José Miguel Seguro, Ana Cláudia Abreu, Francisco Matos, Inês Martins Esteves, Márcia Pestana Santos
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引用次数: 0
摘要
目的:本综述旨在绘制成人髋关节、膝关节或肩关节置换术患者的临床路径。审查还将绘制用于评估这些途径有效性的指标和衡量工具。临床路径是结构化的、多学科的护理计划,旨在标准化和优化患者护理。临床路径减少临床异质性,降低医疗事故风险,确保高质量的护理,并降低成本。表征这些途径及其评价指标的证据仍然支离破碎。入选标准:本综述将考虑任何类型的研究;髋关节、膝关节和肩关节置换术;对成年人表演;描述临床途径,包括其组成部分、实施和评估。方法:本综述将遵循JBI方法进行范围综述。一个三步搜索策略将用于识别多个数据库中已发表和未发表的研究:PubMed、CINAHL (EBSCOhost)、Scopus、Web of Science Core Collection和Cochrane Library。灰色文献也将被搜索。以英语、葡萄牙语和西班牙语发表的研究将被包括在内,对搜索没有日期限制。两名独立审稿人将筛选研究标题、摘要和全文,并使用预定义的提取表格提取数据。数据将以表格形式呈现,并以叙述的方式综合。评审注册:OSF: https://doi.org/10.17605/OSF.IO/YSRW8。
Mapping clinical pathways and evaluation in joint arthroplasty: a scoping review protocol.
Objectives: This scoping review will aim to map the clinical pathways for patients undergoing adult hip, knee, or shoulder arthroplasties. The review will also map the indicators and measurement tools used to evaluate the effectiveness of these pathways.
Introduction: Clinical pathways are structured, multidisciplinary care plans designed to standardize and optimize patient care. Clinical pathways reduce clinical heterogeneity, decrease malpractice risk, ensure high-quality care, and lower costs. The evidence characterizing these pathways and their evaluation indicators remains fragmented.
Eligibility criteria: This review will consider studies of any type on hip, knee, and shoulder arthroplasty; performed on adults; that describe clinical pathways, including their components, implementation, and evaluation.
Methods: This review will follow the JBI methodology for scoping reviews. A 3-step search strategy will be used to identify published and unpublished studies across multiple databases: PubMed, CINAHL (EBSCOhost), Scopus, Web of Science Core Collection, and the Cochrane Library. Gray literature will also be searched for. Studies published in English, Portuguese, and Spanish will be included, with no date limitations on the searches. Two independent reviewers will screen study titles, abstracts, and full texts, and extract data using a predefined extraction form. Data will be presented in tabular format and synthesized narratively.