JBI evidence synthesis最新文献

Introduction: The weighted mean difference (WMD) has long been used in evidence syntheses involving continuous outcomes. However, it is sometimes applied interchangeably with the mean difference (MD) despite their conceptual distinction: the WMD is intended solely for pooled estimates across studies, not for individual study results. Misuse of WMD can lead to ambiguity in reporting and interpretation, yet empirical evidence on their prevalence and patterns in published systematic reviews and meta-analyses (SRMAs) remains limited.

Methods: We conducted a meta-epidemiological study of SRMAs reporting continuous outcomes, published in The BMJ during 2 periods: 2002-2007 and 2020-2025. Each article was evaluated to determine whether the WMD was reported, whether its use was appropriate, and the rationale for each assessment. Two authors independently performed the evaluations, and any disagreements were resolved through discussion.

Results: In the earlier study period, misuse of the term WMD was widespread, with many SRMAs employing it interchangeably with the MD without clear justification. Over time, the frequency of such misuse decreased, coinciding with the broader adoption of reporting guidelines and increased methodological rigor. Nonetheless, inappropriate applications of WMD persist in more recent publications.

Conclusions: Persistent inconsistencies in WMD use reveal gaps in methodological understanding and reporting practice. Ongoing efforts to refine guidance and promote evidence synthesis literacy are essential to improve the rigor and transparency of SRMAs.

Objective: The objective of this review is to evaluate whether the presence and severity of the dysplastic margin predicts recurrence or survival outcomes in patients with primary oral squamous cell carcinoma (OSCC) resected with curative intent.

Introduction: There is variable evidence whether a dysplastic OSCC margin predicts worse recurrence or survival outcomes and, therefore, no consensus on whether a dysplastic margin should be regarded as an involved margin. Ambiguity of the prognostic significance of dysplasia in the resection margin means that management is institutionally dependent.

Inclusion criteria: This systematic review will include studies of patients with primary OSCC who have undergone surgery with curative intent, with or without adjuvant treatment. Studies will be included if they compare the recurrence and survival outcomes of dysplastic margins compared with clear, close, or involved margins.

Methods: PubMed, Embase (Ovid), Web of Science Core Collection, Scopus, and gray literature will be searched. Two reviewers will independently undertake title/abstract and full-text screening. Included studies will be critically appraised using the QUIPS tool. Data extraction will use the CHARMS-PF checklist. Odds ratio, risk ratios, and hazard ratios along with standard errors, variances, or CIs will be extracted. Where possible, hazard ratios will be computed if not directly reported. Separate meta-analyses will be done for odds ratios, univariate hazard ratios, and multivariate hazard ratios. If meta-analysis is not possible, data will be synthesized narratively. The certainty of evidence will be assessed using the GRADE approach, and a Summary of Findings will be presented.

Review registration: PROSPERO CRD42024604073.

Objective: This scoping review will identify and describe available datasets collected nationally to measure public mental health in Australia. The review will also identify gaps in current data collection by mapping the identified datasets to the priorities of the National Mental Health and Suicide Prevention Agreement (2022).

Introduction: Australia's public mental health data collection has been fragmented by multiple initiatives and jurisdictional inconsistency. Data largely focus on service input and activity, ignoring other factors such as social determinants, prevention, and early intervention. To effectively assess and monitor Australia's mental health, researchers and policymakers need data that are consistent, inclusive, appropriate, and holistic.

Eligibility criteria: This scoping review focuses on Australian national data for public mental health surveillance, encompassing mental health promotion, symptoms, disorders, services, workforce, and prevention. Mental health conditions outside DSM-5 or ICD-11 will be excluded.

Methods: The review will be conducted in accordance with the JBI methodology for scoping reviews and Godin's gray literature search methods. The search strategy will involve hand-searching target websites. Language and region will be limited to English and Australia. Publication date will not be restricted. Search results, dataset selection, and data extraction will be recorded in an Excel spreadsheet. Two rounds of screening will be conducted to finalize selection. Data will be extracted using an extraction table developed by the reviewers based on JBI methodology. Extracted data will be categorized into meaningful groups to answer the review questions. Data will be presented in tables and/or diagrams, accompanied by narrative summary.

Review registration: OSF https://osf.io/sa756.

Objective: This umbrella review will aim to assess the effectiveness of support interventions for improving well-being outcomes in parents of preterm infants.

Introduction: Preterm birth presents significant emotional, psychological, and social challenges for parents, often adversely affecting their well-being. Numerous systematic reviews have examined support interventions aimed at improving parental outcomes. An umbrella review is warranted to synthesize and critically appraise this diverse evidence. Such a review could guide health care professionals in implementing effective, evidence-based strategies to support parents throughout the parenthood journey of preterm infants.

