JBI library of systematic reviews最新文献

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A systematic review of the effectiveness of nurse coordinated transitioning of care on readmission rates for patients with heart failure. 系统回顾护士协调过渡护理对心力衰竭患者再入院率的影响。
JBI library of systematic reviews Pub Date : 2010-10-13 DOI: 10.11124/01938924-201109150-00001
J. Slyer, C. Concert, A. M. Eusebio, M. E. Rogers, J. Singleton
{"title":"A systematic review of the effectiveness of nurse coordinated transitioning of care on readmission rates for patients with heart failure.","authors":"J. Slyer, C. Concert, A. M. Eusebio, M. E. Rogers, J. Singleton","doi":"10.11124/01938924-201109150-00001","DOIUrl":"https://doi.org/10.11124/01938924-201109150-00001","url":null,"abstract":"Review question/objective: The objective is to identify the best available evidence on effectiveness of nurse coordinated transitioning of care between hospital and home on all hospital readmission rates in hospitalized adult patients with heart failure. Inclusion criteria: Types of participants: This review will consider studies that include adult patients, 18 years of age or older, hospitalised with heart failure being discharged to home. Types of intervention(s)/phenomena of interest: This review will consider studies that evaluate all models of nurse coordinated transitioning of care from hospital to home, limited to inpatient care coupled with post-discharge home-based and/or telephone education and support by a nurse. Types of outcomes: This review will consider studies that include the following outcome measures: all hospital readmission rates with a focus on 30 day readmissions.","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"8 24 Suppl 1","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2010-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63414767","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}
引用次数: 3
The systematic review of the effectiveness and meaningfulness of telephone pre-operative assessment for adults. 成人术前电话评估的有效性和意义的系统评价。
JBI library of systematic reviews Pub Date : 2010-09-30 DOI: 10.11124/JBISRIR-2010-605
S. Ireland, B. Kent
{"title":"The systematic review of the effectiveness and meaningfulness of telephone pre-operative assessment for adults.","authors":"S. Ireland, B. Kent","doi":"10.11124/JBISRIR-2010-605","DOIUrl":"https://doi.org/10.11124/JBISRIR-2010-605","url":null,"abstract":"Questions: 1. Is telephone preoperative assessment as effective as face‐to‐face preadmission clinic visits in terms of preparing the patient for elective surgery? 2. What are the perioperative experiences of adult patients who have received telephone based preoperative preparation prior to elective surgery? Objectives: This review will examine the best available evidence in regard to preoperative telephone patient assessment and preparation to determine the impact of this intervention on patient knowledge and expectations of their surgery and anaesthesia, compliance with preoperative and postoperative preparations, their levels of fear and anxiety, reduction in cancellations on day of surgery in comparison to face‐to‐face assessment. This review will also examine the patient experiences and satisfaction with this method of assessment. Thus both the evidence related to effectiveness and meaningfulness of telephone preoperative preparation on patient preparedness for elective surgery will be explored and synthesized. This will include a comparison of telephone assessment with face to face consultation in the preoperative preparation of the adult patient in day of surgery admission patients. Inclusion Criteria: Types of Participants: For both the quantitative and qualitative components this review will consider studies that include adult (> 18 years) patients having elective day or inpatient surgery in a hospital setting who have had a telephone preoperative consultation or face‐to‐face preadmission clinic visit. Emergency surgery is to be excluded. Phenomena of interest: The qualitative component of this review will focus on the experiences of patients who have utilised telephone based preoperative assessment. The quantitative component will focus on the comparison of effect of telephone‐based patient preparation for elective surgery with face‐to‐face preparation. Type of outcome: The quantitative component of the review will consider studies that include the following outcome measures related to the patient preparation for surgery including: • patient understanding and expectations of postoperative pain, nausea, anxiety, medication management and discharge planning • knowledge of procedure and anaesthetic, and informed consent • informed consent • anxiety • pain management • medication management • patient understanding and compliance with preoperative and postoperative activities","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"8 16 Suppl 1","pages":"1-16"},"PeriodicalIF":0.0,"publicationDate":"2010-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11124/JBISRIR-2010-605","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63416408","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}
引用次数: 0
COMMUNITY HEALTH WORKERS IN THE CONTROL OF MALARIA AND NEGLECTED TROPICAL DISEASES IN SUB SAHARAN AFRICA: A SYSTEMATIC REVIEW. 撒哈拉以南非洲控制疟疾和被忽视的热带病的社区卫生工作者:系统审查。
