The concept of futility in health: A scoping review

2020 ◽  
pp. 147775092097710
Author(s):  
João Vítor da Silva Vieira ◽  
Sérgio Deodato ◽  
Felismina Mendes
Keyword(s):  
Scoping Review ◽  
Clinical Judgment ◽  
Web Of Science ◽  
Technological Development ◽  
Therapeutic Options ◽  
Qualitative And Quantitative ◽  
Central Elements ◽  
Review Protocol ◽  
Definition Of ◽  
Scientific And Technological Development

Introduction Due to the constant scientific and technological development, health professionals are regularly confronted with situations in which there are always therapeutic options, regardless of the severity of the patient’s condition. However, regarding these therapeutic options as feasible in all situations can be harmful, since it is universally accepted that, despite all advances in health, there are inevitable limits and the promotion of some interventions may be useless or futile. Objective To characterize the use of the concept of futility in the health literature. Method Review of the literature following the Scoping Review protocol of the Joanna Briggs Institute. The research was performed in CINAHL, Cochrane, Pubmed, Scopus e Web of Science to identify studies published prior to 2020. Nineteen studies were selected. Results There is no universally accepted definition for the concept of futility. In the literature there are different conceptions for the concept of futility that point to qualitative and quantitative roots and that are associated with ethical dilemmas that make it difficult to conceptualize this concept and make it operational in clinical practice. Conclusion The central elements of the concept of futility include: the diagnosis of futility is closely related to clinical judgment; futility has both quantitative and qualitative roots; futility is always appreciated posteriori; futility is related to the lack of benefit. It is essential to promote a discussion that enables the definition of the concept and that makes it possible to promote ethical principles in care, especially when the inevitable limits of treatments are reached.

Problems and Barriers related to the Use of Digital Health Applications: A Scoping Review Protocol (Preprint)

2021 ◽  
Author(s):  
Godwin Denk Giebel ◽  
Christian Speckemeier ◽  
Carina Abels ◽  
Kirstin Börchers ◽  
Jürgen Wasem ◽  
...  
Keyword(s):  
Scoping Review ◽  
Digital Health ◽  
Health Care Systems ◽  
Grey Literature ◽  
Screening Process ◽  
Care Systems ◽  
Research Findings ◽  
Review Protocol ◽  
Definition Of ◽  
Health Applications

BACKGROUND Usage of digital health applications (DHA) is increasing internationally. More and more regulatory bodies develop regulations and guidelines to enable an evidence-based and safe use. In Germany, DHA fulfilling predefined criteria (Digitale Gesundheitsanwendungen (="DiGA")) can be prescribed and are reimbursable by the German statutory health insurance scheme. Due to the increasing distribution of DHA problems and barriers should receive special attention. OBJECTIVE This study aims to identify relevant problems and barriers related to the use of DHA fulfilling the criteria of DiGA. The research done in this area will be mapped and research findings will be summarized. METHODS Conduct of the scoping review will follow published methodological frameworks and PRISMA-Scr criteria. Electronic databases (MEDLINE, EMBASE, and PsycINFO), reference lists of relevant articles and grey literature sources will be searched. Two reviewers will assess eligibility of articles by a two-stage (title/abstract and full-text) screening process. Only problems and barriers related to DHA fulfilling the criteria of DiGA are included for this research. RESULTS This scoping review serves to give an overview about the available evidence and to identify research gaps with regards to problems and barriers related to DiGA. Results are planned to be submitted to an indexed, peer-reviewed journal in the fourth quarter of 2021. CONCLUSIONS This is the first review identifying problems and barriers specifically to the use of the German definition of DiGA. Nevertheless, our findings can presumably be applied to other contexts and health care systems as well.

scholarly journals Beyond Oncology: Question Prompt Lists in Healthcare—A Scoping Review Protocol

