scholarly journals Digital Interventions for Psychological Comorbidities in Chronic Diseases—A Systematic Review

2021 ◽  
Vol 11 (1) ◽  
pp. 30
Author(s):  
Marta Maisto ◽  
Barbara Diana ◽  
Sonia Di Tella ◽  
Marta Matamala-Gomez ◽  
Jessica Isbely Montana ◽  
...  
Keyword(s):  
Systematic Review ◽  
Chronic Diseases ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Design Elements ◽  
Digital Interventions ◽  
Digital Contents ◽  
Psychological Comorbidities ◽  
Quantitative Synthesis ◽  
Meta Analyses

Chronic diseases represent one of the main causes of death worldwide. The integration of digital solutions in clinical interventions is broadly diffused today; however, evidence on their efficacy in addressing psychological comorbidities of chronic diseases is sparse. This systematic review analyzes and synthesizes the evidence about the efficacy of digital interventions on psychological comorbidities outcomes of specific chronic diseases. According to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a systematic search of PubMed, PsycInfo, Scopus and Web of Science databases was conducted. Only Randomized Controlled Trials (RCTs) were considered and either depression or anxiety had to be assessed to match the selection criteria. Of the 7636 identified records, 17 matched the inclusion criteria: 9 digital interventions on diabetes, 4 on cardiovascular diseases, 3 on Chronic Obstructive Pulmonary Disease (COPD) and one on stroke. Of the 17 studies reviewed, 14 found digital interventions to be effective. Quantitative synthesis highlighted a moderate and significant overall effect of interventions on depression, while the effect on anxiety was small and non-significant. Design elements making digital interventions effective for psychological comorbidities of chronic diseases were singled out: (a) implementing a communication loop with patients and (b) providing disease-specific digital contents. This focus on “how” to design technologies can facilitate the translation of evidence into practice.

scholarly journals Physiological responses to arm versus leg activity in patients with chronic obstructive pulmonary disease: a systematic review protocol

BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e019942 ◽  
Author(s):  
Erik Frykholm ◽  
Vanessa Pereira Lima ◽  
Tania Janaudis-Ferreira ◽  
Andre Nyberg
Keyword(s):  
Systematic Review ◽  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Physiological Responses ◽  
Population Exposure ◽  
Chronic Obstructive ◽  
Cochrane Central Register ◽  
Obstructive Pulmonary Disease ◽  
Study Characteristics ◽  
Meta Analyses

IntroductionCompared with healthy older adults, people with chronic obstructive pulmonary disease (COPD) have reduced capacity and increased symptoms during leg and arm activities. While the mechanisms underlying limitations and symptoms during leg activities have been investigated in detail, limitations and symptoms during arm activities are not well understood, and the potential differences between physiological responses of leg and arm activities have not been systematically synthesised. Determining physiological responses and symptoms of arm activities compared with physiological responses and symptoms of leg activities will help us understand the mechanisms behind the difficulties that people with COPD experience when performing physical activities, and determine how exercise training should be prescribed. Thus, the aim of this systematic review is to compare the physiological responses and symptoms during activities involving the arms relative to activities involving the legs in people diagnosed with COPD.Methods and analysesThis protocol is reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols. Potentially relevant studies will be identified from CINAHL, EMBASE, PEDro, Cochrane Central Register of Controlled Trials and PubMed databases. The Population, Exposure, Comparator, Outcomes, and Study characteristics framework will be used to systematise the process of selecting and extracting data from relevant studies. Assessment of the methodological quality of the studies will be done by using the 14 most relevant components from the checklist by Downs and Black. The result will be presented with a narrative synthesis, and if appropriate with meta-analyses.Ethics and disseminationEthical approval is not required as this study is a systematic review. It is our intention to submit the results of our review for peer-reviewed publication.PROSPERO registration numberCRD42017074476.

scholarly journals The benefits and harms of therapeutic exercise on physical and psychosocial outcomes in people with multimorbidity: Protocol for a systematic review

2020 ◽  
Vol 10 ◽  
pp. 2235042X2092045 ◽  
Author(s):  
Alessio Bricca ◽  
Lasse K Harris ◽  
Madalina Saracutu ◽  
Susan M Smith ◽  
Carsten B Juhl ◽  
...  
Keyword(s):  
Systematic Review ◽  
Hip Osteoarthritis ◽  
Diabetes Type 2 ◽  
Cochrane Collaboration ◽  
Risk Of Bias ◽  
Chronic Obstructive ◽  
Therapeutic Exercise ◽  
Obstructive Pulmonary Disease ◽  
Cochrane Reviews ◽  
Meta Analyses

