Integrating the Framing of Clinical Questions via PICO into the Retrieval of Medical Literature for Systematic Reviews

Due to the exponential increase in the quantity and quality of podiatric medicine–related research during the past decade, podiatric physicians are inundated with an insurmountable volume of research relevant to clinical practice. Systematic reviews can refine this literature by using explicit, rigorous, and reproducible methods to identify, critically appraise, and synthesize the best evidence from all clinical trials to answer clearly defined clinical questions. The Cochrane Collaboration is an international not-for-profit organization created to improve the user-friendliness and accessibility of medical literature mainly through preparing and maintaining systematic reviews of health-care interventions. The Cochrane Library currently contains more than 50 podiatric medicine–relevant systematic reviews summarizing and synthesizing evidence from many hundreds of randomized controlled trials evaluating interventions for foot problems. Although more than 60 countries worldwide have open online access to The Cochrane Library, in the United States, only the state of Wyoming has free access to full-text reviews. In an era demanding an evidence-based approach for every clinical intervention, high-quality systematic reviews streamline podiatric medical literature by reducing the time, cost, and training necessary to establish a solid evidence base for practice. (J Am Podiatr Med Assoc 99(3): 260–266, 2009)

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Protocolo de scoping review: auriculoterapia em crianças e adolescentes no âmbito da Atenção à Saúde

Research Society and Development ◽

10.33448/rsd-v10i17.24368 ◽

2021 ◽

Vol 10 (17) ◽

pp. e77101724368

Author(s):

Karla Adriana Ferreira Beckman ◽

Marimeire Morais da Conceição ◽

Denízia Maria Barberino Xavier Santos ◽

Márcia Aparecida Ferreira de Oliveira ◽

Ana Maria Fernandes Pitta

Keyword(s):

Systematic Reviews ◽

Scoping Review ◽

Retrieval System ◽

Medical Literature ◽

Electronic Library ◽

Cochrane Database ◽

Evidence Database

O objetivo deste estudo é mapear e analisar a produção científica acerca da auriculoterapia para crianças e adolescentes no âmbito da atenção à saúde. Para tanto, foi utilizada a estratégia PCC: (P) Participantes – Crianças e Adolescentes entre 6 e 12 anos (OMS); (C) conceito: auriculoterapia; e (C) Contexto: atenção integral à saúde, como recomendam estudiosos (Aromataris & Munn, 2020) . Que originou a seguinte questão: Quais as evidências na literatura científica sobre auriculoterapia para crianças e adolescentes no âmbito da atenção integral à saúde? Esta revisão de escopo considerará estudos originais, realizados exclusivamente com seres humanos, crianças com idade entre 6 e 12 anos incompletos, publicados na íntegra em periódicos nacionais e internacionais, gratuitos ou não, com abordagem qualitativa e/ou quantitativa, nos idiomas português, inglês e espanhol. Os estudos deverão abordar o uso da auriculoterapia na atenção à saúde. Assim, serão considerados os estudos com as variações de recursos da auriculoterapia (sementes de vaccaria, esferas magnéticas e cristais). As fontes indexadas que serão utilizadas para a revisão de escopo são: Medical Literature Anallysis and Retrieval System online (MEDLINE); Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS); Scientific Electronic Library online (SCIELO); as bases de dados Cochrane Database of Systematic Reviews (CDCR), a Bibliografia Brasileira de Odontologia (BBO), bem como a Biblioteca Virtual em Saúde em Medicinas Tradicionais, Complementar e Integrativa (BVS MTCI), Biblioteca Virtual em Saúde do Adolescente (ADOLEC) e Physiotherapy Evidence Database (PEDro). Para pesquisar a literatura cinzenta, será consultada a Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES). As buscas nestas fontes indexadas serão realizadas no período entre fevereiro e março de 2022. Espera-se com esta revisão contribuir com o estado da arte acerca da produção e implementação de Práticas Integrativas Complementares.

