Pub Date : 2012-01-01DOI: 10.1097/01258363-201209000-00122
A. Merrill, Susie Jones
BACKGROUND Purposeful weight loss resulting in loss of excess body fat contributes to enhanced health outcomes such as lower blood pressure, lower cholesterol, reduced blood glucose levels, and reduced mortality. REVIEW OBJECTIVE To synthesize the best available evidence regarding the effectiveness of surgical weight loss procedures on the remission of type 2 diabetes mellitus. INCLUSION CRITERIA Patients 18 years of age and older, females and males with a prior diagnosis of type 2 diabetes mellitus who have undergone a bariatric or surgical weight loss procedure.This review considered surgical weight loss procedures.This review considered as outcome measures: weight loss, body mass index (BMI), hemoglobin A1C values, fasting blood glucose levels, and/or reduction/elimination of antidiabetic medications.This review included randomized controlled trials SEARCH STRATEGY: The search strategy aimed to find both published and unpublished studies in English language only from April 2006 through May 2011. The search used multiple databases including MEDLINE, CINAHL, EMBASE, EBSCO, ProQuest, and Science Direct. METHODOLOGICAL QUALITY The studies were critically appraised using the standardized instruments provided by the Joanna Briggs Institute. DATA COLLECTION Data was extracted using standardised data extraction form provided by the Joanna Briggs Institute. DATA SYNTHESIS Due to the heterogeneous nature of the study methods meta-analysis was considered not appropriate. The results are presented in a narrative summary. RESULTS Five studies compared varying operative techniques, and results substantiate improvement in dynamics directly linked to T2DM: weight loss, BMI, HbA1c values, and utilization of medications for control. CONCLUSIONS Based on the results of this review surgical weight loss should be considered a best practice recommendation to patients for the treatment and remission of type 2 diabetes mellitus (T2DM) as evidenced by short term effects on weight reduction, change in hemoglobin A1c values, and decrease or elimination of medications to control diabetes IMPLICATIONS FOR PRACTICE: Patients with T2DM should receive counseling from their practitioner to include surgical weight loss as a means to control the untoward effects of this disease with proven short term results when other weight loss attempts fail. IMPLICATIONS FOR RESEARCH Further studies are warranted to compare the various procedures (LAGB, LRYBG, and LSG) to one another and to conventional therapy with a larger subset of T2DM participants. It would also be important to follow these patients long term in order to adequately assess efficacy on a continuum. Furthermore, researchers need to establish set methods for outcome definition and measurement in order to allow for meta-analysis and better translation into practice.
{"title":"Effectiveness of surgical weight loss on the remission of type 2 diabetes mellitus: A systematic review.","authors":"A. Merrill, Susie Jones","doi":"10.1097/01258363-201209000-00122","DOIUrl":"https://doi.org/10.1097/01258363-201209000-00122","url":null,"abstract":"BACKGROUND Purposeful weight loss resulting in loss of excess body fat contributes to enhanced health outcomes such as lower blood pressure, lower cholesterol, reduced blood glucose levels, and reduced mortality. REVIEW OBJECTIVE To synthesize the best available evidence regarding the effectiveness of surgical weight loss procedures on the remission of type 2 diabetes mellitus. INCLUSION CRITERIA Patients 18 years of age and older, females and males with a prior diagnosis of type 2 diabetes mellitus who have undergone a bariatric or surgical weight loss procedure.This review considered surgical weight loss procedures.This review considered as outcome measures: weight loss, body mass index (BMI), hemoglobin A1C values, fasting blood glucose levels, and/or reduction/elimination of antidiabetic medications.This review included randomized controlled trials SEARCH STRATEGY: The search strategy aimed to find both published and unpublished studies in English language only from April 2006 through May 2011. The search used multiple databases including MEDLINE, CINAHL, EMBASE, EBSCO, ProQuest, and Science Direct. METHODOLOGICAL QUALITY The studies were critically appraised using the standardized instruments provided by the Joanna Briggs Institute. DATA COLLECTION Data was extracted using standardised data extraction form provided by the Joanna Briggs Institute. DATA SYNTHESIS Due to the heterogeneous nature of the study methods meta-analysis was considered not appropriate. The results are presented in a narrative summary. RESULTS Five studies compared varying operative techniques, and results substantiate improvement in dynamics directly linked to T2DM: weight loss, BMI, HbA1c values, and utilization of medications for control. CONCLUSIONS Based on the results of this review surgical weight loss should be considered a best practice recommendation to patients for the treatment and remission of type 2 diabetes mellitus (T2DM) as evidenced by short term effects on weight reduction, change in hemoglobin A1c values, and decrease or elimination of medications to control diabetes IMPLICATIONS FOR PRACTICE: Patients with T2DM should receive counseling from their practitioner to include surgical weight loss as a means to control the untoward effects of this disease with proven short term results when other weight loss attempts fail. IMPLICATIONS FOR RESEARCH Further studies are warranted to compare the various procedures (LAGB, LRYBG, and LSG) to one another and to conventional therapy with a larger subset of T2DM participants. It would also be important to follow these patients long term in order to adequately assess efficacy on a continuum. Furthermore, researchers need to establish set methods for outcome definition and measurement in order to allow for meta-analysis and better translation into practice.","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"10 36 1","pages":"2465-2489"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01258363-201209000-00122","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61697479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-01-01DOI: 10.11124/01938924-201110220-00001