Aim: The aim of this study is to investigate the benefits and harms of therapeutic exercise in people with multimorbidity defined as the combination of two or more of the following conditions: knee and hip osteoarthritis, hypertension, diabetes type 2, depression, heart failure, ischaemic heart disease and chronic obstructive pulmonary disease, by performing a systematic review of randomized controlled trials (RCTs). Methods: This study will be performed according to the recommendations from the Cochrane Collaboration and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). We will search for RCTs investigating the effect of therapeutic exercise in multimorbidity, as defined above, in MEDLINE, EMBASE, CENTRAL and CINAHL from 1990. Cochrane reviews on the effect of therapeutic exercise for each of the aforementioned conditions and references of the included studies will be checked for eligible studies and citation tracking will be performed in Web of Science. We will assess the risk of bias of the included studies using the Cochrane ‘Risk of Bias Tool’ 2.0 and the Grading of Recommendations Assessment, Development and Evaluation assessment for judging the overall quality of evidence. Meta-analyses will be performed, if possible, using a random-effects model as heterogeneity is expected due to differences in interventions and participant characteristics and outcome measures. Subgroup and meta-regression analyses will be performed to explore potential predictors of outcomes. Dissemination: The results of this systematic review will be published in a peer-review journal, presented at national and international conferences and made available to end users via infographics, podcasts, press releases and videos.

Referral criteria to palliative care for patients with respiratory disease: a systematic review

2021 ◽  
pp. 2004307
Author(s):  
Jennifer Philip ◽  
Anna Collins ◽  
Natasha Smallwood ◽  
Yuchieh Kathryn Chang ◽  
Li Mo ◽  
...  
Keyword(s):  
Systematic Review ◽  
Palliative Care ◽  
Respiratory Disease ◽  
Functional Decline ◽  
Chronic Obstructive ◽  
Emotional Symptoms ◽  
Obstructive Pulmonary Disease ◽  
Referral Criteria ◽  
Wide Range ◽  
Meta Analyses

BackgroundAdvanced non-malignant respiratory diseases are associated with significant patient morbidity, yet access to palliative care occurs late, if at all.AimTo examine referral criteria for palliative care among patients with advanced non-malignant respiratory disease, with a view to developing a standardised set of referral criteria.DesignSystematic review of all studies reporting on referral criteria to palliative care in advanced non-malignant respiratory disease, with a focus on chronic obstructive pulmonary disease and interstitial lung disease.Data sourcesA systematic review conducted and reported according to the Preferred Reporting Items for Systematic Reviews and Meta Analyses guideline was undertaken using electronic databases (Ovid, MEDLINE, Ovid Embase, and PubMed).ResultsSearches yielded 2052 unique titles, which were screened for eligibility resulting in 62 studies addressing referral criteria to palliative care in advanced non-malignant respiratory disease. Of 18 categories put forward for referral to palliative care, the most commonly discussed factors were hospital use (69% of papers), indicators of poor respiratory status (47%), physical and emotional symptoms (37%), functional decline (29%), need for advanced respiratory therapies (27%), and disease progression (26%).ConclusionClinicians consider referral to specialist palliative care for a wide range of disease- and needs-based criteria. Our findings highlight the need to standardise palliative care access by developing consensus referral criteria for patients with advanced non-malignant respiratory illnesses.

scholarly journals Chronic Diseases as a Predictor for Severity and Mortality of COVID-19: A Systematic Review With Cumulative Meta-Analysis

2021 ◽  
Vol 8 ◽  
Author(s):  
JinSong Geng ◽  
XiaoLan Yu ◽  
HaiNi Bao ◽  
Zhe Feng ◽  
XiaoYu Yuan ◽  
...  
Keyword(s):  
Systematic Review ◽  
Chronic Diseases ◽  
Distress Syndrome ◽  
Chronic Renal Disease ◽  
Meta Analysis ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Icu Admission ◽  
Risk Of Mortality ◽  
Healthcare Crisis

