsp;Susan Baxter,&nbsp;Karen R. Steingart,&nbsp;Andrea C. Tricco,&nbsp;Barbara Nussbaumer-Streit,&nbsp;David Kaunelis,&nbsp;Pablo Alonso-Coello,&nbsp;Patrick M. Bossuyt,&nbsp;Javier Zamora","doi":"10.1002/cesm.12006","DOIUrl":"https://doi.org/10.1002/cesm.12006","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Rapid reviews (RRs) have been used to provide timely evidence for policymakers, health providers, and the public in several healthcare scenarios, most recently during the coronavirus disease 2019 pandemic. Despite the essential role of diagnosis in clinical management, data about how to perform RRs of diagnostic tests are scarce. We aimed to explore the views and perceptions of experts in evidence synthesis and diagnostic evidence about the value of methods used to accelerate the review process.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We performed semistructured interviews with a purposive sample of experts in evidence synthesis and diagnostic evidence. We carried out the interviews in English between July and December 2021. Initial reading and coding of the transcripts were performed using NVIVO qualitative data analysis software.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of a total of 23 invited experts, 16 (70%) responded. We interviewed all 16 participants representing key roles in evidence synthesis. We identified 14 recurring themes including the review question, characteristics of the review team, and use of automation, as the topics with the highest number of quotes. Some participants considered several methodological “shortcuts” to be ineffective or risky, such as automating quality appraisal, using only one reviewer for diagnostic data extraction and only performing descriptive analysis. The introduction of limits might depend on whether the test being assessed is a new test, the availability of alternative tests, the needs of providers and patients, and the availability of high-quality systematic reviews.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our findings suggest that organizational strategies (e.g., defining the review question, availability of a highly experienced team) may have a role in conducting RRs of diagnostic tests. Several methodological shortcuts were considered inadequate for accelerating the review process, though they need to be assessed in well-designed studies. Improved reporting of RRs would support evidence-based decision-making and help users of RRs understand their limitations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":100286,"journal":{"name":"Cochrane Evidence Synthesis and Methods","volume":"1 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cesm.12006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50130952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Systematic reviewers' perspectives on replication of systematic reviews: A survey 系统评价者对系统评价复制的看法:一项调查
Pub Date : 2023-04-10 DOI: 10.1002/cesm.12009
Phi-Yen Nguyen, Joanne E. McKenzie, Daniel G. Hamilton, David Moher, Peter Tugwell, Fiona M. Fidler, Neal R. Haddaway, Julian P. T. Higgins, Raju Kanukula, Sathya Karunananthan, Lara J. Maxwell, Steve McDonald, Shinichi Nakagawa, David Nunan, Vivian A. Welch, Matthew J. Page

Background

Replication is essential to the scientific method. It is unclear what systematic reviewers think about the replication of systematic reviews (SRs). Therefore, we aimed to explore systematic reviewers' perspectives on (a) the definition and importance of SR replication; (b) incentives and barriers to conducting SR replication; and (c) a checklist to guide when to replicate an SR.

Methods

We searched PubMed for SRs published from January to April 2021, from which we randomly allocated 50% to this survey and 50% to another survey on data sharing in SRs. We sent an electronic survey to authors of these SRs (n = 4669) using Qualtrics. Quantitative responses were summarized using frequency analysis. Free-text answers were coded using an inductive approach.

Results

The response rate was 9% (n = 409). Most participants considered “replication of SRs” as redoing an SR (68%) or reanalyzing originally collected data (61%), using the same or similar methods. Participants also considered updating an SR, either one's own (42%) or others (43%), equivalent to replication. Most participants agreed that replication of SRs is important (89%). Although 54% of participants reported having conducted a replication of a SR, only 22% have published a replication within 5 years. Those who published a replication (n = 89) often found their replication supported (47%) or expanded the generalizability of the original review (51%). The most common perceived barriers to replicating SRs were difficulty publishing (75%), less prestige (65%), fewer citations (56%), and less impact on career advancement (55%) compared to conducting an original SR. A checklist to assess the need for replication was deemed useful (79%) and easy to apply in practice (69%) by participants.

Conclusion

Reviewers have various perceptions of what constitutes a replication of SRs. Reviewers see replication as important and valuable but perceive several barriers to conducting replications. Institutional support should be better communicated to reviewers to address these perceptions.