K. Hollands, P. van Vliet, T. Pelton
BACKGROUND Impairments in gait coordination may be a factor in falls and mobility limitations after stroke. Therefore, rehabilitation targeting lower limb coordination may be a mechanistic way to improve walking post-stroke. This review sought to examine what treatments currently exist to target impairments of gait coordination, the theoretical basis on which they are derived and the potential efficacy of such interventions.Review Objectives: This review sought to determine the effectiveness of current interventions in improving coordination of axial segments and lower limbs following stroke and to examine any evidence to indicate whether improvements in locomotor performance can be brought about using interventions for the restoration of deficits in motor coordination. To address this objective we sought to examine the best available evidence in regards to therapeutic interventions for stroke subjects to improve: INCLUSION CRITERIA: We included studies investigating effects of a physiotherapeutic intervention on gait coordination in participants with stroke, regardless of lesion location or time since stroke. We included study designs such as; randomised and quasi-randomised controlled trials, case-control studies, cohort studies, in order to compare evidence for the effect of treatment on gait coordination compared to no treatment. Studies were required to include at least one outcome measure of gait co-ordination. SEARCH STRATEGY The search strategy, conducted in the timeframe of 1980 to September Week 1, 2009 used a combination of controlled vocabulary (MeSH) and free text terms, was limited to English papers with human participants and was used for MEDLINE and modified to suit other databases (CINAHL, AMED,EMBASE, PEDro and Cochrane Databases). CRITICAL APPRAISAL Two authors independently assessed the methodological quality of selected studies using a modified version of the Joanna Briggs Institute (JBI) critical appraisal checklist for cohort/case control. For rigour and detail, additional questions from Downs and Black's checklist were added. DATA EXTRACTION Two authors independently extracted means and standard deviations from each outcome measure as well as participant demographics and details of the trial design. DATA SYNTHESIS Due to the range of study designs included we limited the influence of heterogeneity in experimental design and control comparators by restricting meta-analyses to pre- and post-test comparisons of experimental interventions only. In this way we obtained an estimate of the effect of interventions compared to no treatment. RESULTS Few high quality RCTs with a low risk of bias specifically targeting and measuring restoration of coordinated gait were found. Nine RCTs and 24 quasi-experimental studies were included. Four main intervention types that directly target gait coordination impairments were identified: task specific locomotor training (including over ground and treadmill training with or without bo
{"title":"Interventions for improving coordination of axial segments and lower limbs during walking following stroke: Systematic Review.","authors":"K. Hollands, P. van Vliet, T. Pelton","doi":"10.11124/01938924-201110220-00001","DOIUrl":"https://doi.org/10.11124/01938924-201110220-00001","url":null,"abstract":"BACKGROUND Impairments in gait coordination may be a factor in falls and mobility limitations after stroke. Therefore, rehabilitation targeting lower limb coordination may be a mechanistic way to improve walking post-stroke. This review sought to examine what treatments currently exist to target impairments of gait coordination, the theoretical basis on which they are derived and the potential efficacy of such interventions.Review Objectives: This review sought to determine the effectiveness of current interventions in improving coordination of axial segments and lower limbs following stroke and to examine any evidence to indicate whether improvements in locomotor performance can be brought about using interventions for the restoration of deficits in motor coordination. To address this objective we sought to examine the best available evidence in regards to therapeutic interventions for stroke subjects to improve: INCLUSION CRITERIA: We included studies investigating effects of a physiotherapeutic intervention on gait coordination in participants with stroke, regardless of lesion location or time since stroke. We included study designs such as; randomised and quasi-randomised controlled trials, case-control studies, cohort studies, in order to compare evidence for the effect of treatment on gait coordination compared to no treatment. Studies were required to include at least one outcome measure of gait co-ordination. SEARCH STRATEGY The search