Eligibility criteria: This umbrella review will include systematic reviews that examine the effectiveness of support interventions designed to enhance the well-being of parents of preterm infants. All types of support interventions will be considered, regardless of the parents' gender or age, the infants' gestational age, or the contextual setting.

Methods: This review will follow the JBI methodology for umbrella reviews. A comprehensive search will be conducted across PubMed, the Cochrane Database of Systematic Reviews, CINAHL (EBSCOhost), Embase (Embase.com), Scopus, Open Access Theses and Dissertations (OATD), and the Mahidol Library Catalog (OPAC) to identify relevant reviews. There will be no date or language limitations. Two reviewers will independently screen titles, abstracts, and full texts using predefined eligibility criteria. The methodological quality of the included reviews will be assessed using the JBI checklist for systematic reviews and research syntheses. Data will be extracted using a piloted, adapted JBI tool. Findings will be presented in tables with narrative summaries, visual aids, and a citation matrix to assess study overlap.

Review registration: PROSPERO CRD420251071668.

Objective: The objective of this systematic review is to analyze the incidence and prevalence of atopic disease in second- and subsequent-generation immigrants from Asia in Australia.

Introduction: Atopic diseases are IgE-mediated hypersensitivity diseases that have increased significantly globally. Western countries have conspicuously more incidences of atopic disease than Eastern countries. An increase in second-generation immigrants in Australia has revealed an emerging disparity between the atopic profile of first-generation immigrants, second-generation immigrants, and non-immigrants. Second-generation immigrants from Asia seem to be markedly more susceptible to atopic disease than non-immigrants and their first-generation parents.

Eligibility criteria: Studies including atopic disease, specifically food allergies, asthma, atopic dermatitis (eczema), and allergic rhinitis (hay fever), will be included; other presentations of atopic disease will be excluded. The population of interest will be second-generation Asian immigrants and any subsequent generations. Each paper's definition of Asian will be accepted as presented. The context of interest is Australia.

Methods: This systematic review will follow JBI methodology and the PERSyst manual for systematic reviews of prevalence and incidence. PubMed, Scopus, CINAHL, and Embase will be searched for English-language studies from 1990 to the present. Gray literature and trial registries will also be searched. Prevalence and incidence data will be screened against the eligibility criteria and critically appraised by 2 independent reviewers. Data such as age, gender, and country of origin will be extracted via a customized tool. The data will undergo meta-analysis and be presented in narrative format with figures and tables where statistical pooling is not possible.

Review registration: PROSPERO CRD42024612805.

Meta-analysis is a widely employed method for the synthesis of effect sizes across diverse studies; however, traditional meta-analytic models do not address potential bias due to systematic error. In response, bias-adjusted models of meta-analysis have emerged. One of these is the quality effects (QE) model that was introduced as an approach specifically designed to adjust pooled estimates using information from methodological quality assessments. In this paper, we guide researchers step-by-step through the bias-adjustment process using the QE model in Stata (metan package; StataCorp LLC, Texas USA), which provides functions for performing a QE meta-analysis.

Objective: This review aims to identify the facilitators and barriers to recruiting pregnant people with anxiety/depression into group-based intervention studies designed to support their mental health.

Introduction: Recruiting pregnant women, particularly those with anxiety/depression, for research studies is crucial for developing effective mental health interventions; however, this remains a significant challenge. There is a lack of focused evidence on the specific facilitators and barriers to recruiting women for perinatal mental health studies.

Eligibility criteria: This review will include studies on pregnant people with anxiety/depression focusing on the facilitators and barriers to recruiting participants for group-based programs designed to support their mental health.

Methods: The review will be conducted in accordance with the JBI methodology for mixed methods systematic reviews and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We will systematically search PubMed, Embase, CINAHL (EBSCOhost), Scopus, PsycINFO (Ovid), and ScienceDirect. ProQuest Dissertations and Theses (ProQuest) and Google Scholar will be searched for gray literature. The references of the relevant articles will be manually searched to identify additional studies. Identified studies will be independently assessed for inclusion by 2 reviewers. Independent double extraction of study characteristics and critical appraisal items will be conducted using standardized critical appraisal tools. Quantitative and qualitative data will be summarized in narrative and tabular format, and synthesized using a convergent integrated approach, in which quantitative data will be transformed to support the synthesis of narrative findings. Consistency will be verified by 2 reviewers, with any discrepancies resolved through discussion.

