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Pujol-de Castro A, Valerio-Rao G, Vaquero-Cepeda P, Catalá-López F. [Prevalence of burnout syndrome in physicians working in Spain: systematic review and meta-analysis]. GACETA SANITARIA 2024:S0213-9111(24)00031-1. [PMID: 38653640 DOI: 10.1016/j.gaceta.2024.102384] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/16/2024] [Revised: 02/29/2024] [Accepted: 03/01/2024] [Indexed: 04/25/2024]
Abstract
OBJECTIVE To analyze the prevalence of burnout syndrome in physicians working in Spain through a systematic review with meta-analysis METHOD: We searched PubMed/MEDLINE, Embase, and PsycINFO (up to June 2023). Observational studies conducted in Spain reporting the prevalence of burnout in physicians were included. From each study, methodological characteristics and results were extracted, and their quality was evaluated. We performed a narrative synthesis with random effects meta-analysis to calculate proportions. RESULTS Sixty-seven studies with 16,076 participants were included. For the primary outcome, the meta-analysis revealed a global prevalence of burnout in physicians of 24% (95%CI: 19%-29%; 46 studies; 8821 participants; I2=97%). From subgroup analysis, differences were observed depending on the diagnostic criteria used: 18% (95%CI: 13%-23%) for three dimensions of burnout, 29% (95%CI: 24%-34%) for two dimensions and 51% (95%CI: 42%-60%) for one dimension. The heterogeneity between studies could not be fully explained through additional analyses where non-statistically significant differences were found with other variables (e.g., study quality, setting, professional category or medical specialty). CONCLUSIONS A high prevalence of burnout syndrome was found in physicians working in Spain. These results can contribute to estimating the burden associated with burnout in physicians at a national level and to the design of future studies. Strategies appear to be necessary to prevent and mitigate this situation. PROTOCOL REGISTRATION Open Science Framework: https://osf.io/b2h4m/.
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Affiliation(s)
| | - Grecia Valerio-Rao
- Servicio de Medicina Preventiva, Hospital Universitario Central de Asturias, Oviedo, España
| | - Pablo Vaquero-Cepeda
- Servicio de Medicina Preventiva, Complejo Asistencial Universitario de Salamanca, Salamanca, España
| | - Ferrán Catalá-López
- Departamento de Planificación y Economía de la Salud, Escuela Nacional de Sanidad, Instituto de Salud Carlos III, Madrid, España; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, España; Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
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Cheung A, Popoff E, Szabo SM. Application of text mining to the development and validation of a geographic search filter to facilitate evidence retrieval in Ovid
MEDLINE
: An example from the United States. Health Info Libr J 2022. [DOI: 10.1111/hir.12471] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2021] [Revised: 11/11/2022] [Accepted: 11/29/2022] [Indexed: 12/24/2022]
Affiliation(s)
- Antoinette Cheung
- Broadstreet Health Economics and Outcomes Research Vancouver British Columbia Canada
| | - Evan Popoff
- Broadstreet Health Economics and Outcomes Research Vancouver British Columbia Canada
| | - Shelagh M. Szabo
- Broadstreet Health Economics and Outcomes Research Vancouver British Columbia Canada
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Medina‐Aedo M, Torralba‐Martinez E, Segura‐Carrillo C, Buitrago‐García D, Solà I, Pardo‐Hernández H, Bonfill X. Finding and evaluating randomised controlled trials in nursing conducted by Spanish research teams: A scoping review. Health Info Libr J 2022; 39:312-322. [DOI: 10.1111/hir.12464] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2021] [Revised: 06/30/2022] [Accepted: 09/28/2022] [Indexed: 11/08/2022]
Affiliation(s)
- Melixa Medina‐Aedo
- Department of Paediatrics Obstetrics & Gynaecology and Preventive Medicine and Public Health at the Universitat Autònoma de Barcelona Barcelona Spain
| | - Elena Torralba‐Martinez
- Department of Paediatrics Obstetrics & Gynaecology and Preventive Medicine and Public Health at the Universitat Autònoma de Barcelona Barcelona Spain
| | | | - Diana Buitrago‐García
- Institute of Social and Preventive Medicine University of Bern Bern Switzerland
- Programa de Epidemiología Clínica Fundación Universitaria de Ciencias de la Salud‐FUCS Bogota Colombia
| | - Ivan Solà
- Iberoamerican Cochrane Centre Biomedical Research Institute Sant Pau (IIB SantPau) Barcelona Spain
- CIBER de Epidemiología y Salud Pública (CIBERESP), Universitat Autònoma Barcelona Barcelona Spain
| | - Héctor Pardo‐Hernández
- Iberoamerican Cochrane Centre Biomedical Research Institute Sant Pau (IIB SantPau) Barcelona Spain
- CIBER de Epidemiología y Salud Pública (CIBERESP), Universitat Autònoma Barcelona Barcelona Spain
| | - Xavier Bonfill
- Iberoamerican Cochrane Centre Biomedical Research Institute Sant Pau (IIB SantPau) Barcelona Spain
- CIBER de Epidemiología y Salud Pública (CIBERESP), Universitat Autònoma Barcelona Barcelona Spain
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Cannizzaro D, Safa A, Bisoglio A, Jelmoni AJ, Zaed I, Tropeano MP, Al Fauzi A, Bajamal AH, Khan T, Kolias A, Hutchinson P, Servadei F. Second Footprint of Reports from Low- and Low- to Middle-Income Countries in the Neurosurgical Data: A Study from 2018–2020 Compared with Data from 2015–2017. World Neurosurg 2022; 168:e666-e674. [DOI: 10.1016/j.wneu.2022.10.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Revised: 10/04/2022] [Accepted: 10/05/2022] [Indexed: 11/07/2022]