JBI library of systematic reviews Pub Date : 2010-08-11 DOI: 10.11124/JBISRIR-2010-580
Ivan Emil, K. Njunwa, J. Ntaganira
{"title":"COMMUNITY HEALTH WORKERS IN THE CONTROL OF MALARIA AND NEGLECTED TROPICAL DISEASES IN SUB SAHARAN AFRICA: A SYSTEMATIC REVIEW.","authors":"Ivan Emil, K. Njunwa, J. Ntaganira","doi":"10.11124/JBISRIR-2010-580","DOIUrl":"https://doi.org/10.11124/JBISRIR-2010-580","url":null,"abstract":"Review Objective This review comprises of a quantitative and a qualitative component, which together aim to examine the role of CHWs in the control of malaria and NTDs. More specifically, the review question(s) are: Quantitative • Are the services provided by CHWs effective in the control of NTDs in comparison with those provided by trained healthcare professionals in sub-Saharan Africa? • Are the services provided by CHWs effective in the control of malaria in comparison with those provided by trained healthcare professionals in sub-Saharan Africa? Qualitative What are the experiences of CHWs in delivering tools and drugs for the control of malaria and NTDs in sub-Saharan Africa? Criteria for considering studies for this review Types of participants Quantitative This component of the review will consider studies that include the effectiveness of services provided by CHWs living in sub Saharan Africa Qualitative This component of the review will consider studies that include CHWs living in sub Saharan Africa Types of interventions/Phenomena of Interest Quantitative This component of the review will consider studies that include the following interventions provided by CHWs: • Antimalarial interventions such as distribution of Artemisinin based combination therapy (ACTs). • Distribution of insecticide-treated nets to household level. • Administration of Chemoprophylaxis and intermittent preventive treatment. • Sensitization for insecticide residual house spraying Qualitative This component of the review will consider studies that include the experiences of CHWs in delivering antimalarial and NTD treatments in sub Saharan Africa. Types of outcome measures/anticipated outcomes Quantitative This component of the review may anticipate outcomes that impact on a whole population or may impact on an individual level as follows: Population outcomes may include: Incidence or prevalence of malaria and/or NTDs, morbidity/mortality rates, use of insecticide treated nets, acceptability and coverage of residual house spraying, use of intermittent presumptive treatment, reduced number of people who complete preventive treatment for malaria and NTD cases, anaemia rates, parasite density, parasite rates and fever rates. Proportion of under-5 malaria cases proportion of cases receiving correct dose, community awareness of educational messages of antimalarial and NTDs, TRUNCATED AT 350 WORDS","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"8 16 Suppl 1","pages":"1-21"},"PeriodicalIF":0.0,"publicationDate":"2010-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11124/JBISRIR-2010-580","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63416398","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}
引用次数: 0
A systematic review of the effectiveness of Evidence Based Practice (EBP) programs for allied health professionals. 基于证据的实践(EBP)程序的有效性的系统审查,为专职卫生专业人员。
JBI library of systematic reviews Pub Date : 2010-06-11 DOI: 10.11124/JBISRIR-2010-850
J. Dizon, L. Lizarondo
{"title":"A systematic review of the effectiveness of Evidence Based Practice (EBP) programs for allied health professionals.","authors":"J. Dizon, L. Lizarondo","doi":"10.11124/JBISRIR-2010-850","DOIUrl":"https://doi.org/10.11124/JBISRIR-2010-850","url":null,"abstract":"Review Objectives: The objective of this review is to find, a ssess and synthesize the evidence on EBP programs in enhancing the EBP knowledge, skills and attitudes of allied health practitioners. Review questions: What is the effectiveness of using EBP programs for allied health practitioners in improving the EBP knowledge, skills and attitudes Inclusion criteria: Types of participants: This review will include as participants allied health practitioners (physiotherapists, occupational therapists etc) who participated in any EBP educational program or part of an EBP program (formulating clinical questions, searching the literature, critical appraisal skills program etc). Types of interventions: The intervention of interest in this review is any EBP training program defined as any formal program facilitating the search and use of evidence in practice. The contents (lectures only or lectures with actual demonstrations and practice), length (hours, days, weeks) and manner of delivery (face to face, face to face with supplementary materials etc) of the program may vary in each of the studies to be included as there is no standard EBP training program. Types of Outcome: The main outcomes measured are the EBP domains of knowledge, skills, attitudes and behaviour as a result of participating in the EBP program or a component of it. Specific measures may include but not limited to the use of the adapted Fresno questionnaire (22) to assess knowledge, skills and attitudes to EBP. The adapted Fresno question has good psychometric properties and is especially fitting novice rehabilitation professionals undergoing EBP training.","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"8 8 Suppl 1","pages":"1-13"},"PeriodicalIF":0.0,"publicationDate":"2010-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63416159","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}
