scholarly journals Complementary and Alternative Medicines Use during Pregnancy: A Systematic Review of Pregnant Women and Healthcare Professional Views and Experiences

2013 ◽  
Vol 2013 ◽  
pp. 1-10 ◽  
Author(s):  
Abdul Rouf Pallivalappila ◽  
Derek Stewart ◽  
Ashalatha Shetty ◽  
Binita Pande ◽  
James S. McLay
Keyword(s):  
Systematic Review ◽  
Healthcare Professionals ◽  
Herbal Medicines ◽  
Evidence Base ◽  
Validity And Reliability ◽  
Alternative Medicines ◽  
Cochrane Database ◽  
Medicines Use ◽  
Data Validity ◽  
Cam Use

Aims. To undertake a systematic review of the recent (2008–2013) primary literature, describing views and experiences of CAM use during pregnancy by women and healthcare professionals.Method. Medline, Cumulative Index to Nursing and Allied Health Literature, Cochrane Database of Systematic Review Library and Allied, and Complementary Medicine Database were searched. Studies reporting systemic CAM products (homeopathic preparations, herbal medicines, Vitamins and minerals, homeopathy, and special diets) alone or in combination with other nonsystemic CAM modalities (e.g., acupuncture) were included.Results. Database searches retrieved 2,549 citations. Removal of duplicates followed by review of titles and abstracts yielded 32 relevant studies. Twenty-two reported the perspectives of women and their CAM use during pregnancy, while 10 focused on healthcare professionals. The majority of studies had significant flaws in study design and reporting, including a lack of appropriate definitions of CAM and associated modalities, absence of detailed checklists provided to participants, the use of convenience sampling, and a general lack of scientific robustness in terms of data validity and reliability.Conclusion. To permit generalisability of study findings, there is an urgent need to expand the evidence base assessing CAMs use during pregnancy using appropriately designed studies.

scholarly journals Global prevalence and types of complementary and alternative medicines use amongst adults with diabetes: systematic review and meta-analysis

2021 ◽  
Author(s):  
Abdulaziz S. Alzahrani ◽  
Malcolm J. Price ◽  
Sheila M. Greenfield ◽  
Vibhu Paudyal
Keyword(s):  
Systematic Review ◽  
Healthcare Professionals ◽  
Meta Analysis ◽  
Herbal Medicines ◽  
Spiritual Healing ◽  
Treatment Optimization ◽  
Global Prevalence ◽  
Patients With Diabetes ◽  
Cam Use ◽  
Complementary And Alternative

Abstract Aim This study aimed to undertake a systematic review and meta-analysis of global prevalence and types of complementary and alternative medicine (CAM) use amongst adults with diabetes. Methods Nine databases, including MEDLINE and EMBASE, were searched for studies published between 2009 and 2019 which included extractable data for CAM use in adult patients with diabetes. Study characteristics, types of CAM, and overall and subgroup prevalence data in relation to CAM use were extracted. Meta-analysis of aggregate level data on prevalence and prevalence ratios (PRs) was performed using a random effects model. Results From the 38 studies included in the review, a total of 37 types of CAM and 223 types of herbs were identified. Pooled prevalence of CAM use was 51%. A wide variation in prevalence rates (predictive interval 8–93%) was observed. In the context of high heterogeneity, we found no evidence that CAM use was associated with gender, chronicity or type of diabetes. Approximately one third of patients did not disclose their use of CAM to healthcare professionals (95% PrI 25%, 97%). Herbal medicines, acupuncture, homoeopathy and spiritual healing were the common CAM types reported. Conclusions A wide variation in prevalence of CAM use by patients with diabetes was identified. Healthcare professionals should be aware of their patients’ use of CAM to ensure treatment optimization, avoid herb–drug interactions and promote medication adherence in diabetes. Diabetic reviews and clinical guidelines should incorporate exploration of patient use of CAM as many patients do not proactively disclose the use of CAM to their healthcare professionals. Registration The protocol for this study was registered with the Centre for Review and Dissemination (CRD). Protocol registration number CRD42019125036.

scholarly journals The Prevalence and Predictors of Herbal Medicines’ Use in Cancer: A systematic Review and Meta-analysis of Observational Studies.