2020 ◽  
Vol 3 (1) ◽  
pp. 9
Author(s):  
Matthias Lukasczik ◽  
Christian Gerlich ◽  
Hans Dieter Wolf ◽  
Heiner Vogel
Keyword(s):  
Scoping Review ◽  
Review Process ◽  
Web Of Science ◽  
Preventive Measures ◽  
Health Condition ◽  
Target Groups ◽  
Exclusion Criteria ◽  
Prisma Statement ◽  
Review Protocol ◽  
Question Prompt

Question prompt lists (QPL) are an instrument to promote patient participation in medical encounters by providing a set of questions patients can use during consultations. QPL have predominantly been examined in oncology. Less is known about their use in other contexts. Therefore, we plan to conduct a scoping review to provide an overview of the fields of healthcare in which QPL have been developed and evaluated. MEDLINE/PUBMED, PSYCINFO, PSYNDEX, WEB OF SCIENCE, and CINAHL will be systematically searched. Primary studies from different healthcare contexts that address the following participants/target groups will be included: persons with an acute, chronic, or recurring health condition other than cancer; healthy persons in non-oncological primary preventive measures. There will be no restrictions in terms of study design, sample size, or outcomes. However, only published studies will be included. Studies that were published in English and German between 1990 and 2019 will be examined. Two independent reviewers will apply defined inclusion/exclusion criteria and determine study eligibility in the review process guided by the PRISMA statement.

scholarly journals Factors other than medical acuity that influence hospitalisation: a scoping review protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e028949
Author(s):  
Mellena Giday ◽  
Meghaan Hawes ◽  
Ann Madhavan ◽  
Maralyssa Bann
Keyword(s):  
Scoping Review ◽  
Methodological Quality ◽  
Review Process ◽  
Web Of Science ◽  
Grey Literature ◽  
Medical Illness ◽  
Common Language ◽  
Two Phase ◽  
Medical Issues ◽  
Review Protocol

IntroductionThere is evidence that patients are admitted to the hospital with low-acuity medical issues, though delineation of the underlying factors has not been comprehensively explored. This scoping review will provide an overview of the existing literature regarding factors outside of acute medical illness that influence hospitalisation of adults. The review will also seek to provide a review of common language and definitions used in the research on this phenomenon.Methods and analysisThe scoping review framework, outlined by Arksey and O’Malley and expanded on by Levacet al, will be used as the basis for this study. A systematic search of seven databases (PubMed, CINAHL, PsycINFO, EMBASE, Web of Science, Sociological Abstracts and Social Science Abstracts) will be conducted to identify existing literature followed by a standardised two-phase, two-reviewer process to select relevant papers for inclusion. Relevant studies will investigate adult non-psychiatric hospital admission plus at least one additional factor unrelated to medical acuity. Details of the work will be extracted, including the terminology used and perspectives included. An assessment of methodological quality will be performed using a tool designed for mixed-methods systematic review.Ethics and disseminationThe scoping review protocol delineates a transparent and rigorous review process, the results of which will be disseminated through peer-reviewed publication and presentation at relevant local or national meetings. The study does not require ethics approval as the data will be accumulated through the review of published, peer-reviewed literature and grey literature.

Conversational Agents in Health Education: A Scoping Review Protocol (Preprint)

2021 ◽  
Author(s):  
Mohammed Zayan Nizam ◽  
Leigh Powell ◽  
Nabil Zary
Keyword(s):  
Health Education ◽  
Scoping Review ◽  
Web Of Science ◽  
Grey Literature ◽  
Specific Area ◽  
Conversational Agents ◽  
The Public ◽  
Daunting Task ◽  
Scoping Reviews ◽  
Review Protocol