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Sutton A, Campbell F. The ScHARR LMIC filter: adapting a low- and middle-income countries geographic search filter to identify studies on preterm birth prevention and management. Res Synth Methods 2022; 13:447-456. [PMID: 35142432 PMCID: PMC9543249 DOI: 10.1002/jrsm.1552] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2021] [Revised: 01/26/2022] [Accepted: 01/31/2022] [Indexed: 11/11/2022]
Abstract
INTRODUCTION Search filters are used to find evidence on specific subjects. Performance of filters can be varied and may need adapting to meet the needs of research topics. There are limited geographic search filters available, and only one pertaining to low- and middle-income countries (LMICs). When searching for literature on preterm birth prevention and management in LMICs for a research project at the School of Health and Related Research (ScHARR), we made use of the Cochrane Effective Practice and Organisation of Care (EPOC) LMIC geographic search filter for the databases; Ovid MEDLINE, Ovid Embase, Cochrane Library. During screening following a broad scoping search in Ovid MEDLINE, it was found that the EPOC LMIC filter did not identify a relevant study. Adaptations to the filter were required to maximise retrieval. METHODS Adaptations were made to the LMIC geographic search filter to identify the missing study. Institution was included as a search field, and the search terms high burden or countdown countries were added. The filter was translated for the databases; Ovid Embase, Cochrane Library, Ovid PsycINFO, and CINAHL via EBSCO. RESULTS The adapted ScHARR LMIC filter increases the sensitivity of the EPOC LMIC search filter. DISCUSSION The ScHARR LMIC filter is a non-validated 1st generation filter. Validating the filter would confirm its retrieval performance and benefit information professionals, researchers and health professionals CONCLUSION: We recommend that the ScHARR LMIC filter is used to improve sensitivity of the Cochrane EPOC LMIC filter and reduce the risk of missing relevant studies. This article is protected by copyright. All rights reserved.
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Affiliation(s)
- Anthea Sutton
- School of Health And Related Research, The University of Sheffield, United Kingdom of Great Britain and Northern Ireland
| | - Fiona Campbell
- ScHARR, The University of Sheffield, United Kingdom of Great Britain and Northern Ireland
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Arias-de la Torre J, Garcia X, Smith K, Romero-Tamarit A, Puigdomenech E, Muñoz-Ortiz L, Evans JP, Martín V, Molina AJ, Torrens C, Pons-Cabrafiga M, Pallisó F, Valderas JM, Espallargues M. Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review. J Clin Med 2019; 8:E2063. [PMID: 31771221 PMCID: PMC6947222 DOI: 10.3390/jcm8122063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2019] [Revised: 11/13/2019] [Accepted: 11/21/2019] [Indexed: 11/25/2022] Open
Abstract
The effectiveness and safety of shoulder arthroplasties in the general context of a Spanish patient population remains unclear. The aim of this study was to ascertain both the effectiveness and safety of primary shoulder arthroplasties and the prosthesis types used in Spain. A systematic review of all the available literature evaluating the effectiveness and safety of primary shoulder arthroplasties in Spain was performed. A narrative synthesis was performed, and evidence tables were created in four dimensions: study design, arthroplasty characteristics, safety, and effectiveness. Orthopaedic Data Evaluation Panel (ODEP) scores were used to evaluate prosthesis types. Twenty-one studies were selected that included a total of 1293 arthroplasties. The most common indication was fractures, while the prosthesis most frequently used was the Delta Xtend (ODEP 10A). The most common complication was scapular notching. Prosthesis revision rate was approximately 6% for follow-ups between 12 and 79 months. In addition, significant improvements were observed in the Constant-Murley test score after the intervention. Currently in Spain, shoulder arthroplasty can be considered a safe and effective procedure with functional recovery and pain reduction for eligible patients with humeral fracture, rotator cuff arthropathy, fracture sequelae and malunion of the proximal humerus, and degenerative disease. Future longitudinal research and population-based studies could serve to confirm these results and identify points of improvement.
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Affiliation(s)
- Jorge Arias-de la Torre
- Agency for Health Quality and Assessment of Catalonia (AQuAS), 08005 Barcelona, Spain; (X.G.); (K.S.); (A.R.-T.); (E.P.); (L.M.-O.); (M.E.)
- CIBER Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain;
- Institute of Biomedicine (IBIOMED), University of Leon, 24071 León, Spain;
- King’s College London, Institute of Psychiatry, Psychology and Neuroscience (IoPPN), London SE5 8AB, UK
| | - Xavier Garcia
- Agency for Health Quality and Assessment of Catalonia (AQuAS), 08005 Barcelona, Spain; (X.G.); (K.S.); (A.R.-T.); (E.P.); (L.M.-O.); (M.E.)
| | - Kayla Smith
- Agency for Health Quality and Assessment of Catalonia (AQuAS), 08005 Barcelona, Spain; (X.G.); (K.S.); (A.R.-T.); (E.P.); (L.M.-O.); (M.E.)
- Health Services Research on Chronic Patients Network (REDISSEC), 28029 Madrid, Spain
| | - Arantxa Romero-Tamarit
- Agency for Health Quality and Assessment of Catalonia (AQuAS), 08005 Barcelona, Spain; (X.G.); (K.S.); (A.R.-T.); (E.P.); (L.M.-O.); (M.E.)
| | - Elisa Puigdomenech
- Agency for Health Quality and Assessment of Catalonia (AQuAS), 08005 Barcelona, Spain; (X.G.); (K.S.); (A.R.-T.); (E.P.); (L.M.-O.); (M.E.)
