What type of pancreatic anastomosis is safest following pancreaticoduodenectomy? An invited commentary on “Critical appraisal of the techniques of pancreatic anastomosis following pancreaticoduodenectomy: A network meta-analysis” (Int J Surg 2019;73:72–7)

Patients who undergo abdominal surgery under general anesthesia develop hypothermia in 80–90% of the cases within an hour after induction of anesthesia. Side effects include shivering, bleeding, and infection at the surgical site. However, the surgical team applies forced air warming to prevent peri-operative hypothermia, but these methods are insufficient. This study aimed to confirm the optimal application method of forced air warming (FAW) intervention for the prevention of peri-operative hypothermia during abdominal surgery. A systematic review and meta-analysis were conducted to provide a synthesized and critical appraisal of the studies included. We used PubMed, EMBASE, CINAHL, and Cochrane Library CENTRAL to systematically search for randomized controlled trials published through March 2020. Twelve studies were systematically reviewed for FAW intervention. FAW intervention effectively prevented peri-operative hypothermia among patients undergoing both open abdominal and laparoscopic surgery. Statistically significant effect size could not be confirmed in cases of only pre- or peri-operative application. The upper body was the primary application area, rather than the lower or full body. These findings could contribute detailed standards and criteria that can be effectively applied in the clinical field performing abdominal surgery.

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Critical appraisal and meta-analysis of biological variation studies on glycosylated albumin, glucose and HbA1c

Advances in Laboratory Medicine / Avances en Medicina de Laboratorio ◽

10.1515/almed-2020-0029 ◽

2020 ◽

Vol 1 (3) ◽

Author(s):

Carmen Ricós ◽

Pilar Fernández-Calle ◽

Elisabet Gonzalez-Lao ◽

Margarida Simón ◽

Jorge Díaz-Garzón ◽

...

Keyword(s):

Healthy Subjects ◽

Critical Appraisal ◽

Meta Analysis ◽

Biological Variation ◽

Evidence Based ◽

Literature Searches ◽

Variation Data ◽

Global Estimates ◽

Systematic Literature Searches

AbstractObjectivesNumerous biological variation (BV) studies have been performed over the years, but the quality of these studies vary. The objectives of this study were to perform a systematic review and critical appraisal of BV studies on glycosylated albumin and to deliver updated BV estimates for glucose and HbA1c, including recently published high-quality studies such as the European Biological Variation study (EuBIVAS).MethodsSystematic literature searches were performed to identify BV studies. Nine publications not included in a previous review were identified; four for glycosylated albumin, three for glucose, and three for HbA1c. Relevant studies were appraised by the Biological Variation Data Critical Appraisal Checklist (BIVAC). Global BV estimates were derived by meta-analysis of BIVAC-compliant studies in healthy subjects with similar study design.ResultsOne study received BIVAC grade A, 2B, and 6C. In most cases, the C-grade was associated with deficiencies in statistical analysis. BV estimates for glycosylated albumin were: CVI=1.4% (1.2–2.1) and CVG=5.7% (4.7–10.6), whereas estimates for HbA1c, CVI=1.2% (0.3–2.5), CVG=5.4% (3.3–7.3), and glucose, CVI=5.0% (4.1–12.0), CVG=8.1% (2.7–10.8) did not differ from previously published global estimates.ConclusionsThe critical appraisal and rating of BV studies according to their methodological quality, followed by a meta-analysis, generate robust, and reliable BV estimates. This study delivers updated and evidence-based BV estimates for glycosylated albumin, glucose and HbA1c.

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Critical appraisal of evidence on bypass surgery versus endovascular treatment for intermittent claudication: a systematic review and meta-analysis

International Angiology ◽

10.23736/s0392-9590.21.04791-x ◽

2021 ◽

Author(s):

Teresa M. LEMOS ◽

Andreia COELHO ◽

Armando MANSILHA

Keyword(s):

Systematic Review ◽

Endovascular Treatment ◽

Intermittent Claudication ◽

Bypass Surgery ◽

Critical Appraisal ◽

Meta Analysis

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Prevalence of low back pain in different educational levels: a systematic review

Fisioterapia em Movimento ◽

10.1590/1980-5918.030.s01.ar04 ◽

2017 ◽

Vol 30 (suppl 1) ◽

pp. 351-361 ◽

Cited By ~ 2

Author(s):

Alexandre Apolinário de Souza Batista ◽

Nicholas Henschke ◽

Vinícius Cunha Oliveira

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Educational Level ◽

Critical Appraisal ◽

Meta Analysis ◽

High Educational Level ◽

Low Back ◽

Educational Levels ◽

Educational Differences ◽

High Educational

Abstract Introduction: Non-specific low back pain (LBP) can be understood through the interaction of biopsychosocial factors such as education. Unfortunately, it remains unclear whether education can be considered an important risk and prognostic factor for the occurrence of LBP. Objective: To investigate the association between education and LBP. Methods: The following databases were searched: MEDLINE, EMBASE, Cochrane, AMED and PsyINFO. Results: Thirteen studies were included in the review. The Prevalence Critical Appraisal Instrument (PCAI) was used to assess risk of bias. Methodological quality scores ranged from 7 to 10 on a scale of 0-10. There was a 23% (95% CI, 13-37) prevalence of LBP (10,582 out of a total of 99,457 cases) in the general sample at the time of assessment. The meta-analysis of studies on the prevalence of LBP in people with low, medium or high educational level found the following results, respectively: 24% (95% CI, 12-43), 27% (95% CI, 9-56), and 18% (95% CI, 5-50). The meta-regression identified heterogeneity among the studies included in the review. This can be explained by educational differences (p < 0.05). Conclusion: Occurrence of LBP varies according to educational level. Individuals with higher educational levels are less often affected by LBP than individuals with medium or low educational levels.

