Back pain and depressive symptoms: A systematic review and meta-analysis

2020 ◽  
pp. 009121742091300 ◽  
Author(s):  
Sohrab Amiri ◽  
Sepideh Behnezhad ◽  
Esfandiar Azad
Keyword(s):  
Back Pain ◽  
Depressive Symptoms ◽  
Confidence Interval ◽  
Publication Bias ◽  
Odds Ratio ◽  
Meta Analysis ◽  
Depression Symptoms ◽  
Psychological Consequences ◽  
Cross Sectional ◽  
Effective Prevention

Background Low back pain is a common disorder that has many consequences. This study is an attempt to meta-analyze the risk of depression symptoms in back pain. Method Four databases were selected for review, and this search was conducted using key words. Eleven eligible articles were selected for review and meta-analysis was conducted. Subgroup analyses were continued with study design and the method of measuring depression. Also, the heterogeneity and publication bias were examined. Results Eleven cohort and cross-sectional articles are used in the meta-analysis between back pain and depressive symptoms. The odds ratio 2.07 was calculated for this relationship. In prospective-cohort studies, 1.71 (95% confidence interval = 1.24–2.36) results indicated that back pain is a risk factor for depression symptoms and in cross-sectional studies, pooled odds ratio (2.33; 95% confidence interval = 1.29–4.21) showed that back pain is associated with depression symptoms. Some degree of publication bias was not found in the study. Conclusions Back pain is an effective factor in increasing the likelihood of depression. Adoption of effective prevention and treatment approaches can play an important role in reducing the psychological consequences in these individuals.

Diabetes and anxiety symptoms: A systematic review and meta-analysis

2019 ◽  
pp. 009121741983740 ◽  
Author(s):  
Sohrab Amiri ◽  
Sepideh Behnezhad
Keyword(s):  
Confidence Interval ◽  
Publication Bias ◽  
Odds Ratio ◽  
Medical Condition ◽  
Meta Analysis ◽  
Cross Sectional Study ◽  
Anxiety Symptoms ◽  
Forest Plot ◽  
Screening Process ◽  
Cross Sectional

Although some studies have been conducted on the association between diabetes and anxiety symptoms, the data on this association remain controversial. The purpose of this meta-analysis was to examine the association between diabetes and anxiety symptoms. The authors systematically searched PubMed, Scopus, and Google Scholar databases until July 2018. After the screening process, 23 studies were included in the meta-analysis. Stata-14 was used for meta-analyzing. Forest plot was calculated for the whole 23 studies and subgroups, and publication bias was also examined. Overall, diabetes was positively associated with anxiety; pooled odds ratio was equal to1.48; 95% confidence interval was 1 .27–1.74. In cross-sectional study, the result was odds ratio = 1.50; 95% confidence interval = 1.26–1.77, and in prospective-cohort study, the result was odds ratio = 1.34; 95% confidence interval = 1.21–1.49. There was small evidence of publication bias. Overall, our findings indicate that diabetes is a risk factor for anxiety symptoms. Therefore, having a healthy medical condition can be an anxiety prevention agent.

Depression and risk of disability pension: A systematic review and meta-analysis

2019 ◽  
pp. 009121741983741 ◽  
Author(s):  
Sohrab Amiri ◽  
Sepideh Behnezhad
Keyword(s):  
Systematic Review ◽  
Confidence Interval ◽  
Publication Bias ◽  
Risk Ratio ◽  
Disability Pension ◽  
Common Mental Disorder ◽  
Meta Analysis ◽  
Psychological Consequences ◽  
Treatment Of Depression

Background and objective Depression is a common mental disorder that leads to undesirable consequences. The study of the role of depression in disability pension can provide valuable insights. This study was conducted with the goal of systematic review and meta-analysis of the relationship between depression and disability pension. Methods PubMed, Scopus, PsycInfo, and Google Scholar databases were systematically searched until March 2018. Fifteen prospective cohort studies were selected and included in the meta-analysis. The random-effects method was used to combine the studies. Subgroup analysis was performed, and publication bias was also examined. Results Depression was a risk factor for disability pension (pooled risk ratio =1.68 and 95% confidence interval = 1.50–1.88). In men, pooled risk ratio was 1.82 for the effect of depression on the risk of disability pension (95% confidence interval = 1.45–2.28). In women, pooled risk ratio was 1.62 (95% confidence interval = 1.31–2.02). The results showed that there is publication bias. Conclusions Depression is a factor for retirement due to disability. Therefore, the prevention and treatment of depression can reduce socioeconomic and psychological consequences imposed on society.