引用次数: 2
Benefits and associated risks of using allograft, autograft and synthetic bone fusion material for patients and service providers - A Systematic Review. 对患者和服务提供者使用同种异体移植物、自体移植物和合成骨融合材料的益处和相关风险——系统综述
JBI library of systematic reviews Pub Date : 2010-06-11 DOI: 10.11124/JBISRIR-2010-851
G. Aitken, Gordon Hill
{"title":"Benefits and associated risks of using allograft, autograft and synthetic bone fusion material for patients and service providers - A Systematic Review.","authors":"G. Aitken, Gordon Hill","doi":"10.11124/JBISRIR-2010-851","DOIUrl":"https://doi.org/10.11124/JBISRIR-2010-851","url":null,"abstract":"Review Questions/Objectives: Review objective: The review objective is to determine the benefits and associated risks of using autograft, allograft and synthetic bone fusion material for patients and service providers relating to spinal fusion. Review questions are: • What are the benefits to patients relating to the use of autograft, allograft or synthetic bone fusion material when undergoing spinal fusion? • What are the associated risks to patients relating to the use of autograft, allograft or synthetic bone fusion material when undergoing spinal fusion? • What are the benefits to service providers relating to the use of autograft, allograft or synthetic bone fusion material when undergoing spinal fusion? • What are the associated risks to service providers relating to the use of autograft, allograft or synthetic bone fusion material when undergoing spinal fusion? Inclusion Criteria: Types of participants: The review will consider studies that include adult (16 and over) patients who have undergone a spinal fusion procedure, for any reason, using autograft, allograft or synthetic bone fusion material and service providers for spinal fusion procedure. Types of interventions: Spinal fusion procedure, for any reason, using autograft, allograft or synthetic bone fusion material for adult (16 and over) patients. Types of outcomes: Benefits to patients, benefits to service providers, associated risks to patients, associated risks to service providers, such as but not limited to (measured using all the methods, instruments, scales used/specified by authors of primary research studies): • Length of hospitalisation post operatively • Postoperative pain • Patient mobility • Post operative infection • Quality of Life / Functional ability • Treatment satisfaction.","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"10 1","pages":"1-13"},"PeriodicalIF":0.0,"publicationDate":"2010-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11124/JBISRIR-2010-851","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63416166","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}
引用次数: 7
The perceived benefits and associated risks of using allograft, autograft and synthetic bone fusion material: the experiences of patients and service providers - A Systematic Review. 使用同种异体骨移植、自体骨移植和合成骨融合材料的获益和相关风险:患者和服务提供者的经验-系统综述
JBI library of systematic reviews Pub Date : 2010-06-11 DOI: 10.11124/JBISRIR-2010-852
Gordon Hill, L. Kilbride
{"title":"The perceived benefits and associated risks of using allograft, autograft and synthetic bone fusion material: the experiences of patients and service providers - A Systematic Review.","authors":"Gordon Hill, L. Kilbride","doi":"10.11124/JBISRIR-2010-852","DOIUrl":"https://doi.org/10.11124/JBISRIR-2010-852","url":null,"abstract":"Review Questions/Objectives: The Review objective is: to determine the perceived benefits and associated risks of using autograft, allograft and synthetic bone fusion material by investigating the experiences of patients and service providers relating to spinal fusion. The review questions are: • What are the experiences of patients relating to the use of autograft, allograft or synthetic bone fusion material when undergoing spinal fusion? • What are the associated risks experienced by patients relating to the use of autograft, allograft or synthetic bone fusion material when undergoing spinal fusion? • What are the experiences of service providers relating to the use of autograft, allograft or synthetic bone fusion material when undergoing spinal fusion? • What are the associated risks experienced by service providers relating to the use of autograft, allograft or synthetic bone fusion material when undergoing spinal fusion? Inclusion Criteria: Types of participants: The review will consider studies that include service providers using autograft, allograft or synthetic bone fusion material and adult (16 and over) patients who have undergone a spinal fusion procedure, for any reason, using autograft, allograft or synthetic bone fusion material. Phenomena of Interest: • the patients experiences and subjective accounts of benefits and risks related to the use of autograft, allograft or synthetic bone fusion material when undergoing spinal fusion • the service providers experiences and subjective accounts of benefits and risks related to the use of autograft, allograft or synthetic bone fusion material when undergoing spinal fusion","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"8 8 Suppl 1","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"2010-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63416177","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}
