JBI evidence synthesis最新文献

{"title":"Effectiveness of manual techniques, exercise therapy, or combined treatments in the management of ankle sprains or chronic ankle instability in adult athletes: a systematic review protocol.","authors":"Stéphanie Grosdent, François Léonard, Christophe Demoulin, Aude Aguilaniu, Benjamin Hidalgo, Nancy Durieux","doi":"10.11124/JBIES-24-00057","DOIUrl":"https://doi.org/10.11124/JBIES-24-00057","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this review will be to synthesize the evidence on the effectiveness of manual techniques, exercise therapy, or combined treatments in the management of ankle sprains and chronic ankle instability in adult athletes.</p><p><strong>Introduction: </strong>Acute ankle sprains and chronic ankle instability are common in athletes. These conditions can result in varying degrees of disability, including reduced athletic performance and time out of competition, which may have adverse psychological effects.</p><p><strong>Inclusion criteria: </strong>The review will consider randomized controlled trials evaluating the effectiveness of manual techniques and/or exercise therapy for ankle sprain or chronic ankle instability in adult athletes. The comparators will include sham treatment, no treatment, and other conservative interventions. The outcomes of interest will be pain intensity, functional disability, ankle joint range of motion, ankle muscle strength, postural control, and subjective stability.</p><p><strong>Methods: </strong>The review will follow the JBI methodology for systematic reviews of effectiveness. Searches will be conducted to locate published and unpublished studies in the following sources: MEDLINE (Ovid), CENTRAL (Ovid), Embase, SPORTDiscus (EBSCOhost), Physiotherapy Evidence Database (PEDro), Google Scholar, ClinicalTrials.gov, and the WHO International Clinical Trials Registry Platform (ICTRP). Two independent reviewers will select the study, critically appraise it, and extract data. Then, a narrative synthesis and, if appropriate, a meta-analysis will be performed. The certainty of findings will be determined using the GRADE approach.</p><p><strong>Systematic review registration number: </strong>PROSPERO CRD42023493687.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781248","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}

{"title":"The literature exploring the perspectives and experiences of racialized students in entry-level health professional education programs: a scoping review protocol.","authors":"Sarah Arulchelvam, Manshi Rana, Joshua John Jexy, Siyani Kugathasan, Sukham Sohal, Jocelyn Ye, Nicholas Young, Jasdeep Dhir","doi":"10.11124/JBIES-24-00209","DOIUrl":"https://doi.org/10.11124/JBIES-24-00209","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this scoping review is to determine the breadth of literature exploring the perspectives and experiences of racialized students in entry-level health professional education programs.</p><p><strong>Introduction: </strong>Despite the implementation of equity, diversity, and inclusion policies and alternative admission criteria for minority students, racialized minorities continue to be underrepresented and have the highest attrition rate in health professional education programs. Furthermore, the students who eventually work in health care settings report experiences of microaggressions and prejudice. By not exploring the experiences of racialized students in health professional programs, equity, diversity, and inclusion policies and curricula risk becoming irrelevant or performative.</p><p><strong>Inclusion criteria: </strong>Studies exploring the perspectives and experiences of racism and discrimination, or related concepts, among non-dominant ethno-racial (eg, Indigenous, Black, South Asian, Asian, Hispanic, Pacific Islander), entry-level health professional students will be included. Experimental study designs as well as observational and qualitative studies will also be included.</p><p><strong>Methods: </strong>The review will be conducted in line with the JBI methodology for scoping reviews. Five databases will be searched, namely, MEDLINE (Ovid), Embase (Ovid), CINAHL (EBSCOhost), ERIC, and Global Health (Ovid), with no limitations on language or year. A gray literature search of relevant websites will also be conducted. Two reviewers will independently screen articles against the inclusion criteria and extract and summarize data. Disagreements will be resolved through discussion or with a third reviewer.</p><p><strong>Review registration: </strong>Open Science Framework https://osf.io/4bhg6.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":"23 4","pages":"822-830"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812357","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}