strategy, conducted in the timeframe of 1980 to September Week 1, 2009 used a combination of controlled vocabulary (MeSH) and free text terms, was limited to English papers with human participants and was used for MEDLINE and modified to suit other databases (CINAHL, AMED,EMBASE, PEDro and Cochrane Databases). CRITICAL APPRAISAL Two authors independently assessed the methodological quality of selected studies using a modified version of the Joanna Briggs Institute (JBI) critical appraisal checklist for cohort/case control. For rigour and detail, additional questions from Downs and Black's checklist were added. DATA EXTRACTION Two authors independently extracted means and standard deviations from each outcome measure as well as participant demographics and details of the trial design. DATA SYNTHESIS Due to the range of study designs included we limited the influence of heterogeneity in experimental design and control comparators by restricting meta-analyses to pre- and post-test comparisons of experimental interventions only. In this way we obtained an estimate of the effect of interventions compared to no treatment. RESULTS Few high quality RCTs with a low risk of bias specifically targeting and measuring restoration of coordinated gait were found. Nine RCTs and 24 quasi-experimental studies were included. Four main intervention types that directly target gait coordination impairments were identified: task specific locomotor training (including over ground and treadmill training with or without bo","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"10 22 1","pages":"1260-1362"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63415349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-01-01DOI: 10.11124/01938924-201008341-00013
T. Sze, Chow Yeow Leng, Serena Koh Siew Lin
BACKGROUND Physical restraint was introduced as the primary measure to maintain patient safety in preventing falls. However, physical restraints may lead to complications such as functional loss, immobility, delirium, pressure sore, and even falls or injuries. Despite all these negative effects and many alternatives that are available, physical restraint is still commonly used in hospitals and nursing homes. Hence, it is crucial to understand the effectiveness of physical restraints in protecting adult patients from falling. OBJECTIVE The overall objective was to examine the effectiveness of physical restraints in reducing falls among adults in acute care hospitals and nursing homes. INCLUSION CRITERIA This review considered quantitative designs, including randomised controlled trials, quasi-experimental studies, cohort studies, case control studies and case series/reports.The participants of this review were male and female adult patients aged 18 years or over who are on authorized physical restraints in acute care hospitals and nursing homes.This review focused on studies that investigated physical restraint as an intervention for reducing falls among adults in acute care hospitals and nursing homes.The outcomes of interest were the number of individuals receiving restraints who fall, or the rate or number of falls in acute hospitals and nursing homes. SEARCH STRATEGY A three-step search strategy was utilised in this review. An initial limited search of MEDLINE and CINAHL was undertaken, followed by a second search using all identified keywords and index terms across all included databases. Thirdly, the reference list of all identified reports and articles was searched for additional studies. All searches were limited to English Language studies and there was no limit in the timeframe. ASSESSMENT OF METHODOLOGICAL QUALITY The quality of the included studies was subjected to assessment by two independent reviewers using the standardised critical appraisal tools from the Joanna-Briggs Institute from the JBI-MAStARI (Joanna Briggs Institute-Meta-Analysis of Statistics Assessment and Review Instrument). DATA EXTRACTION Data was extracted from included papers using the standardised extraction tool from the JBI MASTARI. DATA SYNTHESIS Due to the heterogeneous nature of the study methods, the findings of this review are presented in a narrative summary. RESULTS Nine studies were included in the review. The majority of the findings showed that physical restraints were not associated with the reduction in falls and decreased restraint use did not contribute to more falls. CONCLUSION From the overall results, physical restraints are not effective in reducing falls or injuries among adults in acute care hospitals and nursing homes.National standards and application guides for physical restraints are recommended. The use of physical restraints should be assessed by trained staff based on individualised need and consideration of patient's au
背景:在预防跌倒中，物理约束被引入作为维护患者安全的主要措施。然而，身体约束可能导致并发症，如功能丧失、行动不便、精神错乱、压疮，甚至跌倒或受伤。尽管有所有这些负面影响和许多可用的替代方法，医院和疗养院仍然普遍使用身体约束。因此，了解物理约束在保护成年患者不跌倒方面的有效性是至关重要的。目的:总体目的是研究物理约束在减少急诊医院和养老院成人跌倒方面的有效性。纳入标准本综述考虑定量设计，包括随机对照试验、准实验研究、队列研究、病例对照研究和病例系列/报告。本综述的参与者是18岁或以上的男性和女性成年患者，他们在急症护理医院和疗养院接受授权的身体约束。这篇综述的重点是研究身体约束作为一种干预措施，以减少在急症护理医院和养老院的成年人跌倒。感兴趣的结果是接受限制的个人跌倒的人数，或在急症医院和疗养院跌倒的比率或次数。检索策略本综述采用三步检索策略。首先对MEDLINE和CINAHL进行有限的搜索，然后在所有纳入的数据库中使用所有确定的关键字和索引术语进行第二次搜索。第三，检索所有确定的报告和文章的参考文献列表以查找其他研究。所有的搜索都局限于英语语言学习，没有时间限制。方法学质量评估纳入研究的质量由两名独立审稿人使用来自JBI-MAStARI (Joanna Briggs Institute- meta - analysis OF Statistics ASSESSMENT and Review Instrument)的乔安娜-布里格斯研究所的标准化关键评估工具进行评估。数据提取使用JBI MASTARI的标准化提取工具从纳入的论文中提取数据。由于研究方法的异质性，本综述的研究结果以叙述性摘要的形式呈现。结果纳入9项研究。大多数研究结果表明，身体约束与跌倒的减少无关，减少约束的使用也不会导致更多的跌倒。结论从总体结果来看，在急症护理医院和疗养院，身体约束在减少成人跌倒或伤害方面效果不佳。推荐国家标准和物理约束应用指南。身体约束的使用应由训练有素的工作人员根据个性化需求和考虑患者的自主性和完整性进行评估。应提高卫生保健专业人员使用适当身体约束的意识。需要进行大型多中心研究，以确定物理约束的风险和效益比，并检查替代措施、不同数量的床栏、间歇性约束使用和减少约束方案的有效性。