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Reading systematic reviews to answer clinical questions

Clinical Epidemiology and Global Health ◽

10.1016/j.cegh.2013.09.001 ◽

2014 ◽

Vol 2 (1) ◽

pp. 39-46

Author(s):

Anke Rohwer ◽

Paul Garner ◽

Taryn Young

Keyword(s):

Systematic Reviews ◽

Clinical Questions

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IMPLICAÇÕES DO USO DAS MIDIAS SOCIAIS NA SAÚDE MENTAL DO ADULTO JOVEM

10.51161/rems/2821 ◽

2021 ◽

Author(s):

Stefane Marinho Moreno ◽

Ariédna Da Hora Ferreira ◽

Aline Raquel de Sousa Ibiapina ◽

Luana Soares Souza ◽

Mateus Holanda de Moura

Keyword(s):

Systematic Reviews ◽

Retrieval System ◽

Web Of Science ◽

Medical Literature ◽

Literature Analysis ◽

Meta Analyses

Introdução: O rápido aumento do uso da internet e consequentemente das mídias socias entre jovens adultos gera preocupações em relação a saúde mental. Pois devido a elevada busca por apoio social online causando influência negativa e a problemática do apego tecnológico implica na redução das habilidades sociais e aumento nos índices de comorbidades psicológicas, como ansiedade, depressão e vícios. Objetivos: Identificar no acervo cientifico possíveis implicações do uso das mídias sociais na saúde mental do adulto jovem. Material e métodos: Trata-se de uma revisão integrativa na literatura, realizada em Novembro de 2021, com busca e seleção nas bases eletrônicas de dados Medical Literature Analysis and Retrieval System Online (MEDLINE via PubMed®️) com 63 artigos, e na Web of Science com 148 artigos. Seguindo as recomendações do Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) para a seleção dos estudos, contemplou-se uma amostra de 8 artigos que respondem a questão norteadora. Resultados: Evidenciou-se que ser jovem, ter insatisfações financeiras e a formação acadêmica são fatores positivos para o uso problemático da internet. Solteiros do sexo masculino prevalece o vício em videogames. No feminino, em mídias sociais viciantes, associado positivamente para o desenvolvimento de transtornos alimentares e a elevada quantia de contatos nos sites de redes sociais foi encontrada em mulheres que possuíam um Suporte Emocional Percebido (PES) baixo. Adultos que acessam aplicativo de namoro experimentam maior sofrimento psicológico, ansiedade, depressão e baixa-autoestima em relação aos que não são usuários. Em contra partida, a conexão social online diminuiu a ansiedade em relação as condições de isolamento. Conclusão: Os usuários que fazem o uso inadequado da internet, como longos períodos navegando nas mídias socias, podem apresentar sintomas de dependência e estão sujeitos a maiores implicações negativas na saúde mental, comportamental, afetiva e cognitiva. Entretanto, resultados revelam que as mídias sociais também atenuam sintomas psicológicos negativos no caso de isolamento e distanciamento social.

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Identifying and addressing conflicting results across multiple discordant systematic reviews on the same topic: A protocol for a replication study of the Jadad algorithm

10.21203/rs.3.rs-931213/v1 ◽

2021 ◽

Author(s):

Carole Lunny ◽

Sai Surabi Thirugnanasampanthar ◽

Salman Kanji ◽

Nicola Ferri ◽

Dawid Pieper ◽

...