BACKGROUND Conversational agents can reach people where they are at, existing online, on mobile phones, or even through hardware like Alexa and Siri, making information easier to access and providing an engaging method of interaction. It makes sense that chatbots would also start to emerge to improve public health through health education. While building a chatbot is getting easier, there is still required time and effort. There is also a lack of clarity and consistent terminology about what kinds of chatbots are out there, how they are developed, and the kind of resources needed to develop and sustain them. This lack of clarity makes a daunting task for those seeking to build health education initiatives. Our scoping review seeks to categorize conversational agents in healthcare education in alignment with current classifications and terminology emerging from the marketplace. We will define the terminology of levels of conversational agents, categorize current agents along with these levels and describe the uses, resources, and evaluations common to these levels. OBJECTIVE This scoping review aims to identify literature that reports on the design and implementation of conversational agents to promote and educate the public on matters related to health. METHODS This scoping review will be conducted by employing the Arksey and O’Malley framework. We will also be adhering to the enhancements and updates proposed by Levac et al. and Peters et al. The PRISMA extension for scoping reviews will guide the reporting of this scoping review. A systematic search for published and grey literature will be undertaken from the following databases (1) PubMed, (2) PsychINFO, (2) Embase, (4) Web of Science, (5) SCOPUS, (6) CINAHL, (7) ERIC, (8) MEDLINE, (9) Google Scholar. Data charting will be done using a structured format. RESULTS Initial searches of the databases retrieved 1,480 results. The results will be presented in the final scoping review in both a narrative and illustrative manner. CONCLUSIONS Reviewers have previously explored conversational agents in health. However, to the authors' knowledge, there has been no review conducted in the specific area of our interest –Health Education. Therefore, this review will provide a map of the literature in this area and clarify and define the heterogeneous terms found in the literature. This information will help healthcare professionals and administrators to understand what kinds of chatbots would be appropriate in their setting. And through our charted data could also help them understand what kind of resources or expertise is required for the different chatbots in use.

scholarly journals Scientific production of researchers in the Nutrition field with productivity fellowships from the National Council for Scientific and Technological Development

2017 ◽  
Vol 30 (6) ◽  
pp. 681-690
Author(s):  
Lucinéia de PINHO ◽  
Hercílio MARTELLI-JÚNIOR ◽  
Eduardo Araujo OLIVEIRA ◽  
Daniella Reis Barbosa MARTELLI
Keyword(s):  
Impact Factor ◽  
Academic Advising ◽  
Web Of Science ◽  
Technological Development ◽  
Scientific Production ◽  
Southeastern Brazil ◽  
National Council ◽  
Cross Sectional ◽  
Data Collation ◽  
Scientific And Technological Development

ABSTRACT Objective To characterize researchers in the Nutrition field awarded with Conselho Nacional de Desenvolvimento Científico e Tecnológico research productivity fellowships and evaluate their scientific production according to an analysis of curricula registered on the Lattes Platform. Methods The study is cross-sectional and descriptive in scope, and was developed from October 2014 to February 2015. The productivity fellowships/Conselho Nacional de Desenvolvimento Científico e Tecnológico researchers were identified from the Lattes Platform, and their curriculum lattes were downloaded for data collation. Information on the profiles of the researchers and the bibliometric data of productivity (published articles, articles and citations registered on ISI/Web of Science and Scopus databases, impact of the publications, and academic advising) were collected. Results Eighty researchers were identified and evaluated. A total of 67.5% were female and 53.5% were classified as category 2. Approximately two-thirds (65.0%) were located in Southeastern Brazil. The sum of articles published by the researchers from the beginning of their career until the end of the study came to 7,358 (median=84 per researcher, interquartile range=53–285). Of these publications, 45.0% were indexed in the Web of Science and 62.0% in Scopus. Of the journals where the articles were published, 70.0% had an impact factor. Conclusion Most publications were performed in journals with an impact factor, indicating the influence of Brazilian nutrition studies on society and their potential for guiding public policies on nutrition and health.

scholarly journals Determination of the baseline value of the target of the national project «Science» related to the publication activity of the Russian Federation in priority areas