{"title":"The effectiveness of physical restraints in reducing falls among adults in acute care hospitals and nursing homes: a systematic review.","authors":"T. Sze, Chow Yeow Leng, Serena Koh Siew Lin","doi":"10.11124/01938924-201008341-00013","DOIUrl":"https://doi.org/10.11124/01938924-201008341-00013","url":null,"abstract":"BACKGROUND Physical restraint was introduced as the primary measure to maintain patient safety in preventing falls. However, physical restraints may lead to complications such as functional loss, immobility, delirium, pressure sore, and even falls or injuries. Despite all these negative effects and many alternatives that are available, physical restraint is still commonly used in hospitals and nursing homes. Hence, it is crucial to understand the effectiveness of physical restraints in protecting adult patients from falling. OBJECTIVE The overall objective was to examine the effectiveness of physical restraints in reducing falls among adults in acute care hospitals and nursing homes. INCLUSION CRITERIA This review considered quantitative designs, including randomised controlled trials, quasi-experimental studies, cohort studies, case control studies and case series/reports.The participants of this review were male and female adult patients aged 18 years or over who are on authorized physical restraints in acute care hospitals and nursing homes.This review focused on studies that investigated physical restraint as an intervention for reducing falls among adults in acute care hospitals and nursing homes.The outcomes of interest were the number of individuals receiving restraints who fall, or the rate or number of falls in acute hospitals and nursing homes. SEARCH STRATEGY A three-step search strategy was utilised in this review. An initial limited search of MEDLINE and CINAHL was undertaken, followed by a second search using all identified keywords and index terms across all included databases. Thirdly, the reference list of all identified reports and articles was searched for additional studies. All searches were limited to English Language studies and there was no limit in the timeframe. ASSESSMENT OF METHODOLOGICAL QUALITY The quality of the included studies was subjected to assessment by two independent reviewers using the standardised critical appraisal tools from the Joanna-Briggs Institute from the JBI-MAStARI (Joanna Briggs Institute-Meta-Analysis of Statistics Assessment and Review Instrument). DATA EXTRACTION Data was extracted from included papers using the standardised extraction tool from the JBI MASTARI. DATA SYNTHESIS Due to the heterogeneous nature of the study methods, the findings of this review are presented in a narrative summary. RESULTS Nine studies were included in the review. The majority of the findings showed that physical restraints were not associated with the reduction in falls and decreased restraint use did not contribute to more falls. CONCLUSION From the overall results, physical restraints are not effective in reducing falls or injuries among adults in acute care hospitals and nursing homes.National standards and application guides for physical restraints are recommended. The use of physical restraints should be assessed by trained staff based on individualised need and consideration of patient's au","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"10 5 1","pages":"307-351"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63414547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-12-21DOI: 10.11124/JBISRIR-2011-351
M. Kowald, Melissa Saliba
Review question/objective The aim of this review is to identify and synthesise the best available evidence of the appropriateness and effectiveness of different strategies used to manage Behavioural and Psychological Symptoms of Dementia (BPSD) in the residential care setting. What is the appropriateness of different strategies used to manage Behavioural and Psychological Symptoms of Dementia (BPSD) in the residential care setting? What is the effectiveness of different strategies used to manage Behavioural and Psychological Symptoms of Dementia (BPSD) in the residential care setting? Inclusion criteria Types of participants This review will consider studies that look specifically at people who reside in Residential Aged Care Facilities (RACFs) who exhibit the behavioural and psychological symptoms of dementia in all of their forms. The behaviours only need to require management to be of interest to this study. The participants of interest for this review will be people 65 years and older, regardless of gender, ethnicity, co-morbidities. This will not include acute psycho-geriatric inpatient studies as these studies do not fit with the residential aged care model and are more akin to acute psychiatric care areas. For this systematic review, the following definitions will be used: Residential Aged Care Facilities (RACFs) are defined as a facility which has been subsidised and sanctioned to provide care to older people (over 65 years commonly) who can no longer live independently.1 Behavioural and Psychological Symptoms of Dementia (BPSD) is an umbrella term that embraces a heterogeneous group of non-cognitive symptoms and behaviours that occur in people with dementia. 9 TRUNCATED AT 350 WORDS This is to be a comprehensive systematic review; as the current research literature available on this topic covers different kinds of evidence.