2020 ◽  
Author(s):  
John Baptist Asiimwe ◽  
Sarki Ahmed ◽  
Mauda Mugisha Kamatenesi ◽  
Esther Atukunda ◽  
Prakash PN ◽  
...  
Keyword(s):  
Systematic Review ◽  
Herbal Medicine ◽  
Cancer Patients ◽  
Observational Studies ◽  
Meta Analysis ◽  
Herbal Medicines ◽  
Medicines Use ◽  
Geographical Regions ◽  
The World ◽  
Economic Regions

The study aims to estimate the prevalence of herbal medicines use in cancer patients across the various regions of the world (geographical regions, economic regions) and establish the key predictors of herbal medicines use in those regions. The study will only synthesize literature from primary observational studies (cohorts and crosssectional study) reported in english between 2000 and 2020 (current). This study is evisaged to provide updated data on the magnitude of herbal medicine in cancer, that will in the end guide healthcare policy.

scholarly journals Practice review: Evidence-based and effective management of fatigue in patients with advanced cancer

2021 ◽  
pp. 026921632110467
Author(s):  
Emma J Chapman ◽  
Erica Di Martino ◽  
Zoe Edwards ◽  
Kathryn Black ◽  
Matthew Maddocks ◽  
...  
Keyword(s):  
Energy Conservation ◽  
Advanced Cancer ◽  
Healthcare Professionals ◽  
Nutritional Intervention ◽  
Evidence Base ◽  
Exercise Interventions ◽  
Fatigue Exercise ◽  
Cochrane Database ◽  
Pubmed Search ◽  
The Impact

Background: Fatigue affects most patients living with advanced cancer and is a symptom that healthcare professionals can find difficult to manage. Aim: To provide healthcare professionals with a pragmatic overview of approaches to management of fatigue in patients with advanced cancer that are commonly recommended by guidelines and to evaluate evidence underpinning them. Design: Scoping review methodology was used to determine the strength of evidence supporting use of interventions recommended in management of fatigue in patients with advanced cancer. Data sources: National or international guidelines were examined if they described the management of fatigue in adult cancer patients and were written within the last 6 years (2015–2021) in English. The Cochrane Database of Systematic Reviews (January 2011–December 2021) was searched for ‘cancer’ AND ‘fatigue’ in title, abstract or keywords. A PubMed search was also made. Results: Evidence indicates physical exercise interventions are effective and patients may benefit from energy conservation tactics. Evidence does not support use of psychostimulants such as methylphenidate. Limited data were found on efficacy of corticosteroids, psychological interventions, nutritional intervention, sleep optimization or complementary therapies for management of fatigue in advanced cancer. Conclusion: We recommend regular assessment, review and acknowledgement of the impact of fatigue. Exercise and energy conservation should be considered. Pharmacological interventions are not endorsed as a routine approach. Many interventions currently recommended by guidelines are not supported by a robust evidence base and further research on their efficacy is required.

scholarly journals Quality and Utility of Information Captured by Surveillance Systems Relevant to Antimicrobial Resistance (AMR): A Systematic Review

Antibiotics ◽  
2021 ◽  
Vol 10 (4) ◽  
pp. 431
Author(s):  
Mustafa Al-Haboubi ◽  
Rebecca E. Glover ◽  
Elizabeth Eastmure ◽  
Mark Petticrew ◽  
Nick Black ◽  
...  
Keyword(s):  
Systematic Review ◽  
Antimicrobial Resistance ◽  
Healthcare Professionals ◽  
Evidence Base ◽  
Health Surveillance ◽  
Ease Of Use ◽  
Surveillance Systems ◽  
Inclusion Criteria ◽  
Utility Of Information ◽  
Definition Of

Health surveillance systems are considered vital for combatting antimicrobial resistance (AMR); however, the evidence-base on the effectiveness of these systems in providing information that can be used by healthcare professionals, or the acceptability of these systems by users, has not been reviewed. A systematic review was conducted of a number of databases to synthesise the evidence. The review identified 43 studies that met the inclusion criteria, conducted in 18 countries and used 11 attributes in their assessment of surveillance systems. The majority of systems evaluated were for monitoring the incidence of tuberculosis. The studies found that most surveillance systems were underperforming in key attributes that relate to both effectiveness and acceptability. We identified that two features of systems (ease of use and users’ awareness of systems) were associated with greater acceptability and completeness of systems. We recommend prioritising these for the improvement of existing systems, as well as ensuring consistency in the definition of attributes studied, to allow a more consistent approach in evaluations of surveillance systems, and to facilitate the identification of the attributes that have the greatest impact on the utility of data produced.