- Health Services Research on Chronic Patients Network (REDISSEC), 28029 Madrid, Spain
| | - Laura Muñoz-Ortiz
- Agency for Health Quality and Assessment of Catalonia (AQuAS), 08005 Barcelona, Spain; (X.G.); (K.S.); (A.R.-T.); (E.P.); (L.M.-O.); (M.E.)
- Health Services Research on Chronic Patients Network (REDISSEC), 28029 Madrid, Spain
| | - Jonathan P. Evans
- Health Services and Policy Research Group, University of Exeter Medical School, Exeter EX1 2LU, UK; (J.P.E.); (J.M.V.)
- Royal Devon and Exeter NHS Foundation Trust, Exeter EX2 5DW, UK
| | - Vicente Martín
- CIBER Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain;
- Institute of Biomedicine (IBIOMED), University of Leon, 24071 León, Spain;
| | - Antonio J. Molina
- Institute of Biomedicine (IBIOMED), University of Leon, 24071 León, Spain;
| | - Carles Torrens
- Hospital del Mar, Department of Orthopaedic Surgery and Trauma, 08003 Barcelona, Spain;
| | - Miquel Pons-Cabrafiga
- Department of Orthopaedic Surgery and Trauma, Sant Rafael University Hospital, 08035 Barcelona, Spain;
| | - Francesc Pallisó
- Department of Orthopaedic Surgery and Trauma, Santa María University Hospital, 25198 Lleida, Spain;
| | - Jose María Valderas
- Health Services and Policy Research Group, University of Exeter Medical School, Exeter EX1 2LU, UK; (J.P.E.); (J.M.V.)
| | - Mireia Espallargues
- Agency for Health Quality and Assessment of Catalonia (AQuAS), 08005 Barcelona, Spain; (X.G.); (K.S.); (A.R.-T.); (E.P.); (L.M.-O.); (M.E.)
- Health Services Research on Chronic Patients Network (REDISSEC), 28029 Madrid, Spain
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Pérez-Rubio A, Platero L, Eiros Bouza JM. Gripe estacional en España: carga clínica y económica y programas de vacunación. Med Clin (Barc) 2019; 153:16-27. [DOI: 10.1016/j.medcli.2018.11.014] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2018] [Revised: 11/07/2018] [Accepted: 11/08/2018] [Indexed: 10/27/2022]
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Catalá-López F, Ridao M, Hurtado I, Núñez-Beltrán A, Gènova-Maleras R, Alonso-Arroyo A, Tobías A, Aleixandre-Benavent R, Catalá MA, Tabarés-Seisdedos R. Prevalence and comorbidity of autism spectrum disorder in Spain: study protocol for a systematic review and meta-analysis of observational studies. Syst Rev 2019; 8:141. [PMID: 31200773 PMCID: PMC6570970 DOI: 10.1186/s13643-019-1061-1] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/11/2018] [Accepted: 06/04/2019] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND Autism spectrum disorder (ASD) is a complex developmental disorder characterised by impaired social interaction and communication, and restrictive and repetitive behaviour. Previous systematic reviews have traditionally assessed the prevalence of ASD on global or regional context, with very few meta-analyses at the country level. The objective of this study will be to systematically evaluate published and unpublished observational studies that present prevalence and comorbidity of ASD among children, adolescent and adult population in Spain. METHODS/DESIGN We designed and registered a study protocol for a systematic review and meta-analysis of descriptive epidemiology data. Observational studies (cohort, cross-sectional) reporting the prevalence of ASD and conducted in a wide range of people (e.g. general population, outpatient and/or school settings) will be included. The primary outcome will be the prevalence of ASD. Secondary outcomes will be the prevalence of any physical or mental comorbidity in association with ASD. No limitations will be imposed on publication status, study conduct period, and language of dissemination. Comprehensive literature searches will be conducted in seven electronic databases (from January 1980 onwards), including PubMed/MEDLINE, EMBASE, Scopus, Web of Science, PsycINFO, IME-Spanish Medical Index and IBECS-Spanish Bibliographic Index of Health Sciences. Grey literature will be identified through searching dissertation databases, Google Scholar and conference abstracts. Two team members will independently screen all citations, full-text articles, and abstract data. Potential conflicts will be resolved through discussion. The study methodological quality (or bias) will be appraised using an appropriate tool. If feasible, we will conduct random effects meta-analysis of observational data. Prevalence estimates will be stratified according to gender, age and geographical location. Additional analyses will be conducted to explore the potential sources of heterogeneity (e.g. methodological quality, sample size, diagnostic criteria). DISCUSSION This systematic review and meta-analysis of observational data will identify, evaluate and integrate the epidemiological knowledge underlying the prevalence of ASD in Spain. The results of this study will be of interest to multiple audiences including patients, their families, caregivers, healthcare professional, scientists and policy makers. Results will be published in a peer-reviewed journal. Implications for future epidemiological research will be discussed. SYSTEMATIC REVIEW REGISTRATION PROSPERO CRD42018090372.