{"title":"A systematic review of appropriateness and effectiveness of management strategies used for the Behavioural and Psychological Symptoms of Dementia in the residential care setting.","authors":"M. Kowald, Melissa Saliba","doi":"10.11124/JBISRIR-2011-351","DOIUrl":"https://doi.org/10.11124/JBISRIR-2011-351","url":null,"abstract":"Review question/objective \u0000The aim of this review is to identify and synthesise the best available evidence of the appropriateness and effectiveness of different strategies used to manage Behavioural and Psychological Symptoms of Dementia (BPSD) in the residential care setting. \u0000 \u0000What is the appropriateness of different strategies used to manage Behavioural and Psychological Symptoms of Dementia (BPSD) in the residential care setting? \u0000 \u0000What is the effectiveness of different strategies used to manage Behavioural and Psychological Symptoms of Dementia (BPSD) in the residential care setting? \u0000 \u0000Inclusion criteria \u0000Types of participants \u0000This review will consider studies that look specifically at people who reside in Residential Aged Care Facilities (RACFs) who exhibit the behavioural and psychological symptoms of dementia in all of their forms. The behaviours only need to require management to be of interest to this study. The participants of interest for this review will be people 65 years and older, regardless of gender, ethnicity, co-morbidities. This will not include acute psycho-geriatric inpatient studies as these studies do not fit with the residential aged care model and are more akin to acute psychiatric care areas. \u0000For this systematic review, the following definitions will be used: \u0000Residential Aged Care Facilities (RACFs) are defined as a facility which has been subsidised and sanctioned to provide care to older people (over 65 years commonly) who can no longer live independently.1 \u0000 \u0000Behavioural and Psychological Symptoms of Dementia (BPSD) is an umbrella term that embraces a heterogeneous group of non-cognitive symptoms and behaviours that occur in people with dementia. 9 \u0000TRUNCATED AT 350 WORDS \u0000 \u0000This is to be a comprehensive systematic review; as the current research literature available on this topic covers different kinds of evidence.","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"9 64 Suppl 1","pages":"1-18"},"PeriodicalIF":0.0,"publicationDate":"2011-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11124/JBISRIR-2011-351","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63416593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-12-20DOI: 10.11124/JBISRIR-2011-349
David Larkin, V. Lopez, E. Aromataris
Review question/objective The objective of this systematic review is to synthesise the best evidence on the effectiveness of non-pharmacological interventions for managing cancer-related fatigue in men with prostate cancer who are undergoing or have completed treatment. Inclusion criteria Types of participants This review will consider studies that include men with prostate cancer (regardless of staging, previous treatment or comorbidities), aged 18 years and over who are undergoing any treatment, or have completed any treatment for prostate cancer, within the previous 12 months. Types of intervention(s)/phenomena of interest This review will consider studies that evaluate non-pharmacological interventions, including (but not limited to): exercise, energy conservation, diet modification, counselling, education, Cognitive Behavioural Therapy and meditation, using other non-pharmacological interventions or standard care as comparators. Types of outcomes This review will consider studies that include the following outcome measures: fatigue and Quality of Life (outcomes measured using existing, validated tools).
{"title":"Non-pharmacological interventions for cancer-related fatigue in men with prostate cancer undergoing treatment: A systematic review.","authors":"David Larkin, V. Lopez, E. Aromataris","doi":"10.11124/JBISRIR-2011-349","DOIUrl":"https://doi.org/10.11124/JBISRIR-2011-349","url":null,"abstract":"Review question/objective \u0000The objective of this systematic review is to synthesise the best evidence on the effectiveness of non-pharmacological interventions for managing cancer-related fatigue in men with prostate cancer who are undergoing or have completed treatment. \u0000Inclusion criteria \u0000Types of participants \u0000This review will consider studies that include men with prostate cancer (regardless of staging, previous treatment or comorbidities), aged 18 years and over who are undergoing any treatment, or have completed any treatment for prostate cancer, within the previous 12 months. \u0000Types of intervention(s)/phenomena of interest \u0000This review will consider studies that evaluate non-pharmacological interventions, including (but not limited to): exercise, energy conservation, diet modification, counselling, education, Cognitive Behavioural Therapy and meditation, using other non-pharmacological interventions or standard care as comparators. \u0000Types of outcomes \u0000This review will consider studies that include the following outcome measures: fatigue and Quality of Life (outcomes measured using existing, validated tools).","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"108 1","pages":"1-13"},"PeriodicalIF":0.0,"publicationDate":"2011-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11124/JBISRIR-2011-349","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63416585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-12-14DOI: 10.11124/JBISRIR-2011-346
Gwendolyn D Costantini, M. McDermott, Denise Primiano, Michelle Santomassino, J. Slyer, J. Singleton
