The rationale behind systematic reviews in clinical medicine: a conceptual framework

2021 ◽  
Author(s):  
Hamideh Moosapour ◽  
Farzane Saeidifard ◽  
Maryam Aalaa ◽  
Akbar Soltani ◽  
Bagher Larijani
Keyword(s):  
Conceptual Framework ◽  
Systematic Reviews ◽  
Clinical Medicine

scholarly journals Tinjauan Etis-Teologis Terhadap Tradisi Belis Di Pulau Sumba Berdasarkan Konsep Mahar Dalam Alkitab

2021 ◽  
Vol 8 (1) ◽  
pp. 7-30
Author(s):  
Johanis Putratama Kamuri ◽  
Grace Mariany Toumeluk
Keyword(s):  
Conceptual Framework ◽  
Systematic Reviews ◽  
Cultural Transformation ◽  
Critical Attitude ◽  
Culture Transformation ◽  
Biblical Principles

This paper is aimed to determine the appropriate Christian attitude towards the practice of belis (dowry) in Sumba Island. The biblical, anthropological, and sociological concepts of dowry are the conceptual framework for understanding and analyzing the concept of belis. Based on systematic reviews and asymmetric comparisons of the Sumbanese belis concepts and biblical concept of dowry, it is found that rejection of the practice of belis is unnecessary. Belis can be practiced by Sumbanese Christians with a critical attitude. The goal is the transformation of the belis culture. Transformation is achieved through several actions: doing belis principles that do not conflict with biblical principles; rejecting the principles that conflict with biblical principles; and avoiding the practices of belis which have been distorted by deviating motivations either from the biblical or the rights belis principles. Keywords: Belis; Dowry; Marapu; Sumba; Cultural Transformation.

scholarly journals Evidence-to-decision frameworks: a review and analysis to inform decision-making for environmental health interventions

2021 ◽  
Author(s):  
Susan L Norris ◽  
Max T Aung ◽  
Nicholas Chartres ◽  
Tracey Woodruff
Keyword(s):  
Public Health ◽  
Decision Making ◽  
Environmental Health ◽  
Systematic Reviews ◽  
Clinical Medicine ◽  
The Body ◽  
Health Interventions ◽  
Convenience Sample ◽  
Starting Point ◽  
Health Objectives

Background Evidence-to-decision (EtD) frameworks provide a structured and transparent approach for groups of experts to use when formulating recommendations or making decisions. While extensively used for clinical and public health recommendations, EtD frameworks are not in widespread use in environmental health. Objectives This review sought to identify, compare and contrast key EtD frameworks for decisions or recommendations on interventions used in clinical medicine, public health or environmental health. Our goal was to identify best practices and guidance which will be used to inform the development of an EtD framework for formulating recommendations regarding interventions to prevent or mitigate the harmful effects of exposure to substances in the environment. Methods We identified a convenience sample of EtD frameworks used by a range of organizations. We searched Medline for systematic reviews of EtD frameworks used in clinical medicine, and public or environmental health. In a qualitative manner, we summarized the decision criteria in the selected frameworks and in the reviews. Results Fourteen key organizations provided 18 EtD frameworks; most frameworks focused on clinical medicine or public health interventions; four focused on environmental health and three on economic considerations. Only one framework was based on an underlying conceptual model, and rarely was a systematic review of potential criteria performed during the frameworks development. GRADE encompasses a set of closely related frameworks for different types of decisions. Harms of interventions were examined in all frameworks and benefits in all but one. Other criteria included certainty of the body of evidence (15 frameworks), resource considerations (15), feasibility (13), equity (12), values (11), acceptability (11), and human rights (2). There was variation in how specific criteria were defined. The five identified systematic reviews reported a similar spectrum of EtD criteria. Discussion The EtD frameworks examined encompassed similar criteria, with tailoring to specific audience needs. However, there is variation in development processes, terminology, level of detail provided and presentation of the criteria. Existing frameworks are a useful starting point for development of one tailored to decision-making in environmental health.

scholarly journals Performance of conceptual framework elements for the retrieval of qualitative health literature: a case study

2021 ◽  
Vol 109 (3) ◽  
Author(s):  
Tove Faber Frandsen ◽  
Christina Louise Lindhardt ◽  
Mette Brandt Eriksen
Keyword(s):  
Conceptual Framework ◽  
Systematic Reviews ◽  
Patient Population ◽  
Qualitative Studies ◽  
Controlled Vocabulary ◽  
Conceptual Frameworks ◽  
Specific Element ◽  
Review Question ◽  
Research Type

Objective: A growing volume of studies address methods for performing systematic reviews of qualitative studies. One such methodological aspect is the conceptual framework used to structure the review question and plan the search strategy for locating relevant studies. The purpose of this case study was to evaluate the retrieval potential of each element of conceptual frameworks in qualitative systematic reviews in the health sciences.Methods: The presence of elements from conceptual frameworks in publication titles, abstracts, and controlled vocabulary in CINAHL and PubMed was analyzed using a set of qualitative reviews and their included studies as a gold standard. Using a sample of 101 publications, we determined whether particular publications could be retrieved if a specific element from the conceptual framework was used in the search strategy.Results: We found that the relative recall of conceptual framework elements varied considerably, with higher recall for patient/population (99%) and research type (97%) and lower recall for intervention/phenomenon of interest (74%), outcome (79%), and context (61%).Conclusion: The use of patient/population and research type elements had high relative recall for qualitative studies. However, other elements should be used with great care due to lower relative recall. 

