Effectiveness of Outpatient Versus Operating Room Hysteroscopy for the Diagnosis and Treatment of Uterine Conditions: A Systematic Review and Meta-Analysis

Rehabilitative ultrasound imaging (RUSI) technique seems to be a valid and reliable tool for diagnosis and treatment in physiotherapy and has been widely studied in the lumbopelvic region the last three decades. The aims for this utility in clinical settings must be review through a systematic review, meta-analysis and meta-regression. A systematic review was designed following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines with PROSPERO registration and per review in all phases of the process using COVIDENCE, analysis of risk of bias and meta-analysis using REVMAN, and meta-regression calculation using STATA. Database screening provided 6544 references, out of which 321 reported narrative synthesis, and 21 reported quantitative synthesis, while only 7 of them provided comparable data to meta-analyze the variables pain and muscle thickness. In most cases, the forest plots showed considerable I2 heterogeneity indexes for multifidus muscle thickness (I2 = 95%), low back pain (I2 = 92%) and abdominal pain (I2 = 95%), not important for transversus abdominis muscle thickness (I2 = 22%), significant heterogenity (I2 = 69%) depending on the subgroup and not important internal oblique muscle thickness (I2 = 0%) and external oblique muscle thickness (I2 = 0%). Meta-regression did not provide significant data for the correlations between the variables analyzed and the intervention, age, and BMI (Body Mass Index). This review reveals that RUSI could contribute to a high reliability of the measurements in the lumbopelvic region with validity and reliability for the assessments, as well as showing promising results for diagnosis and intervention assessment in physiotherapy compared to the traditional model, allowing for future lines of research in this area.

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Effectiveness of Outpatient versus Operating Room Hysteroscopy for the Diagnosis and Treatment of Uterine Conditions: A Systematic Review

Journal of Minimally Invasive Gynecology ◽

10.1016/j.jmig.2017.08.383 ◽

2017 ◽

Vol 24 (7) ◽

pp. S132

Author(s):

A. Bennett ◽

C. Lepage ◽

K. Thavorn ◽

O. Murnaghan ◽

D. Fergusson ◽

...

Keyword(s):

Systematic Review ◽

Operating Room ◽

Diagnosis And Treatment

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Depression and its Main Determinants Among Iranian Operating Room Personnel: A Systematic Review and Meta-Analysis

International Clinical Neuroscience Journal ◽

10.15171/icnj.2018.16 ◽

2018 ◽

Vol 5 (3) ◽

pp. 81-85

Author(s):

Mehdi Ameri ◽

Mohammad Reza Hosseini Nodoushan ◽

Amir Shahbazzadeh ◽

Mehran Arab Ahmadi

Keyword(s):

Systematic Review ◽

Operating Room ◽

Systematic Reviews ◽

Meta Analysis ◽

Severe Depression ◽

Significant Heterogeneity ◽

Operating Room Personnel ◽

Severe Condition ◽

Prevalence Of Depression ◽

Main Determinants

Background: Most nurses, especially operating room personnel, seems to be more likely to be affected by mood disorders than other social strata. The present study attempted to systematically review the prevalence of depression and its main determinants among operating room personnel in Iran. Methods: The method of this systematic review is documenting in a published protocol in the International Prospective Register of Systematic Reviews (PROSPERO) and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. After this massive search, titles and abstracts of retrieved documents have screened and all irrelevant articles excluded. Two reviewers screened the documents and selected all relevant studies and assessed included articles separately. Results: Totally, 12 citations found in the initial literature search where four citations excluded, as they did not meet the inclusion criteria. The final number of studies available for analysis was 12 including a total of 373 operating room personnel (86 men and 287 women, mean the age of 27.71 years ranged from 20 to 36 years). The pooled prevalence of depression among operating room personnel was estimated to be 45.3%. In this regard, 27.0% of personnel suffered from severe depression. A significant heterogeneity found in the overall analysis of the overall prevalence of depression and its severe pattern. Conclusion: A notable number of operating room personnel in Iran suffer from depression even in its severe condition emphasizing the importance of the managerial approach to minimize its adverse effects on their performance as well as to improve their quality of life