Examining the Presence of Back Pain in Competitive Athletes: A Focus on Stress and Recovery

2019 ◽  
Vol 28 (2) ◽  
pp. 188-195 ◽  
Author(s):  
Jahan Heidari ◽  
Johanna Belz ◽  
Monika Hasenbring ◽  
Jens Kleinert ◽  
Claudia Levenig ◽  
...  
Keyword(s):  
Back Pain ◽  
Confidence Interval ◽  
Odds Ratio ◽  
Outcome Variable ◽  
Cross Sectional ◽  
Competitive Athletes ◽  
Cross Sectional Design ◽  
Biomechanical Factors

Context: Explanatory approaches for back pain (BP) in athletes focus on biomechanical factors while neglecting psychological perspectives. Psychological factors have gained importance in the prediction of injuries in athletes and BP in the general population, with stress and recovery emerging as central risk factors. However, scarce evidence exists regarding the role of these aspects for the prevalent burden of BP. Objective: To investigate the association between stress and recovery parameters and the presence of BP. Design: Cross-sectional design. Setting: The questionnaires were distributed after the training sessions. Participants: A total of 345 competitive athletes (mean age = 18.31 y [SD = 5.40]) were investigated. The classification of the athletes’ competitive status was based on performance level. Interventions: Data were collected using questionnaires for the assessment of stress, recovery, and BP. Main Outcome Measures: The authors performed a multiple logistic regression to obtain odds ratios for stress and recovery parameters with regard to the outcome variable BP status. Results: For stress, the dimension “overall stress” (odds ratio = 1.83; 95% confidence interval, 1.30–2.59; P = .001) and the scale “physical complaints” (odds ratio = 1.68; 95% confidence interval, 1.25–2.25; P = .001) of the general version of the Recovery-Stress Questionnaire resulted to be significantly associated with BP. None of the recovery-related scales displayed a statistically significant relationship with BP. Conclusion: The outcomes of this study imply a modest association between stress and the presence of BP in competitive athletes. Practitioners may take these findings into account regarding the conception of training and for monitoring purposes.

scholarly journals Predictive Value of D-dimer on Mortality in Patients with Acute Aortic Dissection

2020 ◽  
Author(s):  
Shuangshuang Li ◽  
Pengcheng Du ◽  
Jian Dong ◽  
Jian Zhou ◽  
Zaiping Jing
Keyword(s):  
Sensitivity Analysis ◽  
Aortic Dissection ◽  
Confidence Interval ◽  
Hospital Mortality ◽  
Publication Bias ◽  
Odds Ratio ◽  
Acute Aortic Dissection ◽  
Meta Analysis ◽  
Cutoff Value ◽  
D Dimer

Abstract ObjectiveTo clarify the relation between D-dimer and in-hospital mortality of acute aortic dissection, a meta-analysis was performed by summarizing all relevant studies.MethodsAll related studies were retrieved and identified in PubMed and Embase databases. Precise data was extracted from standard articles, such as sample size, odds ratio, and 95% confidence interval. Then pooled odds ratio (OR) accompanying 95% confidence interval (CI) were calculated using random model. Study heterogeneity examined by Q text and I2 statistic. Sensitivity analysis was performed to assess the stability of the results. Publication bias was assessed by Egger’s test. ResultsTen studies (1954 patients) that met the inclusion criteria were included in this review. The results suggested a link between D-dimer and in-hospital mortality of acute aortic dissection (OR=1.17 95%CI=1.08-1.27). With higher of cutoff value of D-dimer, the closer for the mortality of AAD, with ORs (95% CIs) ranging from 1.13(1.09–1.16) to 4.12 (1.56–10.93). The relationship was also found in six Type A AAD studies without heterogeneity (OR=1.13 95%CI=1.08-1.18). According to sensitivity analysis, the link was stable after exclusion of one study at a time. Publication bias was find among studies (P=0.02). ConclusionsThe result of this meta-analysis indicated that D-dimer maybe a predictor in-hospital mortality of acute aortic dissection patients. What’s more, the higher of cutoff value of D-dimer, the stronger for the predictive ability.