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Affiliation(s)
- Ferrán Catalá-López
- Department of Health Planning and Economics, National School of Public Health, Institute of Health Carlos III, Madrid, Spain
- Department of Medicine, University of Valencia/INCLIVA Health Research Institute and CIBERSAM, Valencia, Spain
| | - Manuel Ridao
- Instituto Aragonés de Ciencias de la Salud (IACS), Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Zaragoza, Spain
| | - Isabel Hurtado
- Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO-Salud Pública), Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Valencia, Spain
| | | | - Ricard Gènova-Maleras
- Directorate General for Public Health, Madrid Regional Health Council, Madrid, Spain
| | - Adolfo Alonso-Arroyo
- Department of History of Science and Documentation, University of Valencia, Valencia, Spain
- Information and Social and Health Research Unit (UISYS), University of Valencia and Spanish National Research Council (CSIC), Valencia, Spain
| | - Aurelio Tobías
- Spanish National Research Council (CSIC), Barcelona, Spain
| | - Rafael Aleixandre-Benavent
- Information and Social and Health Research Unit (UISYS), University of Valencia and Spanish National Research Council (CSIC), Valencia, Spain
- Institute for Innovation and Knowledge Management (INGENIO)/Spanish National Research Council (CSIC) and Polytechnic University of Valencia (UPV), Valencia, Spain
| | | | - Rafael Tabarés-Seisdedos
- Department of Medicine, University of Valencia/INCLIVA Health Research Institute and CIBERSAM, Valencia, Spain
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Availability of specific tools to assess patient reported outcomes in hip arthroplasty in Spain. Identifying the best candidates to incorporate in an arthroplasty register. A systematic review and standardized assessment. PLoS One 2019; 14:e0214746. [PMID: 30934024 PMCID: PMC6443164 DOI: 10.1371/journal.pone.0214746] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2018] [Accepted: 03/19/2019] [Indexed: 11/19/2022] Open
Abstract
PURPOSE 1) To systematically review the available scientific literature regarding specific instruments developed and/or tested in a Spanish population, to assess these PROMs in hip arthroplasty; 2) to carry out a standardized assessment of their measurement properties; and 3) to identify the best tools for use in Spain in an arthroplasty registry context. METHODS A systematic review of PubMed/MEDLINE and EMBASE and CINHAL was done. Furthermore, a standardized assessment of the questionnaires identified using the Evaluating the Measurement of Patient-Reported Outcomes (EMPRO) tool was performed. All developments, validation and studies aiming to assess the measurement properties of PROMs in hip arthroplasty in the Spanish population were included. Data from the questionnaires on metric properties was taken into account to identify the best candidates for inclusion in a register. RESULTS A total of 853 documents were found. After screening title and abstract, 13 full text documents were reviewed and 8 questionnaires adapted and validated to assess some of the aspects of hip arthroplasty in the Spanish population were identified. After the EMPRO assessment, 4 questionnaires showed suitable properties (WOMAC, OAKHQOL, mini-OAKHQOL and PFH). CONCLUSIONS In Spain, there are a few suitable hip-specific questionnaires currently available to assess PROMs in hip arthroplasty surgery. Some of the more widely used questionnaires, like the OHS and HOOS, have not been validated in the Spanish population until now. Identified tools are suitable for use in a clinical context, however their use in an arthroplasty register is more questionable due to the lack of validation studies of the widely used tools in other registers.
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Fernández-Feito A, Pesquera-Cabezas R, González-Cobo C, Prieto-Salceda MD. What do we know about the health of Spanish Roma people and what has been done to improve it? A scoping review. ETHNICITY & HEALTH 2019; 24:224-243. [PMID: 28398074 DOI: 10.1080/13557858.2017.1315373] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/07/2016] [Accepted: 03/18/2017] [Indexed: 06/07/2023]
Abstract
Objectives: This study aims to review the published literature on the health of the Roma population in Spain, particularly that which describes health interventions and outcomes. Design: A scoping review of published articles/reports on Roma population health was carried out in Spain for publications between 2002 and 2014. Articles in Spanish or English were identified from Pubmed, Scopus, Science Direct, Web of Science, Scielo, IBECS, MEDES, Dialnet, Index Foundation, a database of theses and Google Scholar. After an initial assessment of the article title and summary, genetic studies, editorials, reviews and grey literature with incomplete data were excluded. Two independent researchers followed a protocol to analyze the selected papers in terms of general information, methodology, themes, and results or conclusions. Results: Forty studies were selected for inclusion, primarily located through PubMed and Google Scholar. Most of the papers were scientific articles, published after 2007 in Spanish scientific journals (70.0%) followed by institutional reports (20.0%). The main language was Spanish (84.2%). The studies were carried out mainly by public institutions (35.0%) or universities (22.5%). Most (67.5%) followed a descriptive design and nearly half (47.5%) were concerned only with the Roma population. The main thematic areas were: child health (25%), infectious diseases (25%), health and social education context (20%), perceived health and lifestyle (15%), sexual and reproductive health (7,5%) and health services use (7,5%). We found seven intervention studies related to health, educational environment, or social services. Conclusions: There are few publications related to the health of the Roma community in Spain and even fewer related to health interventions and outcomes. Those that are available have focused on areas such as child health or infectious disease outbreaks. It is important to promote health interventions in Roma communities and longitudinal studies that include a comprehensive vision and account for the social determinants of health.
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Affiliation(s)
- Ana Fernández-Feito
- a Department of Medicine, Nursing Area , School of Medicine and Health Sciences, University of Oviedo , Oviedo , Spain
| | - Raúl Pesquera-Cabezas
- b Basic Health Zone Pisueña-Cayon, Primary Health Care of Cantabria , Santander , Spain
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11
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Damarell RA, May N, Hammond S, Sladek RM, Tieman JJ. Topic search filters: a systematic scoping review. Health Info Libr J 2018; 36:4-40. [PMID: 30578606 DOI: 10.1111/hir.12244] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2018] [Accepted: 11/21/2018] [Indexed: 12/21/2022]
Abstract
BACKGROUND Searching for topics within large biomedical databases can be challenging, especially when topics are complex, diffuse, emerging or lack definitional clarity. Experimentally derived topic search filters offer a reliable solution to effective retrieval; however, their number and range of subject foci remain unknown. OBJECTIVES This systematic scoping review aims to identify and describe available experimentally developed topic search filters. METHODS Reports on topic search filter development (1990-) were sought using grey literature sources and 15 databases. Reports describing the conception and prospective development of a database-specific topic search and including an objectively measured estimate of its performance ('sensitivity') were included. RESULTS Fifty-four reports met inclusion criteria. Data were extracted and thematically synthesised to describe the characteristics of 58 topic search filters. DISCUSSION Topic search filters are proliferating and cover a wide range of subjects. Filter reports, however, often lack clear definitions of concepts and topic scope to guide users. Without standardised terminology, filters are challenging to find. Information specialists may benefit from a centralised topic filter repository and appraisal checklists to facilitate quality assessment. CONCLUSION Findings will help information specialists identify existing topic search filters and assist filter developers to build on current knowledge in the field.