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The global prevalence of musculoskeletal disorders among operating room personnel: A systematic review and meta-analysis

Clinical Epidemiology and Global Health ◽

10.1016/j.cegh.2020.03.019 ◽

2020 ◽

Vol 8 (4) ◽

pp. 1053-1061 ◽

Cited By ~ 1

Author(s):

Reza Tavakkol ◽

Esmaeil Kavi ◽

Soheil Hassanipour ◽

Hadiseh Rabiei ◽

Mahdi Malakoutikhah

Keyword(s):

Systematic Review ◽

Operating Room ◽

Musculoskeletal Disorders ◽

Meta Analysis ◽

Operating Room Personnel ◽

Global Prevalence

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Systematic Review And Meta-Analysis Of Open Spine Fusion Versus Minimally Invasive Spine Fusion For The Diagnosis And Treatment Of Lumbar Spine Conditions

Value in Health ◽

10.1016/j.jval.2013.03.1103 ◽

2013 ◽

Vol 16 (3) ◽

pp. A217

Author(s):

A.M. Cizik ◽

E.B. Devine ◽

F.M. Wolf ◽

J.B. Babigumira ◽

M.J. Lee

Keyword(s):

Systematic Review ◽

Lumbar Spine ◽

Minimally Invasive ◽

Meta Analysis ◽

Spine Fusion ◽

Diagnosis And Treatment ◽

Minimally Invasive Spine

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Systematic review and meta-analysis of interventions for operating room to intensive care unit handoffs

BMJ Quality & Safety ◽

10.1136/bmjqs-2020-012474 ◽

2021 ◽

pp. bmjqs-2020-012474

Author(s):

Joanna Abraham ◽

Alicia Meng ◽

Sanjna Tripathy ◽

Michael S Avidan ◽

Thomas Kannampallil

Keyword(s):

Systematic Review ◽

Intensive Care Unit ◽

Intensive Care ◽

Operating Room ◽

Meta Analysis ◽

Intervention Group ◽

Future Research ◽

Original Research ◽

Cochrane Central Register ◽

The Impact

ObjectiveTo conduct a systematic review and meta-analysis to ascertain the impact of operating room (OR) to intensive care unit (ICU) handoff interventions on process-based and clinical outcomes.MethodWe included all English language, prospective evaluation studies of OR to ICU handoff interventions published as original research articles in peer-reviewed journals. The search was conducted on 11 November 2019 on MEDLINE, CINAHL, EMBASE, Scopus and the Cochrane Central Register of Controlled Trials databases, with no prespecified criteria for the type of comparison or outcome. A meta-analysis of similar outcomes was conducted using a random effects model. Quality was assessed using a modified Downs and Black (D&B) checklist.Results32 studies were included for review. 31 studies were conducted at a single site and 28 studies used an observational study design with a control. Most studies (n=28) evaluated bundled interventions which comprised information transfer/communication checklists and protocols. Meta-analysis showed that the handoff intervention group had statistically significant improvements in time to analgesia dosing (mean difference (MD)=−42.51 min, 95% CI −60.39 to −24.64), fewer information omissions (MD=−2.22, 95% CI −3.68 to –0.77), fewer technical errors (MD=−2.38, 95% CI −4.10 to –0.66) and greater information sharing scores (MD=30.03%, 95% CI 19.67% to 40.40%). Only 15 of the 32 studies scored above 9 points on the modified D&B checklist, indicating a lack of high-quality studies.DiscussionBundled interventions were commonly used to support OR to ICU handoff standardisation. Although the meta-analysis showed significant improvements for a number of clinical and process outcomes, the statistical and clinical heterogeneity must be accounted for when interpreting these findings. Implications for OR to ICU handoff practice and future research are discussed.

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