Review question/objective The overall objective of this systematic review is to determine the best available evidence related to the effectiveness of continuity of care interventions on patient outcomes. The specific review questions to be asked are: - What continuity of care interventions are most effective in improving patient satisfaction in adult patients receiving home care services? - What continuity of care interventions are most effective in reducing all-cause hospital readmission rates among adults receiving home care services? Inclusion Criteria Types of participants The review will consider studies that include all adults, male and female (aged 18 years old and above) receiving home care services, regardless of diagnosis, stage or severity of disease, co-morbidities, and previous treatment received. Types of interventions/phenomena of interest This review will consider studies that evaluate all models/types of interventions for continuity of care of adult patients delivered by registered nurses in home care settings. Comparator: no intervention Types of outcome measures This review will consider studies that include the following outcome measure, but not limited to: - All-cause hospital readmissions measured as patients who experience an unplanned admission to the same hospital, a different hospital, or another acute care facility for the same diagnosis or for a different diagnosis. - Patient satisfaction measured by patient self-report.C-96FD
{"title":"A Systematic Review of Continuity of care and its role in patient satisfaction and decreased hospital admissions in the adult patient receiving home care services.","authors":"Gwendolyn D Costantini, M. McDermott, Denise Primiano, Michelle Santomassino, J. Slyer, J. Singleton","doi":"10.11124/JBISRIR-2011-346","DOIUrl":"https://doi.org/10.11124/JBISRIR-2011-346","url":null,"abstract":"Review question/objective \u0000The overall objective of this systematic review is to determine the best available evidence related to the effectiveness of continuity of care interventions on patient outcomes. \u0000The specific review questions to be asked are: \u0000- What continuity of care interventions are most effective in improving patient satisfaction in adult patients receiving home care services? \u0000- What continuity of care interventions are most effective in reducing all-cause hospital readmission rates among adults receiving home care services? \u0000Inclusion Criteria \u0000Types of participants \u0000The review will consider studies that include all adults, male and female (aged 18 years old and above) receiving home care services, regardless of diagnosis, stage or severity of disease, co-morbidities, and previous treatment received. \u0000Types of interventions/phenomena of interest \u0000This review will consider studies that evaluate all models/types of interventions for continuity of care of adult patients delivered by registered nurses in home care settings. \u0000Comparator: no intervention \u0000Types of outcome measures \u0000This review will consider studies that include the following outcome measure, but not limited to: \u0000- All-cause hospital readmissions measured as patients who experience an unplanned admission to the same hospital, a different hospital, or another acute care facility for the same diagnosis or for a different diagnosis. \u0000- Patient satisfaction measured by patient self-report.C-96FD","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"9 64 Suppl 1","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2011-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11124/JBISRIR-2011-346","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63416577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-09-22DOI: 10.11124/01938924-201109490-00001
S. Hines, Shannon Pike, Mary‐Anne Ramis, A. Chang
Objective The objective of this systematic review is to assess the effectiveness of psychosocial interventions designed to treat CRCD. The primary outcome assessed will be cognitive function, as measured by a reliable and valid tool. Because CRCD has been strongly linked to Quality of Life (QoL), a secondary outcome to be assessed is whether any of the interventions studied demonstrate improvements in QoL for this patient population. Criteria for considering studies for this review Types of participants This review will include studies with patients aged 18 or over who were diagnosed with cancer and received chemotherapy as part of their treatment. Patients may be of either sex, and have any primary site of cancer. Patients may be receiving chemotherapy at the time of the intervention studied, or (because some people experience CRCD after treatment with chemotherapy has finished), their exposure to chemotherapy may have occurred in the past. The review will exclude studies if their participants are under the age of 18, or have had any diagnosed cognitive dysfunction prior to receiving chemotherapy. Patients younger than 18 can face different medical and psychosocial issues when diagnosed with cancer; as such, they have distinctive medical and psychosocial needs which necessitate age-appropriate therapy. Interventions designed for adults may be inappropriate for this group. Types of interventions This review will consider psychosocial interventions designed to improve cognitive functioning amongst patients who have received, or are receiving, chemotherapy as a treatment for cancer. These interventions may include: Cognitive Behavioural Therapy (CBT); Psychological counselling; or Education on compensatory techniques for CRCD. Studies investigating only pharmacological interventions to improve cognitive functioning will be excluded. Studies that investigate both psychological and pharmacological interventions will be assessed for their suitability for inclusion, though only the data dealing with non pharmacological interventions will be reported. Types of outcome measures The primary outcome of interest for this study is the level of cognitive dysfunction, as measured by any reliable and validated scale, including but not limited to the Multiple Ability Self-Report Questionnaire (the MASQ) and neuropsychological tests like the California Verbal Learning Test-II. TRUNCATED AT 350 WORDS.