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Affiliation(s)
- Raechel A Damarell
- College of Nursing and Health Sciences, Flinders University, Bedford Park, SA, Australia
| | - Nikki May
- South Australian Health Library Service, Flinders Medical Centre, Bedford Park, SA, Australia
| | - Sue Hammond
- Flinders University Library, Flinders University, Bedford Park, SA, Australia
| | - Ruth M Sladek
- College of Medicine and Public Health, Flinders University, Bedford Park, SA, Australia
| | - Jennifer J Tieman
- College of Nursing and Health Sciences, Flinders University, Bedford Park, SA, Australia
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12
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Baladrón C, Santos-Lozano A, Aguiar JM, Lucia A, Martín-Hernández J. Tool for filtering PubMed search results by sample size. J Am Med Inform Assoc 2018; 25:774-779. [PMID: 29409012 DOI: 10.1093/jamia/ocx155] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2017] [Accepted: 12/20/2017] [Indexed: 11/13/2022] Open
Abstract
Objective The most used search engine for scientific literature, PubMed, provides tools to filter results by several fields. When searching for reports on clinical trials, sample size can be among the most important factors to consider. However, PubMed does not currently provide any means of filtering search results by sample size. Such a filtering tool would be useful in a variety of situations, including meta-analyses or state-of-the-art analyses to support experimental therapies. In this work, a tool was developed to filter articles identified by PubMed based on their reported sample sizes. Materials and Methods A search engine was designed to send queries to PubMed, retrieve results, and compute estimates of reported sample sizes using a combination of syntactical and machine learning methods. The sample size search tool is publicly available for download at http://ihealth.uemc.es. Its accuracy was assessed against a manually annotated database of 750 random clinical trials returned by PubMed. Results Validation tests show that the sample size search tool is able to accurately (1) estimate sample size for 70% of abstracts and (2) classify 85% of abstracts into sample size quartiles. Conclusions The proposed tool was validated as useful for advanced PubMed searches of clinical trials when the user is interested in identifying trials of a given sample size.
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Affiliation(s)
- Carlos Baladrón
- i+HeALTH Research Group, Miguel de Cervantes European University, Higher Polytechnic School, Department of Technical Teachings, Valladolid, Spain
| | - Alejandro Santos-Lozano
- i+HeALTH Research Group, Miguel de Cervantes European University, Faculty of Health Sciences, Department of Health Sciences, Valladolid, Spain
| | - Javier M Aguiar
- Data Engineering Research Group, Universidad de Valladolid, Higher Technical School of Telecommunications Engineering, TSyCeIT Department, Valladolid, Spain
| | - Alejandro Lucia
- Research Institute of Hospital 12 de Octubre and European University, Madrid, Spain
| | - Juan Martín-Hernández
- i+HeALTH Research Group, Miguel de Cervantes European University, Faculty of Health Sciences, Department of Health Sciences, Valladolid, Spain
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Changes in PubMed affiliation indexing improved publication identification by country. Scientometrics 2018. [DOI: 10.1007/s11192-018-2714-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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14
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López N, Torné A, Franco A, San-Martin M, Viayna E, Barrull C, Perulero N. Epidemiologic and economic burden of HPV diseases in Spain: implication of additional 5 types from the 9-valent vaccine. Infect Agent Cancer 2018; 13:15. [PMID: 29743937 PMCID: PMC5930836 DOI: 10.1186/s13027-018-0187-4] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2017] [Accepted: 04/17/2018] [Indexed: 11/10/2022] Open
Abstract
Background A new nonavalent human papillomavirus (HPV) vaccine that includes genotypes 6/11/16/18/31/33/45/52/58 has been recently approved in Spain. A previous study has shown that attributable fraction of HPV related diseases in Spain is consistent with that reported in European and global studies. The aim of the present study was to estimate the annual direct costs associated to the following HPV-related diseases: genital warts, high grade precancerous lesions and cancer of cervix, vulva, vagina, anus and penis and head and neck cancer, caused by genotypes included in the nonavalent (9vHPV) and quadrivalent vaccines (4vHPV), in Spanish men and women. Methods Cancer registries and epidemiological studies were used to estimate the number of new annual cases of genital warts, anogenital precancerous lesions and cancer of cervix, vulva, vagina, anus, penis and head and neck, as well as the fraction attributable to HPV infection and to genotypes targeted by both vaccines in Spain. Costs per patient for each disease were obtained from the literature. In addition, 142 specialists were surveyed to estimate cost per patient of vulvar, vaginal, anal and penile precancerous lesions. The annual burden of diseases attributable to types targeted by both vaccines was estimated and compared. All results were validated by a panel of experts. Results In 2016, new genital warts, precancerous lesions and cancers attributable to types targeted by the 9vHPV were estimated at 49,251, 29,405 and 3381, respectively. Among them, 12,597 new precancerous lesions and 530 new cancers were related to the 5 additional types covered by the 9vHPV. Annual cost of new cases of these diseases associated to types targeted by the 4vHPV and 9vHPV were estimated at 116.7 and 150.9 million € for the Spanish National Health Service (NHS), respectively (2017 €). Conclusions HPV-related diseases represent a major burden for the Spanish NHS. Annual new cases and costs related to the 5 additional types from the 9vHPV represent a significant burden compared with that associated to types included in the 4vHPV. Electronic supplementary material The online version of this article (10.1186/s13027-018-0187-4) contains supplementary material, which is available to authorized users.