Introduction: Given the ongoing coronavirus disease 2019 (COVID-19) pandemic and the consequent global healthcare crisis, there is an urgent need to better understand risk factors for symptom deterioration and mortality among patients with COVID-19. This systematic review aimed to meet the need by determining the predictive value of chronic diseases for COVID-19 severity and mortality.Methods: We searched PubMed, Embase, Web of Science, and Cumulative Index to Nursing and Allied Health Complete to identify studies published between December 1, 2019, and December 31, 2020. Two hundred and seventeen observational studies from 26 countries involving 624,986 patients were included. We assessed the risk of bias of the included studies and performed a cumulative meta-analysis.Results: We found that among COVID-19 patients, hypertension was a very common condition and was associated with higher severity, intensive care unit (ICU) admission, acute respiratory distress syndrome, and mortality. Chronic obstructive pulmonary disease was the strongest predictor for COVID-19 severity, admission to ICU, and mortality, while asthma was associated with a reduced risk of COVID-19 mortality. Patients with obesity were at a higher risk of experiencing severe symptoms of COVID-19 rather than mortality. Patients with cerebrovascular disease, chronic liver disease, chronic renal disease, or cancer were more likely to become severe COVID-19 cases and had a greater probability of mortality.Conclusions: COVID-19 patients with chronic diseases were more likely to experience severe symptoms and ICU admission and faced a higher risk of mortality. Aggressive strategies to combat the COVID-19 pandemic should target patients with chronic diseases as a priority.

scholarly journals Benefits of Qigong as an integrative and complementary practice for health: a systematic review

2020 ◽  
Vol 28 ◽  
Author(s):  
Bruna Francielle Toneti ◽  
Rafael Fernando Mendes Barbosa ◽  
Leandro Yukio Mano ◽  
Luana Okino Sawada ◽  
Igor Goulart de Oliveira ◽  
...  
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Randomized Clinical Trials ◽  
Cochrane Collaboration ◽  
The Elderly ◽  
Risk Of Bias ◽  
Cochrane Library ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Meta Analyses

Objective: to analyze, in the literature, evidence about the benefits of the integrative and complementary practice of Qigong with regard to the health of adults and the elderly. Method: a systematic review by searching for studies in the PubMed, CINAHL, LILACS, EMBASE and Cochrane Library databases. Randomized and non-randomized clinical trials were included; in Portuguese, English and Spanish; from 2008 to 2018. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses strategy was adopted, as well as the recommendation of the Cochrane Collaboration for assessing the risk of bias in the clinical trials analyzed. Results: 28 studies were selected that indicated the benefit of the practice to the target audience, which can be used for numerous health conditions, such as: cancer; fibromyalgia; Parkinson’s disease; Chronic Obstructive Pulmonary Disease; Burnout; stress; social isolation; chronic low back pain; cervical pain; buzz; osteoarthritis; fatigue; depression; and cardiovascular diseases. However, there was a great risk of bias in terms of the blinding of the research studies. Conclusion: the practice of Qigong produces positive results on health, mainly in the medium and long term. This study contributes to the advancement in the use of integrative and complementary practices in nursing, since it brings together the scientific production in the area from the best research results available.

scholarly journals COVID‑19 and comorbid chronic diseases

2020 ◽  
pp. 5-10
Author(s):  
S. V. Zaikov
Keyword(s):  
Chronic Diseases ◽  
Brain Infarction ◽  
Chronic Obstructive ◽  
Metabolic Disturbances ◽  
Obstructive Pulmonary Disease ◽  
Susceptible Population ◽  
Angiotensin Converting Enzyme 2 ◽  
Meta Analyses ◽  
Comorbid Chronic Diseases ◽  
Multimorbid Patients

ABSTRACT. This literature review includes the latest studies and meta-analyses, dedicated to the problem of comorbidity in coronavirus disease (COVID‑19). The most often comorbid conditions that accompany severe and fatal cases of COVID‑19 include arterial hypertension (AH), diabetes mellitus (DM), ischemic heart disease (IHD), brain infarction, chronic bronchitis /сhronic obstructive lung disease. These diseases share some common features like proinflammatory condition and the deterioration of innate immunity. Mechanisms of unfavorable influence of DM, AH, IHD and chronic obstructive pulmonary disease on the course of COVID‑19 include the imbalance of biochemical cascades of angiotensin-converting enzyme 2 and so-called cytokine storm, induced by glucolipid metabolic disturbances. Revealing of causality between chronic diseases and severe course of COVID‑19 in future studies can help health system providers to find the susceptible population, to estimate the risk of deterioration of clinical condition and to prescribe the preventive measures (for instance, vaccination of high-risk individuals from influenza and, in the future, from COVID‑19). Severe course of COVID‑19 and high mortality in multimorbid patients underline the need in the strict control of their basic biological parameters (arterial pressure, fasting plasma glucose etc.). Apart from that, with the aim of minimization of infection risk these patients need to imply stricter quarantine and shielding measures than the relatively healthy people. Medical workers should also emphasize on telemedicine technologies in management of such patients.

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