{"title":"Global status of chiropractic education research and scholarly publications: a scoping review.","authors":"Claire D Johnson, Bart N Green, Lyndon G Amorin-Woods, Ilija Arar, Kara D Burnham, David C Byfield, Joel P Carmichael, Waleska Crespo, Philip Dewhurst, Chantal Doucet, Andrew S Dunn, Marina Fox, Navine Haworth, Adrian G W Hunnisett, Russ Iwami, Amanda Jones-Harris, Carolina Kolberg, Charmaine M Korporaal, Craig S Little, Celia P Maguire, Kevin S Mathers, Daniel Moore, John P Mrozek, Sharné Naidoo, Robert M Rowell, Gary Schultz, Gregory J Snow, Stephanie G B Sullivan, Krista L Ward, Stephney Whillier, David Wickes, Yi Kai Wong, Christopher Yelverton","doi":"10.11124/JBIES-24-00122","DOIUrl":"10.11124/JBIES-24-00122","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This scoping review aimed to map the volume (number of studies) and nature (topics and designs) of chiropractic education research and scholarly publications on chiropractic learners and programs worldwide.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Despite the expansion of the chiropractic profession and its recognition by entities such as the World Health Organization, a gap exists in comprehending the international landscape of chiropractic education. No prior studies have systematically mapped the volume and nature of chiropractic education research and scholarly publications. A scoping review of chiropractic education research and scholarly publications is needed to guide future policy development, research agendas, and educational initiatives within the chiropractic profession.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Inclusion criteria: &lt;/strong&gt;Publications in the indexed literature on chiropractic students, graduates, academics, and programs in any chiropractic education setting were included. Studies focused on chiropractic programs and education for chiropractic students or chiropractors worldwide were considered for inclusion. All research designs, literature reviews, descriptive studies, and commentaries were included.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This scoping review was conducted according to JBI methodology for scoping reviews and was reported in line with the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). The databases PubMed (NLM), Scopus, CINAHL via EBSCOhost, Index to Chiropractic Literature, Biblioteca Virtual em Saúde, and Educational Resources Information Center were searched from their inception to November 5 and 6, 2023, with no language limits. Data were extracted for primary topics, study designs, and regions of the included documents and entered in Covidence by paired independent reviewers. The findings were organized into figures and tables with a narrative description.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The search identified 7494 documents. After deduplication, 5041 were screened for relevance, of which 667 were selected for full-text review. From these, 598 were selected for data extraction. The chiropractic education topics included values/ethical competence (n=3), personal/behavioral competence (n=34), knowledge and cognitive competence (n=49), functional and clinical competence (n=93), and program-relevant research (n=419). Most designs were quantitative (n=391), followed by descriptive reports (n=91), qualitative (n=43), mixed methods (n=40), commentaries (n=22), and literature reviews (n=11). Chiropractic education was most studied in the United States (n=359), Australia (n=116), and Canada (n=106).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;This scoping review reports the volume and nature of indexed publications relating to chiropractic learners and programs worldwide. This body of literature contains learner competencies in knowledge, skills, and attitude","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":"638-703"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11974619/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143365773","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}

{"title":"Outcomes associated with family presence at the bedside of critically ill children in the pediatric intensive care unit: a scoping review.","authors":"Nicole Fakhory, Kaleigh Lang, Molly Ryan, Laurie A Lee, Jamie A Seabrook, Martha Walls, Corey Slumkoski, Jennifer R Foster","doi":"10.11124/JBIES-23-00554","DOIUrl":"https://doi.org/10.11124/JBIES-23-00554","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;The objective of this review is to identify the outcomes of family presence in pediatric intensive care units (PICUs) that have been studied and reported in the literature.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;PICU admission can be traumatic for children and their families. While family presence at the patient bedside is recommended to support family participation and engagement in care and is supported in recent family-centered care guidelines, it is not consistently optimized. To guide family presence research, a scoping review is needed to identify outcomes associated with family presence.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Inclusion criteria: &lt;/strong&gt;This review included quantitative, qualitative, and mixed methods studies published from 1960 to 2022 in any language that reported outcomes of family presence at the bedside in the PICU for patients, their family members, and PICU health care professionals (HCPs).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Following JBI methodology for scoping reviews, we searched MEDLINE (Ovid), PsycINFO (EBSCOhost), CINAHL (EBSCOhost), Embase, as well as 16 sources of gray literature for studies that addressed outcomes of family presence at the bedside in the PICU as they relate to the key players. Two independent reviewers screened titles and abstracts, followed by full texts of selected records according to the inclusion criteria. A priori, we identified categories of outcomes (biologic, psychologic, social, caring behavior) and key groups (HCPs, patients, families) to which the outcomes may apply. Data were extracted by 2 independent reviewers using a data extraction tool developed by the study team. Data were presented in tabular format to address findings related to the review objectives.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;We identified 12,411 records through database searches, backward reference chaining, and gray literature searching. We removed 3012 duplicates, excluded 9244 records at the title and abstract review, and excluded 92 reports after full-text review. We extracted data from 62 reports of which 12 were mixed methods, 25 were quantitative, and 25 were qualitative spanning from 1982 to 2022.Of 46 unique outcomes, 39 reports addressed 28 outcomes for family members (psychologic n=13, social n=8, biologic n=5, caring behavior n=2; most common was stress, n=11 reports). Twenty reports addressed 16 outcomes for patients (psychologic n=7, social n=0, biologic n=6, caring behavior n=2, and other outcomes n=1; most common was out-of-bed mobilization, n=4 reports). Eleven reports addressed 9 outcomes for HCPs (psychologic n=3, social n=2, biologic n=0, caring behavior n=3, and other outcomes n=1; most common was procedural performance, n=3). The most frequently studied biologic outcome was sleep (n=7 reports; family members n=6, patients n=1), psychologic outcome was stress (n=13 reports; family members n=11, HCPs n= 2), social outcomes were role changes (n=4 reports; family members n=3, HCPs n=1) and fi","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754965","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}