引用次数: 0
The meaningfulness and appropriateness of using human patient simulation manikins as a teaching and learning strategy in undergraduate nursing education: a systematic review. 在本科护理教育中使用人体病人模拟模型作为教学策略的意义和适当性:系统综述。
JBI library of systematic reviews Pub Date : 2010-05-14 DOI: 10.11124/01938924-201008081-00021
Samuel Lapkin, T. Levett-Jones, H. Bellchambers
{"title":"The meaningfulness and appropriateness of using human patient simulation manikins as a teaching and learning strategy in undergraduate nursing education: a systematic review.","authors":"Samuel Lapkin, T. Levett-Jones, H. Bellchambers","doi":"10.11124/01938924-201008081-00021","DOIUrl":"https://doi.org/10.11124/01938924-201008081-00021","url":null,"abstract":"Review question/objective Objective The aim of this review is to identify the best available evidence on the meaningfulness and appropriateness of integrating human patient simulation manikins (HPSMs) into undergraduate nursing education. Review Questions This review will systematically examine the evidence to answer the following questions: 1. What are the perspectives and experiences of students and academics on the appropriateness and meaningfulness of the use of HPSMs in undergraduate nursing education? 2. What teaching and learning practices with HPSM are considered appropriate and meaningful by students and academics? Inclusion criteria Types of participants  The review will consider studies that include undergraduate nursing students and academics who are involved in  undergraduate education. Studies that consider other allied health care professionals will be excluded unless data for undergraduate nursing students are included and analysed separately. Types of intervention(s)/phenomena of interest The review will consider as phenomena of interest the experiences, values, opinions, beliefs and interpretations of undergraduate nursing students and academics using HPSM for teaching and learning purposes.","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"8 8 Suppl 1","pages":"1-16"},"PeriodicalIF":0.0,"publicationDate":"2010-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63414809","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}
引用次数: 1
The accuracy of Influenza A (H1N1) "swine flu" laboratory testing: A systematic review of diagnostic test accuracy. 甲型H1N1流感的准确性“猪流感”实验室测试:诊断测试准确性的系统回顾。
JBI library of systematic reviews Pub Date : 2010-05-10 DOI: 10.11124/JBISRIR-2011-330
S. White, T. Schultz, C. Tufanaru
{"title":"The accuracy of Influenza A (H1N1) \"swine flu\" laboratory testing: A systematic review of diagnostic test accuracy.","authors":"S. White, T. Schultz, C. Tufanaru","doi":"10.11124/JBISRIR-2011-330","DOIUrl":"https://doi.org/10.11124/JBISRIR-2011-330","url":null,"abstract":"Review question/objective \u0000The aim of this systematic review is to comprehensively search the available literature and to synthesise the best available evidence to determine the diagnostic accuracy of currently available laboratory tests for swine flu (H1N1), using viral culture as a reference test. \u0000 \u0000Inclusion Criteria \u0000Types of participants \u0000Studies will be considered for inclusion in the review if the participants are human patients exhibiting influenza-like symptoms who have been tested for swine flu (H1N1) using both a diagnostic and reference test. There will be no exclusion based on age, gender or co-morbidities, but subgroup analysis will be conducted if there is sufficient data and if appropriate. \u0000 \u0000Phenomenon of interest \u0000The phenomenon of interest is the correct identification of H1N1 infection. This review will consider studies that compare the accuracy of laboratory tests aiming to diagnose swine flu (H1N1) in patients presenting with influenza-like symptoms, in comparison to viral culture. \u0000 \u0000Outcome measures \u0000The accuracy of diagnostic tests will be determined by how well the test correctly gives positive results for patients with confirmed swine flu (H1N1) and negative results for patients without, as determined by viral culture. It is anticipated that data will be presented as raw test results or sensitivities and specificities of the test compared with viral culture will be presented. Other statistics to elaborate on diagnostic test accuracy may include likelihood ratios and/or predictive values.","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"9 64 Suppl 1","pages":"1-21"},"PeriodicalIF":0.0,"publicationDate":"2010-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63416952","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}
引用次数: 2
The meaningfulness of experiences of adults surviving lung cancer two or more years: A systematic review. 成人肺癌存活两年或两年以上经验的意义:一项系统综述。
JBI library of systematic reviews Pub Date : 2010-05-05 DOI: 10.11124/JBISRIR-2010-846
D. Rhea, S. Lockwood