Validity and reliability of eye healthcare professionals in the assessment of glaucoma - a systematic review

2015 ◽  
Vol 69 (6) ◽  
pp. 689-702 ◽  
Author(s):  
J. Scheetz ◽  
K. Koklanis ◽  
M. Long ◽  
K. Lawler ◽  
L. Karimi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Healthcare Professionals ◽  
Validity And Reliability

The effect of education on buyer behaviour in relation to equine herbal medicine

2006 ◽  
Vol 35 ◽  
pp. 259-262
Author(s):  
C.F. Bolwell ◽  
D. M. Abraham
Keyword(s):  
Herbal Medicine ◽  
Herbal Medicines ◽  
The Body ◽  
Herbal Products ◽  
Level Of Education ◽  
Alternative Medicines ◽  
The United Kingdom ◽  
Buyer Behaviour ◽  
Cam Use ◽  
Specific Symptoms

Herbal medicines are used in the horse to treat disease and help sustain optimum health within the body (Fleming, 2002). The popularity of complementary alternative medicines (CAM) in humans, such as herbal medicine, is continually growing across the United Kingdom (Ernst and White, 2000) and worldwide (Maclennon et al., 2003). The ability of alternative medicine to provide relief of specific symptoms to ailments is thought to be a major factor contributing to the rise of CAM (Pascoe, 2002). Much research has been conducted assessing the market for herbal products in humans, but little has been done on equine herbal products. Research by Astin (1998) suggests that a significant predictor of CAM use in humans is the buyers’ level of education; at least 50 % of respondents using CAM had degrees. A higher level of education allowed buyers to gain an understanding of the use of CAM and how it works.

scholarly journals Herbal Medicines for Treating Metabolic Syndrome: A Systematic Review of Randomized Controlled Trials

2016 ◽  
Vol 2016 ◽  
pp. 1-17 ◽  
Author(s):  
Soobin Jang ◽  
Bo-Hyoung Jang ◽  
Youme Ko ◽  
Yui Sasaki ◽  
Jeong-Su Park ◽  
...  
Keyword(s):  
Systematic Review ◽  
Metabolic Syndrome ◽  
Randomized Controlled Trials ◽  
Herbal Medicines ◽  
Risk Of Bias ◽  
Cochrane Library ◽  
Controlled Trials ◽  
Randomized Controlled ◽  
Alternative Medicines ◽  
Medical Theory

Objective. The aim of this systematic review is to evaluate the efficacy and safety of herbal medicines in the management of metabolic syndrome.Materials and Methods. On December 9, 2015, we searched PubMed, EMBASE, Cochrane Library, SCOPUS, AMED, CNKI, KoreaMed, KMBASE, OASIS, and J-STAGE with no restriction on language or published year. We selected randomized controlled trials that involved patients with metabolic syndrome being treated with herbal medicines as intervention. The main keywords were “Chinese herbal medicines”, “metabolic syndrome”, and “randomized controlled trials”. Herbal substances which were not based on East Asian medical theory, combination therapy with western medicines, and concurrent diseases other than metabolic syndrome were excluded. The risk of bias was assessed by Cochrane’s “Risk of Bias” tool. The protocol or review was registered in PROSPERO (an international prospective register of systematic reviews) (CRD42014006842).Results. From 1,098 articles, 12 RCTs were included in this review: five trials studied herbal medicines versus a placebo or no treatment, and seven trials studied herbal medicines versus western medicines. Herbal medicines were effective on decreasing waist circumference, blood glucose, blood lipids, and blood pressure.Conclusion. This study suggests the possibility that herbal medicines can be complementary and alternative medicines for metabolic syndrome.

scholarly journals Assessment and management of constipation for patients receiving palliative care in specialist palliative care settings: A systematic review of the literature

2018 ◽  
Vol 32 (5) ◽  
pp. 930-938 ◽  
Author(s):  
Deborah HL Muldrew ◽  
Felicity Hasson ◽  
Emma Carduff ◽  
Mike Clarke ◽  
Jo Coast ◽  
...  
Keyword(s):  
Systematic Review ◽  
Palliative Care ◽  
Healthcare Professionals ◽  
Evidence Base ◽  
Current Evidence ◽  
Specialist Palliative Care ◽  
Pharmacological Management ◽  
Current Evidence Base ◽  
Palliative Care Setting ◽  
Definition Of