{"title":"Facilitator development for pre-registration health professions simulation: a scoping review protocol.","authors":"Renée Gordon, Jaime Riley, Diana Dupont, Beth Rogers, Richelle Witherspoon, Kelly Day, Elizabeth Horsley, Laura Killam","doi":"10.11124/JBIES-24-00130","DOIUrl":"https://doi.org/10.11124/JBIES-24-00130","url":null,"abstract":"<p><strong>Introduction: </strong>The growing demand for health professional education intensifies the need for learning innovations such as simulation: facilitating predictable, realistic, experiential learning that prepares students for practice. To achieve this, facilitators must provide pedagogically sound, psychologically safe simulation. High-quality simulation enhances students' self-efficacy, critical thinking, and clinical reasoning. Despite increasing integration of simulation into curricula, best practices for facilitator development remain unknown, risking the quality and safety of simulations.</p><p><strong>Objective: </strong>This scoping review will identify the extent and type of evidence guiding the development of simulation facilitators in pre-registration health professional programs for any type and stage of simulation.</p><p><strong>Inclusion criteria: </strong>This review will consider reports on simulation facilitator development for educators of pre-registration health professional students in academic settings. The simulation may be delivered using any delivery modality and in any language. Reports focused on simulation facilitators working in professional settings, within graduate programs, or with already licensed learners will be excluded.</p><p><strong>Methods: </strong>The review will follow the JBI methodology for scoping reviews. The databases to be searched will include CINAHL (EBSCOhost), Embase, ERIC (EBSCOhost), MEDLINE (Ovid), and ProQuest Dissertation and Theses, from 2005 to the present. Titles and abstracts, followed by full-text articles, will be screened by 2 independent reviewers. Data will be extracted using a pre-defined data extraction form and content analysis will be conducted. Extracted data will be presented using tables, charts, and a narrative summary.</p><p><strong>Review registration: </strong>Open Science Framework: https://osf.io/wf9zc.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":"23 4","pages":"812-821"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143811835","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}

{"title":"Caregivers' experiences of feeding children with cerebral palsy: a systematic review of qualitative evidence.","authors":"Christine Taylor, Nadia Badawi, Iona Novak, Jann Foster","doi":"10.11124/JBIES-24-00208","DOIUrl":"10.11124/JBIES-24-00208","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;The objective of this review was to investigate the feeding experiences of caregivers of children with cerebral palsy, in any setting, by identifying, critically appraising, and synthesizing the relevant literature.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Feeding difficulties in children with cerebral palsy are common and affect both children and caregivers. Difficulties include dysphagia and risk of aspiration, which can result in poor growth and development. Caregivers find feeding challenging and stressful due to the time involved, fear of aspiration, and the pressure of meeting other family demands. Finding ways to support caregivers effectively in feeding will have important health and quality-of-life outcomes for caregivers and their children with cerebral palsy.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Inclusion criteria: &lt;/strong&gt;Studies with qualitative data exploring informal caregivers' experiences (eg, perspectives, challenges, feelings) of feeding children with cerebral palsy, in any country or setting, were included. Informal caregivers (eg, parents, foster carers, grandparents) could be of any age, gender, or cultural background. Children with cerebral palsy of any severity level were included. Formal caregivers, such as health professionals, were ineligible. The feeding method could include oral feeding, tube feeding, or both.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The JBI methodology for systematic reviews of qualitative evidence was followed. The databases searched on June 27, 2023, included CINAHL (EBSCOhost), APA PsycINFO (Ovid), MEDLINE (Ovid), ProQuest Central, Scopus, and ProQuest Dissertations and Theses. Two members of the review team independently screened titles and abstracts, and full texts of eligible studies. Three members of the review team independently appraised selected studies for methodological quality. The meta-aggregation approach was used for data synthesis to pool findings from included studies to form categories and synthesized findings. Finally, the ConQual approach was used to establish confidence in the synthesized findings based on their dependability and credibility.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;From the literature search and citation searching, 619 records were screened, from which 10 studies were included in the review. A total of 196 findings were extracted for analysis, which resulted in 19 categories and 5 synthesized findings. The synthesized findings were \"Feeding and feeding difficulties,\" \"Caregiver emotions and burden around feeding a child with cerebral palsy,\" \"Caregiver support and feeding,\" \"Feeding, social interaction, and mothering,\" and \"Gastrostomy tube decisions and perceptions.\" The overall ConQual score for each synthesized finding was rated as low.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Feeding a child with CP was a difficult experience for caregivers. Caregivers were able to problem-solve feeding issues, but they often felt unsupported by health professionals and services. Feeding neg","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":"704-755"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516998","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}