{"title":"The meaningfulness of experiences of adults surviving lung cancer two or more years: A systematic review.","authors":"D. Rhea, S. Lockwood","doi":"10.11124/JBISRIR-2010-846","DOIUrl":"https://doi.org/10.11124/JBISRIR-2010-846","url":null,"abstract":"Review Objectives/Questions \u0000The objective of the review is to identify and synthesise the best available evidence on the meaningfulness of surviving lung cancer in adults over the age of 18, two or more years after \u0000diagnosis. \u0000 \u0000The specific review question is: What is the experience of adult over the age of 18 surviving lung \u0000cancer two or more years after diagnosis? \u0000 \u0000Inclusion Criteria \u0000 \u0000Types of participants \u0000This review will consider adult lung cancer survivors who received the cancer diagnosis two or more years before. Both male and female patients who are at the age of 18 years or older will be included. \u0000 \u0000Phenomena of interest \u0000The phenomenon of interest will consist of the experiences of any 18 years and older male or female adult surviving lung cancer two years or more years post diagnosis. \u0000 \u0000The setting will be all locations where adult lung cancer patients have been studied. \u0000 \u0000The context will be adult (18+ years) onset lung cancer patients and their experiences with the disease for two or more years.","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"9 16 Suppl 1","pages":"1-14"},"PeriodicalIF":0.0,"publicationDate":"2010-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63416105","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}
引用次数: 0
Self‐monitoring of blood glucose in type 2 diabetes mellitus: systematic review of economic evidence 2型糖尿病患者血糖的自我监测:经济证据的系统回顾
JBI library of systematic reviews Pub Date : 2010-04-14 DOI: 10.11124/JBISRIR-2010-116
R. de Verteuil, W. Tan
{"title":"Self‐monitoring of blood glucose in type 2 diabetes mellitus: systematic review of economic evidence","authors":"R. de Verteuil, W. Tan","doi":"10.11124/JBISRIR-2010-116","DOIUrl":"https://doi.org/10.11124/JBISRIR-2010-116","url":null,"abstract":"Background Self‐monitoring of Blood Glucose (SMBG) is purported to improve glycaemic control, measured by glycosylated haemoglobin (HbA1c). The effectiveness of SMBG in type 2 diabetes mellitus (T2DM) is well‐documented though no systematic review of the economic evidence surrounding the use of SMBG in T2DM has been performed. Objectives To perform a systematic review of economic evaluations of SMBG in T2DM patients. Inclusion criteria All adult patients suffering from T2DM were included. Outcomes of differing treatment groups, where specified, were also recorded. Studies which examined SMBG as an intervention to control blood glucose were considered. To be included, studies must have made a formal attempt to relate cost to outcome data in a cost‐effectiveness or cost utility analysis. Types of outcomes The main outcomes were in terms of cost‐effectiveness and cost‐utility. Search strategy Extensive electronic searches were conducted. Searching was carried out, for the time period 1990 to January 2009, for full text papers and conference abstracts. Methodological quality Methodological quality of included studies was assessed by two reviewers using the standard critical appraisal tools from the JBI‐Actuari (Joanna Briggs Institute‐Analysis of Cost, Technology and Utilisation Assessment and Review Instrument). Included modelling studies were also assessed using the review criteria of economic models set out by Phillips and colleagues. Data collection Data from included studies were extracted using the JBI‐Actuari extraction tool. Data synthesis Studies were grouped by outcome measure and summarised using tabular and narrative formats. Results Five studies met the review criteria. Three were model‐based analyses assessing long‐term cost‐effectiveness of SMBG, all of which concluded that SMBG was cost‐effective. Two further primary economic evaluations assessed short‐term cost‐effectiveness. Their results found SMBG to be associated with increased cost and no significant reduction in HbA1c. The studies examined subgroups in terms of their treatment protocols and SMBG was considered more likely to be cost‐effective in drug and insulin treated groups compared to diet and exercise groups. Conclusions Economic evidence surrounding SMBG in T2DM remains unclear. For the most part, included studies found SMBG to be cost‐effective though analyses are extremely sensitive to relative effects, time‐frame of analyses and model assumptions. Whilst large uncertainty exists, SMBG may be cost‐effective in certain subgroups e.g. drug and insulin‐treated patients. Implication for practice No strong evidence to recommend the regular use of SMBG in well‐controlled diabetes patients, treated only with diet and exercise programmes, exists. The evidence does offer support for SMBG in drug and insulin treated T2DM. It is recommended that clinicians select appropriate patients for SMBG, from these groups, based on their domain expertise. Implications for research Large‐scal","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"6 1","pages":"302–342"},"PeriodicalIF":0.0,"publicationDate":"2010-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11124/JBISRIR-2010-116","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63416335","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}
引用次数: 3
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