scholarly journals Rapid reviews versus full systematic reviews: An inventory of current methods and practice in health technology assessment: Corrigendum

2008 ◽  
Vol 24 (03) ◽  
pp. 369 ◽  
Author(s):  
Amber Watt ◽  
Alun Cameron ◽  
Lana Sturm ◽  
Timothy Lathlean ◽  
Wendy Babidge ◽  
...  
Keyword(s):  
Health Care ◽  
Health Economics ◽  
Health Technology Assessment ◽  
Advisory Committee ◽  
Systematic Reviews ◽  
Technology Assessment ◽  
Clinical Medicine ◽  
Health Technology ◽  
Department Of Health ◽  
Rapid Reviews

In the article entitled “Rapid reviews versus full systematic reviews: An inventory of current methods and practice in health technology assessment,” by Watt et al. in volume 24 number 2 (Spring 2008) ofInternational Journal of Technology Assessment in Health Care, the affiliation of Stephen Blamey is incorrectly listed as Department of Health & Ageing. Dr. Blamey is the current Chair of the Medical Services Advisory Committee (MSAC). MSAC is an independent scientific committee comprising individuals with expertise in clinical medicine, health economics, and consumer matters. The Department of Health & Ageing administers funding and operations for MSAC. However, members of MSAC act independently of the Department. As Chair of MSAC, Dr. Blamey can be contacted through the Department. Dr. Blamey is not affiliated with the Department of Health and Ageing and his contribution to the above-mentioned article does not reflect its policy. Dr. Blamey wishes to apologize for this misunderstanding.

scholarly journals A Conceptual Framework for Critical Appraisal in Systematic Mixed Studies Reviews

2018 ◽  
Vol 13 (4) ◽  
pp. 446-460 ◽  
Author(s):  
Quan Nha Hong ◽  
Pierre Pluye
Keyword(s):  
Mixed Methods ◽  
Conceptual Framework ◽  
Systematic Reviews ◽  
Mixed Methods Research ◽  
Critical Appraisal ◽  
Quantitative Evidence ◽  
Qualitative And Quantitative ◽  
The Past ◽  
New Challenges ◽  
Complex Phenomena

The past decade has been rich with methodological advancements in systematic reviews, several of which were inspired by the literature on mixed methods research. Systematic mixed studies reviews—that is, reviews combining qualitative and quantitative evidence—are increasingly popular as they can provide a better understanding of complex phenomena and interventions. However, they raise new challenges, especially regarding how to perform critical appraisal of the included studies that vary regarding the methodologies used. To address this challenge, conceptually clarifying critical appraisal is necessary. To this end, this article provides a framework for critical appraisal in systematic mixed studies reviews. This framework is an essential first step toward providing clear guidance on how to perform critical appraisal.

Intersectionality in Clinical Medicine: The Need for a Conceptual Framework

2019 ◽  
Vol 19 (2) ◽  
pp. 8-19 ◽  
Author(s):  
Yolonda Wilson ◽  
Amina White ◽  
Akilah Jefferson ◽  
Marion Danis
Keyword(s):  
Conceptual Framework ◽  
Clinical Medicine

scholarly journals Climate change, 24-hour movement behaviors, and health: a mini umbrella review

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Evaline Zisis ◽  
Shawn Hakimi ◽  
Eun-Young Lee
Keyword(s):  
Climate Change ◽  
Physical Activity ◽  
Conceptual Framework ◽  
Sedentary Behavior ◽  
Systematic Reviews ◽  
Negative Impact ◽  
Future Research ◽  
Umbrella Review ◽  
Impact Of Climate Change ◽  
Mitigation And Adaptation

Abstract Background The worsening climate change and alarming prevalence of communicable and non-communicable diseases continue to threat human life and existence. Accumulating evidence suggests that favorable patterns of 24-h movement behaviors, high physical activity, low sedentary behavior, and adequate sleep, may positively contribute to achieving dual benefits of climate change mitigation and disease prevention. The purposes of this mini umbrella review were to summarize the most up-to-date, high-level evidence exploring the relationships between climate change, 24-h movement behaviors, and health and elaborate on the mechanisms linking the three variables of interest. Methods A systematic search of electronic databases was performed in PubMed and Google Scholar during March–October 2020. Inclusion criteria were: (1) systematic review; (2) reviewed relationships between climate change and movement behaviors and/or health in any directions; (3) written in English; (4) published in 2010–2020. Narrative synthesis was conducted to highlight the main relationships observed and address the current state of knowledge and priorities for future research. In order to illustrate the potential mechanisms between climate change, movement behaviors, and health, the main results from included systematic reviews were summarized and a conceptual framework was developed for future research. Results Based on the evidence from eight systematic reviews published in the past decade, multi-directional (i.e., uni-, bi-, or U-shaped) links were observed between climate change and varying human health outcomes. However, little is understood about the association between climate change and 24-h movement behaviors. Two reviews suggested the negative impact of climate change on sleep and bi-directional relationships between climate change and physical activity/sport. One review included two studies suggesting the unfavorable impact of climate change on sedentary behavior; however, the evidence was limited. Finally, no reviews examined the mechanisms by which climate change, movement behaviors, and health impact one another. Based on the findings of this mini umbrella review, a conceptual framework is proposed that could guide future work to unpack mechanisms between climate change, movement behaviors, and health. Conclusions This mini umbrella review highlights the importance of better understanding the mechanisms between climate change, movement behaviors, and health in developing effective mitigation and adaptation strategies to climate change, while paying close attention to vulnerable countries/communities/population groups.

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