2019 ◽  
Vol 5 (2) ◽  
pp. 101-113 ◽  
Author(s):  
V. I. Starodubov ◽  
F. A. Kurakov
Keyword(s):  
Russian Federation ◽  
Web Of Science ◽  
Technological Development ◽  
Subject Area ◽  
Priority Areas ◽  
The Subject ◽  
The Russian Federation ◽  
Number Of Publications ◽  
Scientific And Technological Development

One of the seven target indicators of the National Science Project (NSP) is “The place of the Russian Federation by share in the total number of articles in the areas defined by the priorities of scientific and technological development in publications indexed in international databases”. The purpose of this study was to assess the basic value of this indicator for disciplines related to priority areas, according to the Strategy of scientific and technological development of the Russian Federation. The volumes of publication flows of the Russian Federation in 112 disciplines are compared with a similar indicator of countries ranked fifth in the number of publications in the subject area under consideration, indexed in the Web of Science Core Collection (WoS CC). A 5–10 fold lag of the Russian Federation was recorded for the most part of the priority areas identified by the passport of the NSP.

scholarly journals Quality indicators of telemedical care offshore—a scoping review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Michael Hellfritz ◽  
Alexander Waschkau ◽  
Jost Steinhäuser
Keyword(s):  
Quality Indicators ◽  
Scoping Review ◽  
Web Of Science ◽  
Care Delivery ◽  
Cochrane Library ◽  
Structure Quality ◽  
Offshore Installations ◽  
Definition Of ◽  
Telemedical Care

Abstract Background Offshore industries operate all around the world in diverse and remote environments. The use of telemedicine to ensure up-to-date medical care for thousands of people offshore has been common practice for decades. Thus, in this setting, extensive experiences with this type of health care delivery have already been gathered, while in other settings this is just beginning. However, the quality of telemedical care on offshore installations is rarely reported yet. The objective of this review was to explore published literature with regards to the following questions: Have any Quality Indicators (QIs) been published for measuring the quality of telemedical care on offshore installations or are there identifiable items that could be used as such QIs? Methods We conducted a comprehensive Scoping Review (PRISMA-ScR) of the published literature using the databases MEDLINE, Cochrane Library, Web of Science (Core Collection), and Google Scholar. Search results were read and QIs or findings from which QIs could be derived were classified according to the dimensions of quality established by Donabedian (structure, process, or outcome QIs). Results The search returned 10,236 non-recurring articles, 45 of which were full-text screened and 15 of which were included in this review. Types of publications were heterogenous. No QIs for the quality of telemedical care offshore have been published yet. Findings that could be the basis for QIs focused on structure quality (11 QIs) followed by process quality (11 QIs), while outcome quality was less common (1 QI). Conclusion Currently, although years of experience with telemedical care on offshore installations exist, there is a paucity of research on a solid data base regarding the quality of telemedical care offshore. The authors derived a list of 24 possible QIs from the findings of the publications for further validation. This could be the basis for implementation and definition of QIs in this and in similar remote settings.

scholarly journals Adults diagnosed with vestibular schwannomas and treated with stereotactic radiosurgery: a scoping review protocol

2021 ◽  
Author(s):  
Ibrahim Almufarrij ◽  
◽  
Cathal Hannan ◽  
Simon Lloyd ◽  
Kevin J Munro
Keyword(s):  
Stereotactic Radiosurgery ◽  
Outcome Measures ◽  
Scoping Review ◽  
Information Sources ◽  
Web Of Science ◽  
Cochrane Library ◽  
Primary Research ◽  
Review Protocol ◽  
Review Question ◽  
Study Designs

Review question / Objective: This review aims to catalogue and collate information on outcome measures, study designs, and dose-related changes in hearing following stereotactic radiosurgery for adults diagnosed with sporadic Vestibular Schwannoma. Study designs to be included: Any peer-reviewed primary research publications will be eligible for inclusion. Information sources: Electronic databases. The following databases will be systematically searched to identify relevant studies: PubMed, PsycINFO, EMBASE, EMCare, Web of Science and Cochrane Library.