Symptoms of Anxiety, Depression, and Posttraumatic Stress Among Survivors of the 2005 Pakistani Earthquake

2011 ◽  
Vol 5 (4) ◽  
pp. 293-299 ◽  
Author(s):  
Shahrukh Hashmi ◽  
Paul Petraro ◽  
Tara Rizzo ◽  
Hafsa Nawaz ◽  
Rabeea Choudhary ◽  
...  
Keyword(s):  
Confidence Interval ◽  
Posttraumatic Stress ◽  
Odds Ratio ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Depression Symptoms ◽  
Northern Pakistan ◽  
Cross Sectional ◽  
Hopkins Symptom Checklist ◽  
Azad Kashmir

ABSTRACTObjectives: To assess and compare the prevalence of psychological morbidity among survivors of the 2005 northern Pakistan earthquake from Azad Kashmir and the Northwest Frontier Province (NWFP).Methods: We conducted a cross-sectional study among randomly sampled survivors (N = 361) of the earthquake living in camps at the time of the interview, approximately 6 months after the earthquake.Results: The prevalence of posttraumatic stress disorder (PTSD) symptoms in the total sample was 51.5% and the prevalence of individuals who received positive scores on the Hopkins Symptom Checklist (HSCL) was 75%. The prevalence rates for anxiety and depression symptoms were 77.3% and 70.9%, respectively. The prevalence in Azad Kashmir was 57.9% for PTSD and 79.8% for positive HSCL, and NWFP had 41.3% PTSD and 67.4% positive HSCL. Study subjects from Azad Kashmir were approximately 2 times as likely to have PTSD or a positive HSCL when compared to subjects from NWFP (odds ratio 1.95, confidence interval 1.27-3.0; P = .0024) and (odds ratio 1.91, confidence interval 1.18-3.1; P = .0085), respectively.Conclusions: Nearly half of the northern Pakistan earthquake survivors had symptoms of PTSD. Six months after the incident, more than three-fourths exhibited symptoms of an anxiety disorder.(Disaster Med Public Health Preparedness. 2011;5:293–299)

scholarly journals Greater Incidence of Emergence Agitation in Children after Sevoflurane Anesthesia as Compared with Halothane

2008 ◽  
Vol 109 (2) ◽  
pp. 225-232 ◽  
Author(s):  
Norifumi Kuratani ◽  
Yumiko Oi
Keyword(s):  
Confidence Interval ◽  
Publication Bias ◽  
Odds Ratio ◽  
Pain Treatment ◽  
Meta Analysis ◽  
Fixed Effect Model ◽  
Sevoflurane Anesthesia ◽  
Emergence Agitation ◽  
Inclusion Criteria ◽  
Halothane Anesthesia

Background Sevoflurane is a popular inhalational anesthetic for general anesthesia in children. The higher incidence of emergence agitation has been suspected after sevoflurane anesthesia as compared with halothane, whereas some controlled studies showed conflicting results. In this report, the authors performed a meta-analysis of randomized controlled trials to compare the incidence of emergence agitation in children after sevoflurane or halothane anesthesia. Methods A comprehensive literature search was conducted to identify clinical trials that compared the incidence of emergence agitation in children anesthetized with sevoflurane versus halothane. Two reviewers independently assessed each report to meet the authors inclusion criteria and extracted data. The data from each trial were combined using the Mantel-Haenszel fixed-effect model to calculate the pooled odds ratio and 95% confidence interval. Funnel plots were used to assess publication bias. Subgroup analysis was used to clarify the effects of age, surgical procedure, pain treatment, and premedication on the incidence of emergence agitation. Results The authors identified 23 studies that met their inclusion criteria. Overall, 1,252 patients received sevoflurane and 1,111 had halothane. Heterogeneity of data was statistically refuted. The pooled odds ratio for all studies was 2.21, with a 95% confidence interval of 1.77-2.77 (P < 0.0001). Publication bias was not apparent in a funnel plot. All subgroup analyses showed a higher incidence of agitation after sevoflurane anesthesia. Conclusions This meta-analysis revealed that emergence agitation occurred more frequently with sevoflurane than with halothane anesthesia in children.