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Affiliation(s)
| | - Aureli Torné
- 2Gynecologic Oncology Unit, Institut Clinic of Gynecology, Obstetrics and Neonatology (ICGON), Hospital Clínic-Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Faculty of Medicine, University of Barcelona, Barcelona, Spain
| | - Agustín Franco
- 3Diagnostic Unit of Urology, Clinic Institute of Nephrology and Urology (ICNU) Hospital Clínic Barcelona, University of Barcelona, Barcelona, Spain
| | | | - Elisabet Viayna
- Health Economics and Outcomes Research, Real World Insights, IQVIA, Barcelona, Spain
| | - Carmen Barrull
- Health Economics and Outcomes Research, Real World Insights, IQVIA, Barcelona, Spain
| | - Nuria Perulero
- Health Economics and Outcomes Research, Real World Insights, IQVIA, Barcelona, Spain
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Ayiku L, Levay P, Hudson T, Craven J, Barrett E, Finnegan A, Adams R. The medline UK filter: development and validation of a geographic search filter to retrieve research about the UK from OVID medline. Health Info Libr J 2017; 34:200-216. [PMID: 28703418 DOI: 10.1111/hir.12187] [Citation(s) in RCA: 37] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2016] [Accepted: 05/28/2017] [Indexed: 11/27/2022]
Abstract
BACKGROUND A validated geographic search filter for the retrieval of research about the United Kingdom (UK) from bibliographic databases had not previously been published. OBJECTIVES To develop and validate a geographic search filter to retrieve research about the UK from OVID medline with high recall and precision. METHODS Three gold standard sets of references were generated using the relative recall method. The sets contained references to studies about the UK which had informed National Institute for Health and Care Excellence (NICE) guidance. The first and second sets were used to develop and refine the medline UK filter. The third set was used to validate the filter. Recall, precision and number-needed-to-read (NNR) were calculated using a case study. RESULTS The validated medline UK filter demonstrated 87.6% relative recall against the third gold standard set. In the case study, the medline UK filter demonstrated 100% recall, 11.4% precision and a NNR of nine. CONCLUSION A validated geographic search filter to retrieve research about the UK with high recall and precision has been developed. The medline UK filter can be applied to systematic literature searches in OVID medline for topics with a UK focus.
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Affiliation(s)
- Lynda Ayiku
- National Institute for Health and Care Excellence (NICE), Manchester, UK
| | - Paul Levay
- National Institute for Health and Care Excellence (NICE), Manchester, UK
| | - Tom Hudson
- National Institute for Health and Care Excellence (NICE), Manchester, UK
| | - Jenny Craven
- National Institute for Health and Care Excellence (NICE), Manchester, UK
| | - Elizabeth Barrett
- National Institute for Health and Care Excellence (NICE), Manchester, UK
| | - Amy Finnegan
- National Institute for Health and Care Excellence (NICE), Manchester, UK
| | - Rachel Adams
- National Institute for Health and Care Excellence (NICE), Manchester, UK
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Pieper D, Mathes T, Palm R, Hoffmann F. [How do authors of systematic reviews restrict their literature searches when only studies from Germany should be included?]. ZEITSCHRIFT FUR EVIDENZ FORTBILDUNG UND QUALITAET IM GESUNDHEITSWESEN 2016; 117:1-8. [PMID: 27938725 DOI: 10.1016/j.zefq.2016.08.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/21/2016] [Revised: 08/31/2016] [Accepted: 08/31/2016] [Indexed: 11/25/2022]
Abstract
INTRODUCTION The use of search filters (e. g. for study types) facilitates the process of literature searching. Regional limits might be helpful depending on the research question. Regional search filters are already available for some regions, but not for Germany. Our aim is to give an overview of applied search strategies in systematic reviews (SRs) focusing on Germany. METHODS We searched Medline (via Pubmed) applying a focused search strategy to identify SRs focusing on Germany in January 2016. Study selection and data extraction were performed by two reviewers independently. The search strategies with a focus on Germany were analyzed in terms of reasonableness and completeness relying on the Peer Review of Electronic Search Strategies (PRESS) criteria. A narrative evidence synthesis was performed. RESULTS In total, 36 SRs (13 written in English) were included. 78% were published in 2012 or later. The majority (89%) of SRs utilized at least two different sources for their search with databases and checking references being the most common. 17 SRs did not use any truncations, ten SRs did not restrict their search to Germany, six SRs reported to have searched for German OR Germany. Only ten articles searched for the term Germany (occasionally jointly with the term Deutschland) without any use of an adjective such as German. DISCUSSION There is a high interest in regionally focused SRs. The identified search strategies revealed a need for improvement. It would be helpful to develop a regional search filter for Germany that is able to identify studies performed in Germany.