{"title":"Effectiveness of psychosocial interventions for cognitive dysfunction in cancer patients who have received chemotherapy: a systematic review.","authors":"S. Hines, Shannon Pike, Mary‐Anne Ramis, A. Chang","doi":"10.11124/01938924-201109490-00001","DOIUrl":"https://doi.org/10.11124/01938924-201109490-00001","url":null,"abstract":"Objective \u0000The objective of this systematic review is to assess the effectiveness of psychosocial interventions designed to treat CRCD. The primary outcome assessed will be cognitive function, as measured by a reliable and valid tool. Because CRCD has been strongly linked to Quality of Life (QoL), a secondary outcome to be assessed is whether any of the interventions studied demonstrate improvements in QoL for this patient population. \u0000 \u0000Criteria for considering studies for this review \u0000 \u0000Types of participants \u0000This review will include studies with patients aged 18 or over who were diagnosed with cancer and received chemotherapy as part of their treatment. Patients may be of either sex, and have any primary site of cancer. Patients may be receiving chemotherapy at the time of the intervention studied, or (because some people experience CRCD after treatment with chemotherapy has finished), their exposure to chemotherapy may have occurred in the past. \u0000 \u0000The review will exclude studies if their participants are under the age of 18, or have had any diagnosed cognitive dysfunction prior to receiving chemotherapy. Patients younger than 18 can face different medical and psychosocial issues when diagnosed with cancer; as such, they have distinctive medical and psychosocial needs which necessitate age-appropriate therapy. Interventions designed for adults may be inappropriate for this group. \u0000 \u0000Types of interventions \u0000This review will consider psychosocial interventions designed to improve cognitive functioning amongst patients who have received, or are receiving, chemotherapy as a treatment for cancer. These interventions may include: \u0000Cognitive Behavioural Therapy (CBT); \u0000Psychological counselling; or \u0000Education on compensatory techniques for CRCD. \u0000 \u0000Studies investigating only pharmacological interventions to improve cognitive functioning will be excluded. Studies that investigate both psychological and pharmacological interventions will be assessed for their suitability for inclusion, though only the data dealing with non pharmacological interventions will be reported. \u0000 \u0000Types of outcome measures \u0000The primary outcome of interest for this study is the level of cognitive dysfunction, as measured by any reliable and validated scale, including but not limited to the Multiple Ability Self-Report Questionnaire (the MASQ) and neuropsychological tests like the California Verbal Learning Test-II. TRUNCATED AT 350 WORDS.","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"99 1","pages":"1-15"},"PeriodicalIF":0.0,"publicationDate":"2011-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63415277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-09-01DOI: 10.11124/JBISRIR-2009-601
C. Soares, Tatiana Yonekura
Review objective: to identify and describe the operational models that address the measuring of social class currently used in epidemiology, and to identify the correlation between social class and health outcomes related to primary care in epidemiological studies Criteria for considering studies for this review: Types of participants/problem: This review will not focus on any one particular set of participants, but will focus studies that have described a measurement of social class in epidemiology and studies that have identified the correlation between social class and health outcomes related to primary care. Types of intervention/phenomenon of interest: The phenomenon of interest is the models used to measure the concepts of social class in epidemiology. The other phenomenon of interest is the correlation between social class and health outcomes related to primary care. Types of outcome measures/anticipated outcomes: The anticipated outcome is the description of models currently used in epidemiology and to discuss how they are used to identify social class. The second outcome of interest to this review is to describe the correlation between social class and health outcomes related to primary care.
{"title":"The measurement of social class in epidemiology: a systematic review.","authors":"C. Soares, Tatiana Yonekura","doi":"10.11124/JBISRIR-2009-601","DOIUrl":"https://doi.org/10.11124/JBISRIR-2009-601","url":null,"abstract":"Review objective: to identify and describe the operational models that address the measuring of social class currently used in epidemiology, and to identify the correlation between social class and health outcomes related to primary care in epidemiological studies Criteria for considering studies for this review: Types of participants/problem: This review will not focus on any one particular set of participants, but will focus studies that have described a measurement of social class in epidemiology and studies that have identified the correlation between social class and health outcomes related to primary care. Types of intervention/phenomenon of interest: The phenomenon of interest is the models used to measure the concepts of social class in epidemiology. The other phenomenon of interest is the correlation between social class and health outcomes related to primary care. Types of outcome measures/anticipated outcomes: The anticipated outcome is the description of models currently used in epidemiology and to discuss how they are used to identify social class. The second outcome of interest to this review is to describe the correlation between social class and health outcomes related to primary care.","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"23 1","pages":"1-17"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11124/JBISRIR-2009-601","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63416267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-09-01DOI: 10.11124/JBISRIR-2010-687
M. Devi, D. Hegney, E. Ang
Review Objectives: The objective of this systematic review is to critically appraise, sythesise and present the best available evidence related to meaningfulness of QoL of women diagnosed with breast cancer, during and up to ten years after treatment for breast cancer. The specific areas of interest relate to : 1. what is the meaning of QoL from the perspective of women diagnosed with breast cancer; and 2. what are the domains of QoL most strongly affected by women diagnosed with breast cancer? 3. what are the domains of QoL most strongly affected by women during and after receiving treatment for breast cancer? Inclusion Criteria: Types of participants: The review will consider studies that include women 1) with breast cancer of early stages i.e. stage 0 to IIIA according to tumour node metastases (TNM) staging 2) receiving or completed breast cancer treatment i.e. surgery, chemotherapy, radiation therapy and/or hormonal therapy 3) within 10 years of surviving breast cancer treatment 4) over the age of 18 years 5) who are inpatients or outpatients 6) living with or without partners 7) regardless of race, culture, ethnicity or other social and economic backgrounds 8) without other medical co-morbidities. Phenomena of interest The review will consider primary studies that explore the meaning of changes in the QoL of women diagnosed with breast cancer, during and after treatment for breast cancer.
