Healthcare Practitioners’ Knowledge of Lymphedema

Objectives. Lymphedema is neglected in medical education, and a review on healthcare practitioners’ (HCPs) knowledge is necessary to shed light on gaps and to provide evidence for establishing educational programs on lymphedema. Methods. This systematic review was performed based on the PRISMA guideline in PubMed, Scopus, Web of Science, and Google Scholar databases. There was no limitation on the type of lymphedema or HCPs. The quality assessment was performed based on QATSDD. Data regarding study characteristics, questionnaire context, and findings of the study were summarized from each article. Results. After the screening, 16 articles were included that 12 were cross-sectional, two were qualitative, and two were interventional pilot studies. Breast cancer and other cancer-related lymphedema, lymphatic filariasis, and podoconiosis were included, and the majority of articles were focused on primary HCPs. The overall knowledge was low and average in five and 11 articles, respectively, and prior education was a significant factor related to higher knowledge of lymphedema in two studies. Conclusion. Structured education of lymphedema is needed to increase the knowledge of HCPs and to enhance their collaboration in multidisciplinary care teams. Improvement of HCPs’ knowledge may lead to better outcomes of lymphedema patients’ management which are neglected.

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Screening of Cognitive Changes in Adults with Intellectual Disabilities: A Systematic Review

10.20944/preprints202009.0739.v1 ◽

2020 ◽

Author(s):

Andreia F. Paiva ◽

Adam Nolan ◽

Charlotte Thumser ◽

Flavia H. Santos

Keyword(s):

Systematic Review ◽

Intellectual Disabilities ◽

Best Practice ◽

Web Of Science ◽

Total Sample ◽

Cognitive Changes ◽

Cross Sectional ◽

Age Related ◽

Adults With Intellectual Disabilities ◽

Practice Methods

Abstract: Background and Aims: Screening and assessment of cognitive changes in adults with Intellectual Disabilities, mainly Down Syndrome (DS), is crucial to offer appropriate services to their needs. We present a systematic review of the existing instruments assessing dementia, aiming to support researchers and clinicians’ best practice. Methods: Searches were carried out in the databases Web of Science; PubMed; PsycINFO in March 2019 and updated in May 2020. Studies were selected and examined if they: (1) focused on assessing age-related cognitive changes in person with ID; (2) included adults and/or older adults; (3) included scales and batteries for cognitive assessment. Results: Forty-eight cross-sectional studies and twenty-six longitudinal studies were selected representing a total sample of 5,851 participants (4,089 DS and 1,801 with other ID). In those studies, we found 38 scales, questionnaires, and inventories, and 13 batteries for assessing cognitive and behavioural changes in adults with DS and other ID. Conclusion: The most used instrument completed by an informant or carer was the Dementia Questionnaire for Learning Disabilities (DLD), and its previous versions. We discuss the strengths and limitations of the instruments and outline recommendations for future use.

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Shoulder pain prevalence by age and within occupational groups: a systematic review

Archives of Physiotherapy ◽

10.1186/s40945-021-00119-w ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Christopher J. Hodgetts ◽

Charlotte Leboeuf-Yde ◽

Amber Beynon ◽

Bruce F. Walker

Keyword(s):