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Systematic Reviews and Meta-analysis Published in Indexed Portuguese Medical Journals: Time Trends and Critical Appraisal.

10.21203/rs.3.rs-354547/v1 ◽

2021 ◽

Author(s):

Luísa Prada ◽

Ana Prada ◽

Miguel Antunes ◽

Ricardo Fernandes ◽

João Costa ◽

...

Keyword(s):

Systematic Reviews ◽

Critical Appraisal ◽

Data Extraction ◽

Evidence Synthesis ◽

Meta Analysis ◽

Measurement Tool ◽

Medical Journals ◽

Electronic Search ◽

Potential Impact

Abstract Introduction:Over the last years, the number of systematic reviews published is steadily increasing due to the global interest in this type of evidence synthesis. However, little is known about the characteristics of this research published in Portuguese medical journals. This study aims to evaluate the publication trends and overall quality of these systematic reviews.Material and Methods:Systematic reviews were identified through an electronic search up to August 2020, targeting Portuguese Medical journals indexed in MEDLINE. Systematic reviews selection and data extraction were done independently by three authors. The overall quality critical appraisal using the A MeaSurement Tool to Assess systematic Reviews (AMSTAR II) was independently assessed by three authors. Disagreements were solved by consensus.Results:Seventy systematic reviews published in 5 Portuguese medical journals were included. Most (n=57; 81,4%) were systematic reviews without meta-analysis. Until 2010, the number of systematic reviews per year increased. Since then, the number of reviews published has not remained stable and no less than 3 SRs were published per year. According to the systematic reviews’ typology, most have been predominantly conducted to assess the effectiveness of health interventions (n=28; 40,0%). General and Internal Medicine (n=26; 37,1%) was the most addressed field. Most systematic reviews (n=45; 64,3%) were rated as being of “critically low-quality”.Conclusions:There were consistent flaws in the methodological quality report of the systematic reviews included, particularly in establishing a prior protocol and not assessing the potential impact of the risk of bias on the results.Through the years, the number of systematic reviews published increased, yet their quality is suboptimal. There is a need to improve the reporting of systematic reviews in Portuguese medical journals, which can be achieved by better adherence to quality checklists/tools.Systematic review registration: INPLASY202090105

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Practicing patients’ rights in Iran: a review of evidence

Journal of Medical Ethics and History of Medicine ◽

10.18502/jmehm.v14i28.8284 ◽

2022 ◽

Author(s):

Tahere Sharifi ◽

Ehsan Shamsi-Gooshki ◽

Ali Mohammad Mosadeghrad ◽

Ebrahim Jaafaripooyan

Keyword(s):

Critical Appraisal ◽

Web Of Science ◽

Meta Analysis ◽

Patient Rights ◽

Healthcare Organizations ◽

Patients Rights ◽

The Right To Privacy ◽

Critical Appraisal Skills ◽

The Right ◽

Privacy And Confidentiality

Protection of patients' rights is critical in improving healthcare quality, and hence this study aimed at reviewing patient rights’ practices in healthcare organizations of Iran. Using systematic search, this review was conducted based on Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P). Several keywords, including "patient rights", "patient bills of rights" and "patients rights’ charter" were searched bilingually in the databases of SID, Magiran, PubMed, Scopus, and Web of Science from 2010 to 2021, and then, following a three-tier screening using the Critical Appraisal Skills Program (CASP) checklists, 76 articles were extracted. The degree of compliance with the Patients' Rights Charter (PRC) in healthcare organizations was 60.88% on average. As to the observance of the PRC dimensions, respectively, the highest and lowest scores were related to the "right to privacy and confidentiality" (70.16%) and "right to access an efficient complaining system" (53.01 %). Respect for patients' rights in organizations was assessed at a moderate level, and some aspects of patients' rights should be attended to immediately. Therefore, discrepancies in the dimensions of patients' rights and their implementation by organizations should be on the agenda of healthcare managers and policymakers.

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Prevalence of Suicidal Ideation in Patients with Covid-19 in the World: Systematic Review and Meta-Analysis Protocol (Preprint)

10.2196/preprints.31319 ◽

2021 ◽

Author(s):

Alireza Razzaghi ◽

Fatemeh Sadat Asgarian ◽

Hossein Akbari

Keyword(s):

Suicidal Ideation ◽

Critical Appraisal ◽

Suicide Ideation ◽

Meta Analysis ◽

Prevalence Data ◽

Related Data ◽

The World ◽

Review Study ◽

Meta Analyses ◽

Analysis Protocol

BACKGROUND The pandemic of Covid-19 started in China in late 2019 and has spread rapidly around the world. Psychological problems such as suicide ideation of Covid-19 is one of the main consequences of this pandemic, which needs more attention OBJECTIVE This study aims to determine a comprehensive estimate of the prevalence of suicidal ideation in patients with Covid-19 in the world. METHODS The review study will be based on the following databases: databases of Web of Sciences, Mediline/Pubmed, Proquest, Scopus, Science Direct. This study is limited to original studies published in peer-reviewed journals in English. RESULTS The quality assessment of studies will be done using the Joanna Briggs Institute’s (JBI) critical appraisal checklist for reporting the prevalence data. The overall synthetized measurement will be presented as Prevalence with 95% confidence intervals. CONCLUSIONS This review and meta-analyses will be the first study that explores the prevalence of suicide ideation related to Covid-19. Summarizing the related data can create an image of the dimensions of the problem across the world and provide plans to prevent that.

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