Keyword(s):

Systematic Reviews ◽

Human Subjects ◽

Open Access Journal ◽

Decision Makers ◽

Bibliometric Study ◽

Making Sense ◽

Cochrane Database ◽

Social Media Platforms ◽

Clinical Questions ◽

Evidence Summaries

Abstract Introduction: An increasing growth of systematic reviews (SRs) presents notable challenges for decision-makers seeking to answer clinical questions. Overviews of systematic reviews aim to address these challenges by summarising results of SRs and making sense of potentially discrepant SR results and conclusions. In 1997, an algorithm was created by Jadad to assess discordance in results across SRs on the same topic. Since this tool pre-dates the advent of overviews, it has been inconsistently applied in this context. Our study aims to (a) replicate assessments done in a sample of overviews using the Jadad algorithm to determine if the same SR would have been chosen, (b) evaluate the Jadad algorithm in terms of utility, efficiency, and comprehensiveness, and (c) describe how overviews address discordance in results across multiple SRs. Methods and Analysis: We will use a database of 1218 overviews (2000-2020) created from a bibliometric study as the basis of our search for overviews assessing discordance. This bibliometric study searched MEDLINE (Ovid), Epistemonikos, and Cochrane Database for overviews. We will include any overviews using Jadad (1997) or another method to assess discordance. The first 30 overviews screened at the full-text stage by two independent reviewers will be included. We will replicate Jadad assessments in overviews. We will compare our outcomes qualitatively and evaluate the differences between our Jadad assessment of discordance and the overviews’ assessment. Ethics and Dissemination: No ethics approval was required as no human subjects were involved. In addition to publishing in an open-access journal, we will disseminate evidence summaries through formal and informal conferences, academic websites, and across social media platforms. This is the first study to comprehensively evaluate and replicate Jadad algorithm assessments of discordance in SRs.

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Evidências sobre o isolamento social em pacientes com exsudato em feridas neoplásicas: revisão integrativa

Revista Enfermagem Atual In Derme ◽

10.31011/reaid-2017-v.81-n.19-art.326 ◽

2019 ◽

Vol 81 (19) ◽

Author(s):

Willian Alves dos Santos ◽

Patricia dos Santos Claro Fuly ◽

Mauro Leonardo Salvador Caldeira dos Santos ◽

Marise Dutra Souto ◽

Caroline Marques Reis ◽

...

Keyword(s):

Social Isolation ◽

Systematic Reviews ◽

Medical Literature ◽

Scientific Evidence ◽

Psychosocial Aspects ◽

Literature Analysis ◽

Microsoft Excel ◽

Eligibility Criteria ◽

Cochrane Database ◽

On Line

Objetiva-se identificar as evidências científicas sobre o isolamento social em pacientes com feridas neoplásicasexsudativas. Revisão integrativa realizada nas bases de dados da Biblioteca Virtual de Saúde (BVS) e PubMed: LiteraturaLatino Americana e do Caribe em Ciências da Saúde (LILACS), Medical Literature Analysis and Retrieval Sistem on-line(MEDLINE) e Cochrane Database of Systematic Reviews (COCHRANE) com a questão norteadora: quais são as evidênciascientíficas sobre o isolamento social em pacientes com feridas neoplásicas exsudativas? Utilizou-se estratégia PICOcom recorte temporal de 2002 a 2014, nos idiomas português, inglês e espanhol. As informações foram tabuladas emprograma Microsoft Excel® e processadas a partir da média aritmética descritiva simples, frequência absoluta e relativa.Identificaram-se 288 artigos em sua totalidade. Após aplicação dos critérios de elegibilidade, foram selecionadas 23evidências científicas avaliadas a partir da categoria: os principais aspectos psicossociais prejudicados pelo exsudatoem pacientes com feridas neoplásicas. Concluí-se que o exsudato é um dos sintomas que interfere negativamente nosaspectos psicossociais do paciente com feridas neoplásicas, causando alteração da imagem corporal, perda dos limitesfísicos, ansiedade e depressão, fatores que favorecem diretamente o isolamento social.Palavras-chave: Cuidados Paliativos; Enfermagem Oncológica; Ferimentos e Lesões; Exsudatos e Transudatos;Isolamento Social. ABSTRACTThe aim is to identify the scientific evidence on social isolation in patients with exudative neoplastic wounds.An integrative literature review conducted in the Virtual Health Library databases (VHS) and PubMed: LiteratureLatin American and Caribbean Health Sciences (LILACS), Medical Literature Analysis and Retrieval System online(MEDLINE) and Cochrane Database of Systematic Reviews (COCHRANE), with the guiding question: what are thescientific evidences about the social isolation in patients with exudative neoplastic wounds? We used a PICOstrategy with a temporal cut from 2002 to 2014, in Portuguese, English and Spanish languages. The informationwas tabulated in Microsoft Excel® program and processed from simple descriptive arithmetic mean, absoluteand relative frequency. It was identified 288 articles in their entirety. After applying the eligibility criteria, wasselected 23 scientific evidence evaluated from the category: the main psychosocial aspects impaired by exudatein patients with neoplastic wounds. It concludes that exudate is one of the symptoms that negatively interferesthe psychosocial aspects of the patient with neoplastic wounds, causing alterations in body image, loss of physicallimits, anxiety and depression, factors that directly favor social isolation.Keywords: Palliative Care; Oncology Nursing; Wounds and Injuries; Exudates and Transudates; Social Isolation.