Systematic Review ◽

Shoulder Pain ◽

Occupational Groups ◽

Cross Sectional ◽

Physically Active ◽

Prevalence Estimates ◽

Study Characteristics ◽

Pain Prevalence ◽

Older Populations ◽

Working Populations

Abstract Background Shoulder pain was previously shown to diminish in older populations and it was suggested that this could be explained by reduced usage with age. Our objectives were to investigate if estimates of shoulder pain continue to increase after the age of 50 in working populations and to compare these estimates in physically demanding occupations with sedentary occupations. Methods A systematic review of retrospective, cross-sectional, prospective, or longitudinal. studies reporting prevalence or incidence of non-specific shoulder pain in occupational groups stratified by age. Searches were conducted in PubMed, Scopus, and CINAHL from inception until January 2020. Study characteristics and prevalence estimates stratified by age were extracted. Two reviewers independently performed a critical analysis of the included studies to determine their validity and risk of bias. Results Twenty studies with a total of 40,487 participants and one study of a clinical data base were included and assigned a direction of the estimates for shoulder pain as either ‘increasing’, ‘remaining stable’ or ‘decreasing’ past the age of 50. Shoulder pain generally increased past 50, with 16 of the 21 included studies reporting higher estimates/odds ratios in older participants. In the more physically active occupations over 50, the estimates increased in 14 of the 18 samples compared to only two of the four involving sedentary occupations. Conclusions Shoulder pain prevalence remains common in workers beyond the age of 50. Prevalence continues to increase in physically demanding occupations. Clinicians should consider factors of occupation when managing shoulder pain. Trial registration PROSPERO (CRD42019137831).

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Relationship between cognition and frailty in elderly: A systematic review

Dementia & Neuropsychologia ◽

10.1590/1980-57642015dn92000005 ◽

2015 ◽

Vol 9 (2) ◽

pp. 110-119 ◽

Cited By ~ 37

Author(s):

Allan Gustavo Brigola ◽

Estefani Serafim Rossetti ◽

Bruna Rodrigues dos Santos ◽

Anita Liberalesso Neri ◽

Marisa Silvana Zazzetta ◽

...

Keyword(s):

Systematic Review ◽

Cognitive Impairment ◽

Search Strategy ◽

Web Of Science ◽

The Elderly ◽

Cross Sectional ◽

Cognitive Domains ◽

The Subject ◽

The Relationship

OBJECTIVE: The aim of this study was to analyze the relationship between cognition and frailty in the elderly. METHODS: A systematic review on the currently existing literature concerning the subject was carried out. The search strategy included LILACS, SCOPUS, SciELO, PsycINFO, PubMed and Web of Science databases. RESULTS: A total of 19 studies were selected for review, from which 10 (52.6%) were cross-sectional and 9 (47.4%) longitudinal, and the majority Brazilian. All of the studies established a link between cognition and frailty. There was a relationship between components of frailty and the cognitive domains. Risk of Mild Cognitive Impairment (MCI), dementia and mortality were all evidenced in the relationship between frailty and cognitive impairment. CONCLUSION: The theory remains limited, but results show the variables that appear to be linked to cognition and frailty in elderly. This data can help in implementing actions to improve the quality of life among elderly.

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Bidirectional Association between Tooth Loss and Hypertension: A Systematic Review and Meta-analysis

10.21203/rs.3.rs-38054/v1 ◽

2020 ◽

Author(s):

Nan Hu ◽

Ke Xu ◽

Chao Gong ◽

Xizhen Xu

Keyword(s):

Systematic Review ◽

Tooth Loss ◽

Meta Analysis ◽

Cross Sectional ◽

Incident Hypertension ◽

Bidirectional Association ◽

Significant Difference ◽

Study Characteristics ◽

Cross Sectional Studies ◽

Oral Complication

Abstract Background: To investigate the bidirectional association between tooth loss and hypertensionMethods: PubMed, EMBASE, OVID were searched through May, 2020. Longitudinal and cross-sectional studies reporting the association between tooth loss and hypertension were included. We quantitatively analyzed the basic framework and study characteristics, and then pooled estimate effects with 95% confidence intervals (CIs) of outcomes of each included studies using random-effects meta-analysis.Results: This systematic review included sixteen studies involving about 188,000 participants. Quantitatively summarized results suggested, compared to individuals who have lost fewer than ten teeth, there was no significantly difference in the incidence of hypertension among participants who lost more than ten teeth (OR: 1.09, 95%CI: 0.93,1.28). Besides, there is no significant difference of incident hypertension between individuals who ever lost teeth and never lost teeth (OR:1.03, 95% CI: 0.85,1.25). There was a significant association between hypertension and incidence of tooth loss (OR: 1.33, 95% CI: 1.04,1.70). Subgroup analysis by study design, age, gender ratio and religion showed statistically significant association between hypertension and incidence of tooth loss in specific subgroups.Conclusions: This meta-analysis identified hypertension as a significantly risk factor of tooth loss while tooth loss was not an efficient predictor for incident hypertension. Considering the limited number of available researches and drawback of cross-sectional studies, more high-quality prospective studies of large sample sizes are needed to understand details of this bidirectional association. Since both tooth loss and hypertension are worldwide problems, our study provides new and comprehensive evidence for the prevention in oral complication of hypertensive patients.