scholarly journals Green Tea Consumption and Depressive Symptoms among Japanese Workers: The Furukawa Nutrition and Health Study

Nutrients ◽  
2021 ◽  
Vol 14 (1) ◽  
pp. 167
Author(s):  
Akiko Nanri ◽  
Masafumi Eguchi ◽  
Takeshi Kochi ◽  
Isamu Kabe ◽  
Tetsuya Mizoue
Keyword(s):  
Depressive Symptoms ◽  
Green Tea ◽  
Odds Ratio ◽  
Dietary Factors ◽  
Baseline Survey ◽  
Depression Symptoms ◽  
Inverse Association ◽  
Tea Consumption ◽  
Cross Sectional ◽  
The Cross

Although several cross-sectional studies have described an inverse association between green tea consumption and depressive symptoms, only one study has prospectively investigated this association. We investigated the cross-sectional and prospective associations between green tea consumption and depressive symptoms in a working population in Japan. Participants were 1987 workers who participated in the baseline survey for a cross-sectional association, and 916 participants who did not have depressive symptoms at baseline who responded to both the baseline and follow-up surveys for a prospective association. Green tea consumption was evaluated with a validated self-administered diet history questionnaire. Depression symptoms were evaluated with the Center for Epidemiologic Studies Depression (CES-D) scale. Multiple logistic regression was conducted to estimate the odds ratio of depressive symptoms based on green tea consumption. In the cross-sectional analysis, green tea consumption was not associated with the prevalence of depression symptoms. Moreover, consumption at baseline was not associated with depression symptoms after 3 years; the multivariable-adjusted odds ratio of depressive symptoms for ≥2 cups/day of green tea was 1.12 (95% confidence interval 0.65–1.91) compared with <4 cups/week after adjustment for covariates including dietary factors (trend p = 0.67). Our results suggest that there is no association of consumption of green tea with symptoms of depression in Japanese.

scholarly journals Isolated Tricuspid Valve Surgery – Repair Versus Replacement: a Meta-analysis

2021 ◽  
Author(s):  
Panagiotis Sarris-Michopoulos ◽  
Alejandro Macias ◽  
Constantine Sarris-Michopoulos ◽  
Palina Woodhouse ◽  
Daniel Buitrago ◽  
...  
Keyword(s):  
Confidence Interval ◽  
Publication Bias ◽  
Tricuspid Valve ◽  
Odds Ratio ◽  
Meta Analysis ◽  
Valve Surgery ◽  
Tricuspid Valve Repair ◽  
Tricuspid Valve Surgery ◽  
Significant Difference ◽  
Pacemaker Placement

Objective: There is paucity of data on outcomes after isolated tricuspid valve surgery. This meta-analysis aims to compile available data on isolated tricuspid valve surgery and compare isolated tricuspid valve repair (iTVr) with isolated tricuspid valve replacement (iTVR) to elucidate outcomes after tricuspid valve surgery. Methods: A literature search of 6 databases was performed. The primary outcomes was 30-day mortality. Secondary outcomes were early stroke, post-op pacemaker placement, and tricuspid reoperation within 5 years. Publication bias was explored using the funnel plot. Results: Ten retrospective studies involving 1407 patients (iTVr group = 779 patients and iTVR group = 628 patients) were included. A cumulative analysis demonstrated a significant difference favoring iTVr for 30-day mortality [odds ratio – 10 studies (95% confidence interval) 0.34 (0.18-0.66)]; 4.7% versus 12.6%, for iTVr and iTVR, respectively. Post-op pacemaker placement favored iTVr [odds ratio – 6 studies (95% confidence interval) 0.37 (0.18-0.77)]. Although stroke rates and TV reoperation favored iTVr, they did not reach statistical significance. No publication bias was identified. Conclusions: This meta-analysis demonstrates that iTVr has better 30-day mortality and fewer permanent pacemaker placements. Etiology and severity of TR, as well as careful patient selection remain the most important factors for optimal outcomes.