{"title":"Perinatal care experiences of women living with disability in Africa: a qualitative systematic review protocol.","authors":"Dawit Gebeyehu Mekonen, Erna Snelgrove-Clarke, Danielle Macdonald, Catherine Donnelly, Eshetu Engeda","doi":"10.11124/JBIES-23-00513","DOIUrl":"https://doi.org/10.11124/JBIES-23-00513","url":null,"abstract":"<p><strong>Objective: </strong>This review will explore the perinatal care experiences of women living with disability in African countries.</p><p><strong>Introduction: </strong>In many African countries, most women with disability face stigma and discrimination. They are also at risk of unwanted pregnancy and sexually transmitted diseases due to gender-based violence and sexual abuse. Qualitative studies on perinatal care experiences of women with disability in Africa indicate challenges such as social stereotypes, lack of access to health facilities, and insensitivity from health professionals. Synthesizing the qualitative findings about the perinatal care experiences of women with disability in Africa will provide insights into the needs of this population and identify gaps in health care practice.</p><p><strong>Inclusion criteria: </strong>We will include all settings in which women with disability in Africa receive maternal health care services, such as hospitals, clinics, primary care, community health centers, and homes. We will consider studies published from 2008 onward that present qualitative data, including designs such as phenomenology, grounded theory, ethnography, action research, and feminist research.</p><p><strong>Methods: </strong>The review will be conducted in line with the JBI methodology for systematic reviews of qualitative evidence. The following databases will be searched: Global Health, CINHAL (EBSCOhost), MEDLINE (Ovid), Web of Science, Embase (Ovid), Sabinet African Journals, and PsycINFO (EBSCOhost). Theses and dissertations will be searched through ProQuest Dissertations and Theses and Google Scholar. Two independent reviewers will conduct study selection, critical appraisal, data extraction, and meta-aggregation. Confidence in the findings will be assessed in accordance with the ConQual approach.</p><p><strong>Review registration: </strong>PROSPERO CRD42023431799.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":"23 4","pages":"772-780"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812345","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}

{"title":"Equitable health care delivery for adult Nova Scotians: a scoping review protocol.","authors":"Jennifer Lane, Brittany Barber, Holly McCulloch, Helen Wong, Neil Forbes, Neda Alizadeh Takhtehchoobi, Marwa Kuri, Kelly Lackie, Christine Cassidy, Lori Wozney, Janet Curran, Kris Lane, Kendra MacEachern, Hallie Thompson, Cyril O'Brien, Elizabeth Obeng Nkrumah, Courtney Pennell, Darius Sheppard, Drew Burchell, Marilyn Macdonald","doi":"10.11124/JBIES-24-00138","DOIUrl":"https://doi.org/10.11124/JBIES-24-00138","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this review is to identify international and Nova Scotian standards of care, clinical practice guidelines (CPGs), and policies informing equitable health care.</p><p><strong>Introduction: </strong>The lack of attention given to intersectional health care needs of diverse populations perpetuates health inequities among underserved groups, creating an urgent need for health care reform globally.</p><p><strong>Inclusion criteria: </strong>This scoping review will include standards of care, CPGs, and policies focusing on equity-related health indicators. Academic and gray literature sources, published from 2014 to present, will be considered if they relate to one or more defined equity-related health indicators. Sources will be excluded if they do not explicitly relate to standards of care, CPGs, or policies for equitable health care delivery.</p><p><strong>Methods: </strong>This scoping review will be guided by intersectionality theory and conducted in accordance with the JBI methodology for scoping reviews. Academic databases MEDLINE ALL (Ovid) and Embase will be searched using identified search terms. An advanced Google search will be undertaken to identify gray literature sources. A 2-phased approach will be conducted to identify sources that will be synthesized and presented in tabular format using equity-related health indicators, providing an inventory of health equity standards of care, CPGs, or policies to be disseminated to health care providers in Nova Scotia.</p><p><strong>Review registration: </strong>Open Science Framework https://osf.io/6rnx2.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":"23 4","pages":"781-791"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812731","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}