Background: Constipation is an important issue for patients receiving palliative care within specialist palliative care settings. Questions and ambiguity, however, persist about international best practice and management. Aim: To synthesise the current evidence base on the assessment and management of constipation for palliative care patients within a specialist palliative care setting. Design: This is a systematic review. Data sources: MEDLINE, Embase, CINAHL, Scopus and Cochrane databases were systematically searched in April 2017 for empirical studies, written in English, on the assessment and management of constipation in specialist palliative care settings, published between 2007 and 2017. Two researchers independently reviewed and critically appraised all studies, conducted data extraction, and undertook a thematic analysis. Results: In total, 13 studies were included in the review comprising randomised trials ( n = 3), observational ( n = 4) and descriptive studies ( n = 6). Most research was conducted in specialist palliative care units, targeting either healthcare professionals or patients. The analysis highlighted a lack of standard definition of constipation, raising questions on the existence and comparability of baseline prevalence figures, the physical and psychological impact on patients, resource impact on staff and service, the subjective and objective methods of assessing constipation, and key aspects of constipation management, including a lack of focus on non-pharmacological management in this setting. Conclusion: The results of this review are being used to inform the development of an educational intervention targeting healthcare professionals. Gaps in the evidence base include lack of consistent definition of constipation, constipation prevention, non-pharmacological management, and the consideration of the management of constipation for the dying patient.

scholarly journals Free Tissue Transfer in Pressure Ulcer Reconstruction: A Systematic Review

2021 ◽  
Vol 06 (01) ◽  
pp. e35-e39
Author(s):  
Chelsi Robertson ◽  
Charles Patterson ◽  
Hugo St. Hilaire ◽  
Frank H. Lau
Keyword(s):  
Systematic Review ◽  
English Language ◽  
Free Tissue Transfer ◽  
Free Flaps ◽  
Final Analysis ◽  
The United States ◽  
Local Flap ◽  
Recurrence Rates ◽  
Tissue Transfer ◽  
Cochrane Database

Abstract Background Pressure ulcers (PUs) affect 2.5 million people in the United States annually and incur health-care costs of 11 billion dollars annually. Stage III/IV PU often require local flap reconstruction. Unfortunately, PU recurrence is common following reconstruction; recurrence rates as high as 82% have been reported. When local flap options are inadequate, free tissue transfer may be indicated but the indications have yet to be delineated. To develop evidence-based guidelines for the use of free flaps in PU reconstruction, we performed a systematic review. Methods A systematic review of the available English-language, peer-reviewed literature was conducted using PubMed/MEDLINE, Google Scholar, Scopus, EMBASE, and the Cochrane Database of Systematic Reviews. Articles were manually reviewed for relevance. Results Out of 272 articles identified, 10 articles were included in the final analysis. Overall, this systematic review suggests that free-flap PU reconstruction yields fewer recurrences compared with local flaps (0–20 vs. 13–82%). Further, several types of free flaps for PU reconstruction were identified in this review, along with their indications. Conclusion Free tissue transfer should be considered for recurrent PU. We offer specific recommendations for their use in PU reconstruction.

scholarly journals Complications of Outpatient and Inpatient Renal Biopsy: A Systematic Review and Meta-Analysis

Diagnostics ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. 651
Author(s):  
Shih-Yi Lin ◽  
Cherry Yin-Yi Chang ◽  
Cheng-Chieh Lin ◽  
Wu-Huei Hsu ◽  
I.-Wen Liu ◽  
...  
Keyword(s):  
Systematic Review ◽  
Renal Biopsy ◽  
Meta Analysis ◽  
Random Effect ◽  
Bleeding Risk ◽  
Complication Rates ◽  
Bleeding Events ◽  
Cochrane Database ◽  
Renal Biopsies ◽  
Inpatient Settings

Background: The evidence indicates that the optimal observation period following renal biopsy ranges between 6 and 8 h. This systematic review and meta-analysis explored whether differences exist in the complication rates of renal biopsies performed in outpatient and inpatient settings. Methods: We searched the MEDLINE, EMBASE, and the Cochrane Database of Systematic Reviews from 1985 to February 2020. Two reviewers independently selected studies evaluating the bleeding risk from renal biopsies performed in outpatient and inpatient settings and reviewed their full texts. The primary and secondary outcomes were risks of bleeding and major events (including mortality) following the procedure, respectively. Subgroup analysis was conducted according to the original study design (i.e., prospective or retrospective). Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated using a random effect meta-analysis. Heterogeneity was assessed using the I2 test. Results: Data from all 10 eligible studies, which included a total of 1801 patients and 203 bleeding events, were included for analysis. Renal biopsies in outpatient settings were not associated with a higher bleeding risk than those in inpatient settings (OR = 0.81; 95% CI, 0.59–1.11; I2 = 0%). The risk of major events was also comparable across both groups (OR = 0.45; 95% CI, 0.16–1.29; I2 = 4%). Conclusions: Similar rates of bleeding and major events following renal biopsy in outpatient and inpatient settings were observed.

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