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Cardiovascular manifestations in COVID-19 patients: A systematic review and meta-analysis

Journal of Cardiovascular and Thoracic Research ◽

10.34172/jcvtr.2021.30 ◽

2021 ◽

Vol 13 (3) ◽

pp. 181-189

Author(s):

Seyyedmohammadsadeq Mirmoeeni ◽

Amirhossein Azari Jafari ◽

Seyedeh Zohreh Hashemi ◽

Elham Angouraj Taghavi ◽

Alireza Azani ◽

...

Keyword(s):

Systematic Review ◽

Meta Analysis ◽

Systolic Pressure ◽

Clinical Manifestations ◽

Laboratory Findings ◽

Cross Sectional ◽

Cardiovascular Comorbidities ◽

Study Characteristics ◽

Novel Coronavirus ◽

Cardiac Manifestations

Since December 2019, the COVID-19 pandemic has affected the global population, and one of the major causes of mortality in infected patients is cardiovascular diseases (CVDs).For this systematic review and meta-analysis, we systematically searched Google Scholar, Scopus, PubMed, Web of Science, and Cochrane databases for all articles published by April 2, 2020. Observational studies (cohort and cross-sectional designs) were included in this meta-analysis if they reported at least one of the related cardiovascular symptoms or laboratory findings in COVID-19 patients. Furthermore, we did not use any language, age, diagnostic COVID-19 criteria, and hospitalization criteria restrictions. The following keywords alone or in combination with OR and AND operators were used for searching the literature: "Wuhan coronavirus", "COVID-19", "coronavirus disease 2019", "SARS-CoV-2", "2019 novel coronavirus" "cardiovascular disease", "CVD", "hypertension", "systolic pressure", "dyspnea", "hemoptysis", and "arrhythmia". Study characteristics, exposure history, laboratory findings, clinical manifestations, and comorbidities were extracted from the retrieved articles. Sixteen studies were selected which involved 4754 patients, including 2103 female and 2639 male patients. Among clinical cardiac manifestations, chest pain and arrhythmia were found to have the highest incidence proportion. In addition, elevated lactate dehydrogenase (LDH) and D-dimer levels were the most common cardiovascular laboratory findings. Finally, hypertension, chronic heart failure, and coronary heart disease were the most frequently reported comorbidities. The findings suggest that COVID-19 can cause various cardiovascular symptoms and laboratory findings. It is also worth noting that cardiovascular comorbidities like hypertension have a notable prevalence among COVID-19 patients.

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Screening of Cognitive Changes in Adults with Intellectual Disabilities: A Systematic Review

10.20944/preprints202008.0115.v1 ◽

2020 ◽

Author(s):

Paiva A.F ◽

Nolan A. ◽

Thumser C. ◽

Santos F.H.