{"title":"The effectiveness of unimodality organ preservation surgery vs radiotherapy for early hypopharyngeal cancer: a systematic review protocol.","authors":"Delu Gunasekera, Sahil Goel, Stephen Kao, Suren Krishnan, John Charles Hodge, Andrew Foreman, Jennifer Stone","doi":"10.11124/JBIES-24-00120","DOIUrl":"10.11124/JBIES-24-00120","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this review is to determine the comparative effectiveness of unimodality organ preservation surgery versus radiotherapy on oncological and functional outcomes in patients with early hypopharyngeal cancer.</p><p><strong>Introduction: </strong>Early hypopharyngeal cancer is difficult to detect and, therefore, rarely diagnosed, as patients are often asymptomatic. Radiotherapy is considered the main treatment, although this modality has been compared to the previously used open surgical approach, which may not reflect current surgical options. This is reflected in the available literature, with a paucity of data on management guidelines. Minimally invasive surgery is providing better access to the hypopharynx, such as CO 2 laser microsurgery and transoral robotic surgery. These novel surgical procedures may pave the way for revised guidelines to managing hypopharyngeal cancer.</p><p><strong>Inclusion criteria: </strong>We will include randomized controlled trials and quasi- (or pseudo-randomized) experimental studies that investigate organ preservation surgery and radiotherapy treatments for early hypopharyngeal cancer in adults with primary disease. Primary outcomes include disease-free survival of 2 years or up to 5-year overall survival. Secondary outcomes are functional, including swallowing, phonation, and complications associated with treatment, such as post-procedural hemorrhage; return to theater or operating room; tracheostomizing patients; post-radiation mucositis; dysphagia/odynophagia; and xerostomia.</p><p><strong>Methods: </strong>The review will follow the JBI methodology for systematic reviews of effectiveness. Four databases will be searched: PubMed, Embase (Ovid), CINAHL (EBSCOhost), and the Cochrane Library. Two independent reviewers will screen studies and assess methodological quality using the JBI critical appraisal tools. Individual study estimates will be pooled in a meta-analysis and presented in forest plots.</p><p><strong>Review registration: </strong>PROSPERO CRD42023400206.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":"756-764"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11974615/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804336","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}

{"title":"Paramedic assessment of suspected or confirmed COVID-19 patients in the out-of-hospital environment: a scoping review protocol.","authors":"Thomas Gleeson-Hammerton, James Pearce, Marion Eckert, Adrian Esterman, Micah D J Peters","doi":"10.11124/JBIES-24-00069","DOIUrl":"https://doi.org/10.11124/JBIES-24-00069","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this review is to develop a comprehensive collection of information about the current processes for paramedics assessing and referring patients with suspected or confirmed COVID-19 in the out-of-hospital environment.</p><p><strong>Introduction: </strong>Paramedics and ambulance service clinicians commonly encounter patients with COVID-19. Increased demand on ambulance services has resulted in many of these services developing alternative referral pathways to avoid unnecessary conveyance to emergency departments. There is not a strong body of literature or rigorous clinical practice guideline on this topic to support the assessment and referral decision-making for patients with COVID-19 in the out-of-hospital setting.</p><p><strong>Inclusion criteria: </strong>Any sources of evidence on patients with suspected or confirmed COVID-19 in the out-of-hospital environment who are seeking care for COVID-19-related symptoms and being assessed by paramedics will be considered for inclusion. Sources from scholarly literature and gray literature, such as ambulance service clinical practice guidelines, will be included. Sources from Australia, Aotearoa New Zealand, the US, Canada, and the UK will be included.</p><p><strong>Methods: </strong>The review will be guided by the JBI methodology for scoping reviews and will be reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). A database search for scholarly literature will be performed, followed by a gray literature search. Databases will include MEDLINE (Ovid), CINAHL (EBSCOhost), Scopus (Ovid), Emcare (Ovid), Embase (Ovid), amber, JBI Evidence Synthesis , the Cochrane Database of Systematic Reviews, and Epistemonikos. Gray literature will include clinical practice guidelines, protocols, and procedures obtained from ambulance service websites and apps. Results will be presented through figurative, tabular, and narrative synthesis methods.</p><p><strong>Review registration: </strong>Open Science Framework https://osf.io/yc7vq.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":"23 4","pages":"801-811"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143811972","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}