Review registration: PROSPERO CRD42025635015.

Objective: This systematic review aims to evaluate the effectiveness, safety, and patient- and surgeon-related outcomes of the Sentimag platform (Magseed and Magtrace) as alternatives to traditional localization techniques in the surgical management of early breast cancer.

Introduction: Magseed and Magtrace are magnetic localization technologies increasingly used to replace traditional wire-guided and radioisotope techniques for tumor and sentinel lymph node localization in breast-conserving surgery. While the technology offers several theoretical advantages, current evidence is primarily observational, and high-certainty comparative data are limited.

Eligibility criteria: This review will include studies involving adult patients with impalpable breast cancer undergoing breast-conserving surgery using Magseed/Magtrace for surgical localization. Eligible study designs include randomized controlled trials, quasi-experimental, and cohort and description studies. Comparators will include hook wire and/or radioisotope +/- blue dye localization.

Methods: A comprehensive search will be conducted across PubMed, Embase, CINAHL, Cochrane CENTRAL, Scopus, and gray literature sources. Study selection, critical appraisal, data extraction, and data synthesis will be conducted by 2 independent reviewers in line with JBI methodology. Outcomes of interest include localization success, re-excision rate, resection volume, complication rates, patient and surgeon-reported outcomes, sentinel lymph node detection rate, and sentinel lymph node yield. Meta-analysis will be performed, where appropriate, using random-effects modeling. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach will be applied to assess certainty of evidence, and a Summary of Findings will be provided.

Review registration: PROSPERO CRD420251069569.

Objective: This review aims to synthesize qualitative evidence on the experiences of midwifery students with providing care aligned with the midwifery philosophy of care during clinical practice in hospital settings.

Introduction: Midwifery education, guided by the global standards of the International Confederation of Midwives, integrates theoretical knowledge with clinical practice to prepare students for delivering midwifery philosophy of care. However, implementing the principles of this philosophy of care, such as promoting physiological childbirth, woman-centered care, and shared decision-making, can be challenging within hospital settings.

Eligibility criteria: Published qualitative studies conducted since 2005 reporting qualitative data on midwifery students' (aged 18 years or older) experiences of providing midwifery care in hospital settings during their clinical practice will be included. Students' experiences may encompass facilitators or barriers for practicing the principles of the midwifery philosophy of care. Studies conducted in Europe, New Zealand, and Australia will be considered, as these are settings where midwifery associations advocate for the midwifery philosophy of care in hospital environments.

Methods: A systematic search will be conducted in CINAHL (EBSCOhost), PubMed, Embase.com, ERIC (Ovid), and Web of Science Core Collection for studies published in any language from 2005 to the present. Unpublished and gray literature will be sought through Google Scholar and ProQuest Dissertations and Theses Global. The JBI methodology for systematic reviews of qualitative evidence will be followed for study selection, critical appraisal, data extraction, synthesis through meta-aggregation, and assessment of confidence in the findings (ConQual approach). All steps will be performed independently by 2 reviewers.

Review registration: PROSPERO CRD42024625908.

Objective: The objective of this review is to synthesize the evidence on the effectiveness of various dosage parameters (session duration, frequency, and total intervention period), including their potential dose-response impact (if meta-analysis is feasible), on postural control and balance using Wii Fit Plus balance exergaming in stroke patients.

Introduction: Wii Fit Plus is an innovative exergaming tool that consists of interactive standing balance exercises to improve balance and postural control in stroke patients. However, the optimal treatment effects and dosage response for achieving these outcomes remain unclear.

Eligibility criteria: This review will consider randomized controlled trials, quasi-experimental studies, and other types of experimental studies evaluating preliminary efficacy or effectiveness of Wii Fit Plus balance exergames for adults and older adults post-stroke. The comparators will include standard-care physiotherapy and alternative exergaming interventions. The outcome of interest will be postural control and balance, quality of life, functional independence, gait performance, and functional mobility.

Methods: A systematic search will be conducted across PubMed, Embase, Scopus, PEDro, Web of Science, and CINAHL (EBSCOhost) for studies published from 2010 onwards. The review will follow JBI methodology for systematic reviews of effectiveness. Study selection, data extraction, and critical appraisal will be independently performed by 2 reviewers. Dose-response meta-analysis (DRMA) using a random-effects model will be used to estimate pooled effect size, with subgroup analyses exploring dosing variations. If meta-analysis is not feasible, a narrative synthesis will be conducted. The overall strength of the evidence will be determined using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach.

Review registration: PROSPERO CRD42025641558.