Keyword(s):

Systematic Review ◽

Intellectual Disabilities ◽

Best Practice ◽

Web Of Science ◽

Total Sample ◽

Cognitive Changes ◽

Cross Sectional ◽

Age Related ◽

Adults With Intellectual Disabilities ◽

Practice Methods

Background and Aims: Screening and assessment of cognitive changes in adults with Intellectual Disabilities, mainly Down Syndrome (DS), is crucial to offer appropriate services to their needs. We present a systematic review of the existing instruments assessing dementia, aiming to support researchers and clinicians’ best practice. Methods: Searches were carried out in the databases Web of Science; PubMed; PsycINFO in March 2019 and updated in May 2020. Studies were selected and examined if they: (1) focused on assessing age-related cognitive changes in person with ID; (2) included adults and/or older adults; (3) included scales and batteries for cognitive assessment. Results: Forty-eight cross-sectional studies and twenty-six longitudinal studies were selected representing a total sample of 5,851 participants (4,089 DS and 1,801 with other ID). In those studies, we found 38 scales, questionnaires, and inventories, and 14 batteries for assessing cognitive and behavioural changes in adults with DS and other ID. Conclusion: The most used instrument completed by an informant or carer was the Dementia Questionnaire for Learning Disabilities (DLD), and its previous versions. We discuss the strengths and limitations of the instruments and outline recommendations for future use.

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The Economic Burden of Cancer in Iran during 1995-2019: A Systematic Review

Iranian Journal of Public Health ◽

10.18502/ijph.v50i1.5070 ◽

2021 ◽

Author(s):

Aziz REZAPOUR ◽

Shahin NARGESI ◽

Fateme MEZGINEJAD ◽

Asma RASHKI KEMMAK ◽

Rafat BAGHERZADEH

Keyword(s):

Breast Cancer ◽

Systematic Review ◽

Economic Burden ◽

Web Of Science ◽

Indirect Costs ◽

Pharyngeal Cancer ◽

System Planning ◽

Oral And Pharyngeal Cancer ◽

Different Types ◽

Cancer Studies

Background: Cancer is the third cause of death following cardiovascular disease and accidents, in Iran. The purpose of this study was to systematically review the economic burden of cancer studies in Iran. Methods: This systematic review examined the types of direct medical and non-medical costs and indirect costs in cancer patients and includes studies in English and Persian that were reviewed in Scopus, Web of science, SID, Iranmedex, Magiran and databases of Medline, etc., from 1995-2019. Results: Twenty-one articles were included. Most studies have examined the direct costs of all types of cancers. The articles reviewed different types of cancer, such as prostate cancer (n=2), colorectal cancer (n=2), breast cancer (n=4), gastric cancer (n=2), oral and pharyngeal cancer (n=1), lung cancer (n=3), and blood cancer (n=4). The great number of studies were related to the gastrointestinal, breast and blood cancers. The gastrointestinal (gastric and colorectal) and breast cancer had the major economic burden than others. Conclusion: It is necessary that special attention to patients, supportive measures to reduce the share of costs, and more budget allocation for prevention, screening and early detection being at priorities in the health system planning.

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Educational Programs to Build Resilience in Children, Adolescent or Youth with Disease or Disability: A Systematic Review

Education Sciences ◽

10.3390/educsci11090464 ◽

2021 ◽

Vol 11 (9) ◽

pp. 464

Author(s):

Martín García-Parra ◽

Francisca Negre ◽

Sebastià Verger

Keyword(s):

Systematic Review ◽

Open Access ◽

Web Of Science ◽

Educational Programs ◽

Systematic Search ◽

Review Of The Literature ◽

Building Resilience ◽

The Family ◽

The Face ◽

The Individual

Resilience is understood as interactive processes that strengthen the individual and the family in the face of the demands of adversity or vulnerable situation. Resilience is fostered from a psychopedagogical approach when practices are developed that assist in facing challenges positively, having life projects and developing academic potentialities. Thus, the objective of this systematic review of the literature is cartography programs that promote resilience in children, adolescents, or youths who are facing a challenging condition, such as a disease or disability. The PRISMA declaration was used to guide this systematic search. The databases consulted were Web of Science, Scopus, EBSCOhost, ERIC and Dialnet Plus. Open access articles were selected between 2016 and 2021. The selection resulted in 15 educational programs. The results indicate that there are several models for building resilience, such as ecosystem, family, community, and academic models. In conclusion, interdisciplinarity is a cross-cutting axis for enhancing resilience in vulnerable settings.