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PaperChase: Computerized Bibliographic Retrieval to Answer Clinical Questions

Methods of Information in Medicine ◽

10.1055/s-0038-1635439 ◽

1983 ◽

Vol 22 (04) ◽

pp. 183-188

Author(s):

G. L. Horowitz ◽

J. D. Jackson ◽

H. L. Bleich

Keyword(s):

Retrieval System ◽

Medical Literature ◽

Common Reason ◽

Rapid Review ◽

First Year ◽

Bibliographic Retrieval ◽

Clinical Questions ◽

Medical Importance ◽

Previous Training

PaperChase is a computerized bibliographic retrieval system that permits users without previous training to search the medical literature themselves at any time of the day or night. The database for PaperChase consists of approximately 425,000 references from 258 journals dating back eight years—nearly all the references shelved in the library of our hospital. In its first year of deployment, 1,032 users conducted 8,459 searches, during which they displayed 399,821 references and selected 97,869 of them for printing.The most common reason for using PaperChase is to answer a question of medical importance. As the results of the search are displayed, the titles of the retrieved references flash by; often one or more of them contain a declarative medical statement that answers the question of interest. To facilitate rapid review of these medical statements, we provided a new means to display references—just the titles, but four at a time. Examples are given which illustrate how users of PaperChase can find what they are looking for without consulting bound volumes.

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Zebras and Horses: Can the Medical Literature be Used to Anwer Clinical Questions

Libraries without Limits: Changing Needs — Changing Roles ◽

10.1007/978-94-011-4621-0_16 ◽

1999 ◽

pp. 75-76

Author(s):

Richard Nollan

Keyword(s):

Medical Literature ◽

Clinical Questions

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What is a clinical review?

Reviews in Clinical Gerontology ◽

10.1017/s0959259803013212 ◽

2003 ◽

Vol 13 (2) ◽

pp. 103-105 ◽

Cited By ~ 3

Author(s):

Norman Vetter

Keyword(s):

Systematic Review ◽

Foreign Language ◽

Clinical Review ◽

Systematic Reviews ◽

Medical Literature ◽

Specific Treatment ◽

Relevant Information ◽

Evidence Based ◽

Hard Evidence ◽

Meta Analyses

Traditional clinical review articles, also known as updates, differ from systematic reviews and meta-analyses. Systematic reviews comprehensively examine the medical literature, seeking to identify and synthesize all relevant information to formulate the best approach to diagnosis or treatment. Meta-analyses, sometimes known as quantitative systematic reviews seek to answer a narrow clinical question, often about the specific treatment of a condition, using rigorous statistical analysis of pooled research studies. Updates review the medical literature almost as carefully as a systematic review but discuss the topic under question more broadly and make reasoned judgements where there is little hard evidence, based upon the expertise of the reviewer. It may not include evidence from foreign language journals or look for unpublished data on a topic, so will tend to be more applicable to the local situation than a systematic review, as it may take into account local shortages of equipment or personnel.

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