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Affiliation(s)
- Dawid Pieper
- IFOM - Institut für Forschung in der Operativen Medizin, Fakultät für Gesundheit, Department für Humanmedizin, Universität Witten/Herdecke, Köln, Germany.
| | - Tim Mathes
- IFOM - Institut für Forschung in der Operativen Medizin, Fakultät für Gesundheit, Department für Humanmedizin, Universität Witten/Herdecke, Köln, Germany
| | - Rebecca Palm
- Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Standort Witten, Witten, Germany; Department Pflegewissenschaft, Fakultät für Gesundheit, Private Universität Witten/Herdecke, Witten, Germany
| | - Falk Hoffmann
- Department für Versorgungsforschung, Fakultät für Medizin und Gesundheitswissenschaften, Carl von Ossietzky Universität Oldenburg, Oldenburg, Germany
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The quality of reporting methods and results of cost-effectiveness analyses in Spain: a methodological systematic review. Syst Rev 2016; 5:6. [PMID: 26822374 PMCID: PMC4731991 DOI: 10.1186/s13643-015-0181-5] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/18/2015] [Accepted: 12/22/2015] [Indexed: 01/10/2023] Open
Abstract
BACKGROUND Cost-effectiveness analysis has been recognized as an important tool to determine the efficiency of healthcare interventions and services. There is a need for evaluating the reporting of methods and results of cost-effectiveness analyses and establishing their validity. We describe and examine reporting characteristics of methods and results of cost-effectiveness analyses conducted in Spain during more than two decades. METHODS A methodological systematic review was conducted with the information obtained through an updated literature review in PubMed and complementary databases (e.g. Scopus, ISI Web of Science, National Health Service Economic Evaluation Database (NHS EED) and Health Technology Assessment (HTA) databases from Centre for Reviews and Dissemination (CRD), Índice Médico Español (IME) Índice Bibliográfico Español en Ciencias de la Salud (IBECS)). We identified cost-effectiveness analyses conducted in Spain that used quality-adjusted life years (QALYs) as outcome measures (period 1989-December 2014). Two reviewers independently extracted the data from each paper. The data were analysed descriptively. RESULTS In total, 223 studies were included. Very few studies (10; 4.5 %) reported working from a protocol. Most studies (200; 89.7 %) were simulation models and included a median of 1000 patients. Only 105 (47.1 %) studies presented an adequate description of the characteristics of the target population. Most study interventions were categorized as therapeutic (189; 84.8 %) and nearly half (111; 49.8 %) considered an active alternative as the comparator. Effectiveness of data was derived from a single study in 87 (39.0 %) reports, and only few (40; 17.9 %) used evidence synthesis-based estimates. Few studies (42; 18.8 %) reported a full description of methods for QALY calculation. The majority of the studies (147; 65.9 %) reported that the study intervention produced "more costs and more QALYs" than the comparator. Most studies (200; 89.7 %) reported favourable conclusions. Main funding source was the private for-profit sector (135; 60.5 %). Conflicts of interest were not disclosed in 88 (39.5 %) studies. CONCLUSIONS This methodological review reflects that reporting of several important aspects of methods and results are frequently missing in published cost-effectiveness analyses. Without full and transparent reporting of how studies were designed and conducted, it is difficult to assess the validity of study findings and conclusions.
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Juárez SP, Ortiz-Barreda G, Agudelo-Suárez AA, Ronda-Pérez E. Revisiting the Healthy Migrant Paradox in Perinatal Health Outcomes Through a Scoping Review in a Recent Host Country. J Immigr Minor Health 2015; 19:205-214. [DOI: 10.1007/s10903-015-0317-7] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Pieper D, Jülich F, Antoine SL, Bächle C, Chernyak N, Genz J, Eikermann M, Icks A. Studies analysing the need for health-related information in Germany - a systematic review. BMC Health Serv Res 2015; 15:407. [PMID: 26399759 PMCID: PMC4579794 DOI: 10.1186/s12913-015-1076-9] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2014] [Accepted: 09/18/2015] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Exploring health-related information needs is necessary to better tailor information. However, there is a lack of systematic knowledge on how and in which groups information needs has been assessed, and which information needs have been identified. We aimed to assess the methodology of studies used to assess information needs, as well as the topics and extent of health-related information needs and associated factors in Germany. METHODS A systematic search was performed in Medline, Embase, Psycinfo, and all databases of the Cochrane Library. All studies investigating health-related information needs in patients, relatives, and the general population in Germany that were published between 2000 and 2012 in German or English were included. Descriptive content analysis was based on predefined categories. RESULTS We identified 19 studies. Most studies addressed cancer or rheumatic disease. Methods used were highly heterogeneous. Apart from common topics such as treatment, diagnosis, prevention and health promotion, etiology and prognosis, high interest ratings were also found in more specific topics such as complementary and alternative medicine or nutrition. Information needs were notable in all surveyed patient groups, relatives, and samples of the general population. Younger age, shorter duration of illness, poorer health status and higher anxiety and depression scores appeared to be associated with higher information needs. CONCLUSION Knowledge about information needs is still scarce. Assuming the importance of comprehensive information to enable people to participate in health-related decisions, further systematic research is required.
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Affiliation(s)
- Dawid Pieper
- Institute for Research in Operative Medicine, Witten/Herdecke University, Ostmerheimer Str. 200, Building 38, D- 51109, Cologne, Germany.
| | - Fabian Jülich
- Institute for Biometrics and Epidemiology, German Diabetes Center at the Heinrich-Heine University, Leibniz-Center for Diabetes Research, Düsseldorf, Germany.
- Public Health Unit, Faculty of Medicine, Heinrich-Heine University Düsseldorf, Moorenstraße 5, D-40225, Düsseldorf, Germany.
| | - Sunya-Lee Antoine
- Institute for Research in Operative Medicine, Witten/Herdecke University, Ostmerheimer Str. 200, Building 38, D- 51109, Cologne, Germany.
| | - Christina Bächle
- Institute for Biometrics and Epidemiology, German Diabetes Center at the Heinrich-Heine University, Leibniz-Center for Diabetes Research, Düsseldorf, Germany.
- , Auf'm Hennekamp 65, D-40225, Düsseldorf, Germany.
| | - Nadja Chernyak
- Institute for Biometrics and Epidemiology, German Diabetes Center at the Heinrich-Heine University, Leibniz-Center for Diabetes Research, Düsseldorf, Germany.