{"title":"The meaningfulness of quality of life in women diagnosed with breast cancer: a systematic review.","authors":"M. Devi, D. Hegney, E. Ang","doi":"10.11124/JBISRIR-2010-687","DOIUrl":"https://doi.org/10.11124/JBISRIR-2010-687","url":null,"abstract":"Review Objectives: The objective of this systematic review is to critically appraise, sythesise and present the best available evidence related to meaningfulness of QoL of women diagnosed with breast cancer, during and up to ten years after treatment for breast cancer. The specific areas of interest relate to : 1. what is the meaning of QoL from the perspective of women diagnosed with breast cancer; and 2. what are the domains of QoL most strongly affected by women diagnosed with breast cancer? 3. what are the domains of QoL most strongly affected by women during and after receiving treatment for breast cancer? Inclusion Criteria: Types of participants: The review will consider studies that include women 1) with breast cancer of early stages i.e. stage 0 to IIIA according to tumour node metastases (TNM) staging 2) receiving or completed breast cancer treatment i.e. surgery, chemotherapy, radiation therapy and/or hormonal therapy 3) within 10 years of surviving breast cancer treatment 4) over the age of 18 years 5) who are inpatients or outpatients 6) living with or without partners 7) regardless of race, culture, ethnicity or other social and economic backgrounds 8) without other medical co-morbidities. Phenomena of interest The review will consider primary studies that explore the meaning of changes in the QoL of women diagnosed with breast cancer, during and after treatment for breast cancer.","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"8 34 Suppl 1","pages":"1-19"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11124/JBISRIR-2010-687","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63416491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-09-01DOI: 10.11124/JBISRIR-2009-602
Wongduan Suwannakeeree, W. Picheansathian
Objectives: To review the best available research literature that investigates the effectiveness of strategies to promote adherence to treatment of patient with pulmonary tuberculosis. Questions: 1. What are the existing strategies to promote adherence to treatment of patient with pulmonary tuberculosis? 2. What is the best strategy to promote adherence to tuberculosis treatment of patient with pulmonary tuberculosis? Criteria for considering studies for this review: Type of participants: This review will consider all studies that included adults (over 15 years) diagnosed with smear positive and smear negative pulmonary tuberculosis in community setting who started a new course of TB treatment or who has taken anti-TB drugs for less than 4 weeks and regardless of HIV infection. Type of intervention: Interventions of interest are those related to strategies to promote adherence to treatment including Directly Observed Treatment (DOT), Directly Observed Treatment Short-course (DOTS), health education, home visit, self-administrated or supervised therapy, reminders and prompts to re-attend, financial incentives to return, reinforced counseling, and having lay health workers. Type of outcome measures: Completion rate means percentage of patients who completed the required treatment course and no result of sputum exam. Cure rate means percentage of patients who negative sputum exam at the end of treatment and/or at least one previous. Success rate means the sum of completion rate and cure rate.
{"title":"Strategies to Promote Adherence to Treatment of Tuberculosis Patients","authors":"Wongduan Suwannakeeree, W. Picheansathian","doi":"10.11124/JBISRIR-2009-602","DOIUrl":"https://doi.org/10.11124/JBISRIR-2009-602","url":null,"abstract":"Objectives: To review the best available research literature that investigates the effectiveness of strategies to promote adherence to treatment of patient with pulmonary tuberculosis. Questions: 1. What are the existing strategies to promote adherence to treatment of patient with pulmonary tuberculosis? 2. What is the best strategy to promote adherence to tuberculosis treatment of patient with pulmonary tuberculosis? Criteria for considering studies for this review: Type of participants: This review will consider all studies that included adults (over 15 years) diagnosed with smear positive and smear negative pulmonary tuberculosis in community setting who started a new course of TB treatment or who has taken anti-TB drugs for less than 4 weeks and regardless of HIV infection. Type of intervention: Interventions of interest are those related to strategies to promote adherence to treatment including Directly Observed Treatment (DOT), Directly Observed Treatment Short-course (DOTS), health education, home visit, self-administrated or supervised therapy, reminders and prompts to re-attend, financial incentives to return, reinforced counseling, and having lay health workers. Type of outcome measures: Completion rate means percentage of patients who completed the required treatment course and no result of sputum exam. Cure rate means percentage of patients who negative sputum exam at the end of treatment and/or at least one previous. Success rate means the sum of completion rate and cure rate.","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"7 1","pages":"271-281"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11124/JBISRIR-2009-602","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63416281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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