Association between diabetes and keratoconus—a systematic review and meta-analysis

2021 ◽  
pp. 112067212110531
Author(s):  
Prince K Akowuah ◽  
Christabel Arthur ◽  
Fredrick A Otabil ◽  
Collins A Ofori ◽  
Kofi Osei-Poku ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Publication Bias ◽  
Study Design ◽  
Odds Ratio ◽  
Literature Search ◽  
Meta Analysis ◽  
Case Control ◽  
Reference List ◽  
Significant Heterogeneity ◽  
Cross Sectional

Purpose To assess the association between diabetes mellitus and keratoconus. Methods PubMed, Google Scholar, Web of Science, and Scopus databases were searched for literature on the association between diabetes and keratoconus. The last literature search was conducted on April 4, 2021. A secondary form of the literature search was conducted by manually scanning the reference list of retrieved eligible articles. Included studies were cohort, case-control, or cross-sectional study design that used odds ratio or risk ratio to evaluate the relationship between keratoconus and diabetes. Egger's test was used to assess the presence of publication bias. The quality of eligible studies was assessed using the Newcastle-Ottawa Scale. Results Nine studies (six case-control and three cohort studies) published between 2000 and 2021 were included. The total number of keratoconus patients and controls were 27,311 and 53,732. respectively. Meta-analysis revealed no significant association between diabetes mellitus and keratoconus; the pooled odds ratio was 0.87 (95% confidence interval: 0.66–1.14; p = 0.314). There was significant heterogeneity ( Q (df = 7) = 33.36, p < 0.001; I 2  = 79.01, p < 0.001). Age of participants ( p < 0.0001), study design ( p < 0.001), and sample size ( p = 0.024) were significant sources of heterogeneity. There was no evidence of publication bias. Conclusion The current meta-analysis revealed no significant association between diabetes mellitus and keratoconus. Well-designed longitudinal prospective studies are, however, needed to investigate any association between diabetes mellitus and keratoconus.

scholarly journals A Meta-Analysis for Association of Maternal Smoking with Childhood Refractive Error and Amblyopia

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Li Li ◽  
Ya Qi ◽  
Wei Shi ◽  
Yuan Wang ◽  
Wen Liu ◽  
...  
Keyword(s):  
Risk Factor ◽  
Confidence Interval ◽  
Publication Bias ◽  
Refractive Error ◽  
Odds Ratio ◽  
Maternal Smoking ◽  
Meta Analysis ◽  
Significant Heterogeneity ◽  
Chi Square ◽  
The Difference

Background. We aimed to evaluate the association between maternal smoking and the occurrence of childhood refractive error and amblyopia.Methods. Relevant articles were identified from PubMed and EMBASE up to May 2015. Combined odds ratio (OR) corresponding with its 95% confidence interval (CI) was calculated to evaluate the influence of maternal smoking on childhood refractive error and amblyopia. The heterogeneity was evaluated with the Chi-square-basedQstatistic and theI2test. Potential publication bias was finally examined by Egger’s test.Results. A total of 9 articles were included in this meta-analysis. The pooled OR showed that there was no significant association between maternal smoking and childhood refractive error. However, children whose mother smoked during pregnancy were 1.47 (95% CI: 1.12–1.93) times and 1.43 (95% CI: 1.23-1.66) times more likely to suffer from amblyopia and hyperopia, respectively, compared with children whose mother did not smoke, and the difference was significant. Significant heterogeneity was only found among studies involving the influence of maternal smoking on children’s refractive error (P<0.05;I2=69.9%). No potential publication bias was detected by Egger’s test.Conclusion. The meta-analysis suggests that maternal smoking is a risk factor for childhood hyperopia and amblyopia.

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