背景复制对科学方法至关重要。目前尚不清楚系统评审员对系统评审的复制有何看法。因此,我们旨在探讨系统评审者对(a)SR复制的定义和重要性的看法;(b) 开展SR复制的激励措施和障碍;和(c)指导何时复制SR的检查表。方法我们在PubMed中搜索2021年1月至4月发布的SR,从中我们随机分配50%用于本次调查,50%用于另一项关于SR数据共享的调查。我们向这些SR(n = 4669)。使用频率分析对定量反应进行总结。自由文本答案采用归纳法进行编码。结果有效率为9%(n = 409)。大多数参与者认为“SR的复制”是使用相同或类似的方法重做SR(68%)或重新分析原始收集的数据(61%)。参与者还考虑更新SR,无论是自己的(42%)还是其他人的(43%),相当于复制。大多数参与者都认为复制SR很重要(89%)。尽管54%的参与者报告进行了SR的复制,但只有22%的参与者在5年内发表了复制。发布复制(n = 89)经常发现他们的复制得到支持(47%)或扩大了原始综述的可推广性(51%)。与进行原始SR相比,复制SR最常见的障碍是出版困难(75%)、声望较低(65%)、引用次数较少(56%)以及对职业发展的影响较小(55%)。评估复制需求的检查表被参与者认为是有用的(79%),并且易于在实践中应用(69%)。结论评论者对什么是SRs的复制有不同的看法。评审员认为复制是重要和有价值的,但认为进行复制存在一些障碍。应更好地向审查人员传达机构支持,以解决这些看法。
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引用次数: 2
Systematic reviewers' perspectives on sharing review data, analytic code, and other materials: A survey 系统评审员对共享评审数据、分析代码和其他材料的看法:一项调查
Pub Date : 2023-04-10 DOI: 10.1002/cesm.12008
Phi-Yen Nguyen, Joanne E. McKenzie, Daniel G. Hamilton, David Moher, Peter Tugwell, Fiona M. Fidler, Neal R. Haddaway, Julian P. T. Higgins, Raju Kanukula, Sathya Karunananthan, Lara J. Maxwell, Steve McDonald, Shinichi Nakagawa, David Nunan, Vivian A. Welch, Matthew J. Page

Background

There are many benefits of sharing data, analytic code, and other materials, yet these items are infrequently shared among systematic reviews (SRs). It is unclear which factors influence authors' decisions to share data, code, or materials when publishing their SRs. Therefore, we aimed to explore systematic reviewers' perspectives on the importance of sharing review materials and factors that might influence such practices.

Methods

We searched PubMed for SRs published from January to April 2021, from which we randomly allocated 50% to this survey and 50% to another survey on the replication of SRs. We sent an electronic survey to authors of these SRs (n = 4671) using Qualtrics. Quantitative responses were summarized using frequency analysis. Free-text answers were coded using an inductive approach.

Results

The response rate was 9% (n = 417). Most participants supported routine sharing of search strategies (84%) but fewer for analytic code (43%) or files documenting data preparation (38%). Most participants agreed that normative practices within the discipline were an important facilitator (78%). Major perceived barriers were lack of time (62%) and suitable sharing platforms (31%). Few participants were required by funders (19%) or institutions (17%) to share data, and only 12% of participants reported receiving training on data sharing. Commonly perceived consequences of data sharing were lost opportunities for future publications (50%), misuse of data (48%), and issues with intellectual property (40%). In their most recent reviews, participants who did not share data cited the lack of journal requirements (56%) or noted the review did not include any statistical analysis that required sharing (29%).

Conclusion

Certain types of review materials were considered unnecessary for sharing, despite their importance to the review's transparency and reproducibility. Structural barriers and concerns about negative consequences hinder data sharing among systematic reviewers. Normalization and institutional incentives are essential to promote data-sharing practices in evidence-synthesis research.

背景共享数据、分析代码和其他材料有很多好处,但这些项目很少在系统评审(SR)中共享。目前尚不清楚哪些因素会影响作者在发布SR时共享数据、代码或材料的决定。因此,我们旨在探讨系统评审员对共享评审材料的重要性以及可能影响此类实践的因素的看法。方法我们在PubMed中搜索2021年1月至4月发表的SRs,从中我们随机分配50%用于本次调查,50%用于另一项关于SRs复制的调查。我们向这些SR(n = 4671)使用Qualtrics。使用频率分析对定量反应进行总结。自由文本答案采用归纳法进行编码。结果有效率为9%(n = 417)。大多数参与者支持常规共享搜索策略(84%),但支持分析代码(43%)或记录数据准备的文件(38%)的参与者较少。大多数参与者一致认为,学科内的规范性实践是一个重要的促进因素(78%)。主要的感知障碍是缺乏时间(62%)和合适的共享平台(31%)。很少有参与者被资助者(19%)或机构(17%)要求共享数据,只有12%的参与者报告接受了数据共享培训。数据共享的常见后果是失去了未来出版的机会(50%)、数据滥用(48%)和知识产权问题(40%)。在最近的综述中,没有分享数据的参与者表示缺乏期刊要求(56%),或者指出综述中没有任何需要分享的统计分析(29%)。结论尽管某些类型的审查材料对审查的透明度和再现性很重要,但它们被认为没有必要共享。结构性障碍和对负面后果的担忧阻碍了系统审查人员之间的数据共享。规范化和体制激励对于促进证据综合研究中的数据共享做法至关重要。
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引用次数: 1
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Cochrane Evidence Synthesis and Methods
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