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Environmental, Social and Economic Sustainability Indicators Applied to Food Services: A Systematic Review

Sustainability ◽

10.3390/su12051804 ◽

2020 ◽

Vol 12 (5) ◽

pp. 1804 ◽

Cited By ~ 9

Author(s):

Dayanne Maynard ◽

Mayara Vidigal ◽

Priscila Farage ◽

Renata Zandonadi ◽

Eduardo Nakano ◽

...

Keyword(s):

Systematic Review ◽

Web Of Science ◽

Meta Analysis ◽

Social Indicators ◽

Sustainability Indicators ◽

Economic Sustainability ◽

Food Services ◽

Cross Sectional ◽

Specific Search

Sustainability is the integration of actions focused on three pillars: environmental, social, and economical. Implementing sustainable development ranges from the pursuit of quality of life, and from environmental balance to break with the current pattern of development. Therefore, the objective of this work was to understand and analyze the sustainability indicators implemented in the production of meals in food services. The authors developed specific search strategies for Scopus, Web of Science, Pubmed, Lilacs, Google Scholar, and ProQuest Dissertations & Theses Global to perform the systematic review. The authors evaluated the methodological quality of the included studies using the Meta-analysis Statistical Assessment and Review Instrument (MASTARI). A total of 31 cross-sectional studies were analyzed. Twenty four (77.41%) of the studies had activities that covered the three indicators (environmental, social, and economic); 22.59% (n = 7) used two indicators in which 12.90% (n = 4) presented environmental and economic indicators and 9.67% (n = 3) with environmental and social indicators. This research indicates that the studies in food services are seeking to insert indicators that cover the three pillars of sustainable meal production. It is worth mentioning that in the literature, many works encompasses the importance of sustainability, but few explore which indicators are most applied or detail their implementation in food services. More studies are needed to estimate better the indicators being applied in food services.

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Screening of Cognitive Changes in Adults with Intellectual Disabilities: A Systematic Review

Brain Sciences ◽

10.3390/brainsci10110848 ◽

2020 ◽

Vol 10 (11) ◽

pp. 848

Author(s):

Andreia F. Paiva ◽

Adam Nolan ◽

Charlotte Thumser ◽

Flávia H. Santos

Keyword(s):

Systematic Review ◽

Intellectual Disabilities ◽

Best Practice ◽

Web Of Science ◽

Total Sample ◽

Cognitive Changes ◽

Cross Sectional ◽

Age Related ◽

Adults With Intellectual Disabilities ◽

Practice Methods

Background and Aims: Screening and assessment of cognitive changes in adults with Intellectual Disabilities (ID), mainly Down Syndrome (DS), is crucial to offer appropriate services to their needs. We present a systematic review of the existing instruments assessing dementia, aiming to support researchers and clinicians’ best practice. Methods: Searches were carried out in the databases Web of Science; PubMed; PsycINFO in March 2019 and updated in October 2020. Studies were selected and examined if they: (1) focused on assessing age-related cognitive changes in persons with ID; (2) included adults and/or older adults; (3) included scales and batteries for cognitive assessment. Results: Forty-eight cross-sectional studies and twenty-seven longitudinal studies were selected representing a total sample of 6451 participants (4650 DS and 1801 with other ID). In those studies, we found 39 scales, questionnaires, and inventories, and 13 batteries for assessing cognitive and behavioural changes in adults with DS and other ID. Conclusion: The most used instrument completed by an informant or carer was the Dementia Questionnaire for Learning Disabilities (DLD), and its previous versions. We discuss the strengths and limitations of the instruments and outline recommendations for future use.

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