scholarly journals METHODICAL APPROACH TO THE FORMATION OF RUBRICATORS-ADAPTER FOR ANALYSIS OF WEB OF SCIENCE AND SCOPUS AREA IN TERMS OF PRIORITIES THE STRATEGY OF SCIENTIFIC AND TECHNOLOGICAL DEVELOPMENT OF THE RUSSIAN FEDERATION

2018 ◽  
Vol 4 (2) ◽  
pp. 143-153
Author(s):  
S. L. Parfenova ◽  
V. N. Dolgova ◽  
V. V. Bogatov ◽  
A. V. Khaltakshinova ◽  
V. Y. Korobatov
Keyword(s):  
Comparative Analysis ◽  
Russian Federation ◽  
Web Of Science ◽  
Technological Development ◽  
Methodical Approach ◽  
The World ◽  
Grouping Method ◽  
The Russian Federation ◽  
The Web ◽  
Scientific And Technological Development

The article describes a methodical approach to the development of Web of Science and Scopus rubricators-adapter in the system of priorities of the Strategy of scientific and technological development of the Russian Federation. The relevance of this problem is due to the need for statistical and dynamic retrospective, prospective and bidirectional studies. The article presents the description of the hierarchical Web of Science and Scopus categories structures and their classification codes. Revealed the difficulty of categories correlating among themselves and in the system of priorities SSTD. The principles of categories-adapters formation in the priorities SSTD context. Article is presented the algorithm of rubricators-adapters Web of Science and Scopus formation in the system of SSTD priorities. The algorithm of number scientific articles distribution on scientific categories in system of SNTR priorities by grouping method is presented. A comparative analysis of Russian Federation scientific categories and the world in the number of scientific articles indexed in the Web of Science or Scopus, in the system of SSTD priorities.

scholarly journals Is Healthcare AI Research Engaging Publics In Conversations About Ethics? Protocol For A Scoping Review

2021 ◽  
Author(s):  
Emma Kellie Frost ◽  
Rebecca Bosward ◽  
Yves Saint James Aquino ◽  
Annette Braunack-Mayer ◽  
Stacy M Carter
Keyword(s):  
Scoping Review ◽  
Web Of Science ◽  
Ethical Issues ◽  
Primary Research ◽  
Qualitative And Quantitative ◽  
Healthcare It ◽  
Ai Ethics ◽  
Comprehensive Search ◽  
Key Issues ◽  
Academic Search

Abstract Background: In recent years, innovations in artificial intelligence (AI) have led to the development of new healthcare AI (HCAI) technologies. Whilst some of these technologies show promise for improving the patient experience, ethicists have warned that AI can introduce and exacerbate harms and wrongs in healthcare. It is important that HCAI reflects the values that are important to people. However, involving patients and publics in substantive conversations about AI ethics remains challenging due to relatively limited awareness of HCAI technologies. This scoping review aims to map how the existing literature on publics’ attitudes toward HCAI addresses key issues in AI ethics and governance.Methods: We developed a search query to conduct a comprehensive search of PubMed, Scopus, Web of Science, CINAHL, and Academic Search Complete from January 2010 onwards. We will include primary research studies which document publics’ or patients’ attitudes toward HCAI. A coding framework has been designed and will be used capture qualitative and quantitative data from the articles. Two reviewers will code a proportion of the included articles and any discrepancies will be discussed amongst the team, with changes made to the coding framework accordingly. Final results will be reported quantitatively and qualitatively, examining how each AI ethics issue has been addressed by the included studies.Discussion: If HCAI is to be implemented ethically and legitimately, publics and patients must be included in important conversations about HCAI ethics. This review will explore how ethical issues are addressed in literature examining publics and patients’ attitudes toward HCAI. We aim to describe how publics and patients have been successfully consulted on HCAI ethics, and to identify any areas of HCAI ethics where more work is needed to include publics and patients in research and discussions.

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