- Public Health Unit, Faculty of Medicine, Heinrich-Heine University Düsseldorf, Moorenstraße 5, D-40225, Düsseldorf, Germany.
| | - Jutta Genz
- Institute for Biometrics and Epidemiology, German Diabetes Center at the Heinrich-Heine University, Leibniz-Center for Diabetes Research, Düsseldorf, Germany.
- , Auf'm Hennekamp 65, D-40225, Düsseldorf, Germany.
| | - Michaela Eikermann
- Institute for Research in Operative Medicine, Witten/Herdecke University, Ostmerheimer Str. 200, Building 38, D- 51109, Cologne, Germany.
| | - Andrea Icks
- Institute for Biometrics and Epidemiology, German Diabetes Center at the Heinrich-Heine University, Leibniz-Center for Diabetes Research, Düsseldorf, Germany.
- Public Health Unit, Faculty of Medicine, Heinrich-Heine University Düsseldorf, Moorenstraße 5, D-40225, Düsseldorf, Germany.
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Domínguez-Berjón MF, Rodríguez-Sanz M, Marí-Dell’Olmo M, Esnaola S, Prieto-Salceda MD, Duque I, Rodrigo MP. Uso de indicadores socioeconómicos del área de residencia en la investigación epidemiológica: experiencia en España y oportunidades de avance. GACETA SANITARIA 2014; 28:418-25. [DOI: 10.1016/j.gaceta.2014.04.011] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/19/2014] [Revised: 04/22/2014] [Accepted: 04/22/2014] [Indexed: 11/26/2022]
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García-Pérez L, Aguiar-Ibáñez R, Pinilla-Domínguez P, Arvelo-Martín A, Linertová R, Rivero-Santana A. Revisión sistemática de utilidades relacionadas con la salud en España: el caso de la salud mental. GACETA SANITARIA 2014; 28:77-83. [DOI: 10.1016/j.gaceta.2013.04.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/11/2013] [Revised: 04/08/2013] [Accepted: 04/11/2013] [Indexed: 11/28/2022]
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Karl JW, Herrick JE, Unnasch RS, Gillan JK, Ellis EC, Lutters WG, Martin LJ. Discovering Ecologically Relevant Knowledge from Published Studies through Geosemantic Searching. Bioscience 2013. [DOI: 10.1525/bio.2013.63.8.10] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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García-Altés A. Systematic review of economic evaluation studies: Are vaccination programs efficient in Spain? Vaccine 2013; 31:1656-65. [DOI: 10.1016/j.vaccine.2013.01.029] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2012] [Revised: 01/10/2013] [Accepted: 01/15/2013] [Indexed: 11/16/2022]
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Analysis of economic evaluations of pharmacological cancer treatments in Spain between 1990 and 2010. Clin Transl Oncol 2012. [DOI: 10.1007/s12094-012-0934-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Prevalence of attention deficit hyperactivity disorder among children and adolescents in Spain: a systematic review and meta-analysis of epidemiological studies. BMC Psychiatry 2012; 12:168. [PMID: 23057832 PMCID: PMC3534011 DOI: 10.1186/1471-244x-12-168] [Citation(s) in RCA: 86] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/06/2011] [Accepted: 10/10/2012] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Attention deficit hyperactivity disorder (ADHD) is a commonly diagnosed neuropsychiatric disorder in childhood, but the frequency of the condition is not well established in many countries. The aim of the present study was to quantify the overall prevalence of ADHD among children and adolescents in Spain by means of a systematic review and meta-analysis. METHODS PubMed/MEDLINE, IME, IBECS and TESEO were comprehensively searched. Original reports were selected if they provided data on prevalence estimates of ADHD among people under 18 years old in Spain and were cross-sectional, observational epidemiological studies. Information from included studies was systematically extracted and evaluated. Overall pooled-prevalence estimates of ADHD were calculated using random-effects models. Sources of heterogeneity were explored by means sub-groups analyses and univariate meta-regressions. RESULTS Fourteen epidemiological studies (13,026 subjects) were selected. The overall pooled-prevalence of ADHD was estimated at 6.8% [95% confidence interval (CI) 4.9 - 8.8%] representing 361,580 (95% CI 260,550 - 467,927) children and adolescents in the community. There was significant heterogeneity (P < 0.001), which was incompletely explained by subgroup analyses and meta-regressions. CONCLUSIONS Our findings suggest that the prevalence of ADHD among children and adolescents in Spain is consistent with previous studies conducted in other countries and regions. This study represents a first step in estimating the national burden of ADHD that will be essential to building evidence-based programs and services.
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Franco M, Bilal U, Guallar E, Sanz G, Gómez AF, Fuster V, Cooper R. Systematic review of three decades of Spanish cardiovascular epidemiology: improving translation for a future of prevention. Eur J Prev Cardiol 2012; 20:565-76. [PMID: 22798660 DOI: 10.1177/2047487312455314] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND In order to improve national cardiovascular disease (CVD) epidemiology and prevention, we systematically reviewed and analyzed the relevant literature produced in the last three decades for Spain. DESIGN Systematic Review. METHODS We searched for all the articles aiming to monitor CVD clinical endpoints and risk factors in the Spanish general population that were indexed in MEDLINE and EMBASE. Based on international recommendations, we analyzed each article with a three-level scoring system (low to high) for the following criteria: data quality, representativeness and translation of results into preventive interventions. RESULTS We reviewed 2565 articles, selecting 314 for in-depth analysis. Articles about diet, blood pressure, obesity and smoking represented 53% of all published CVD studies, whereas those about physical activity or psychosocial factors represented only 5%. Low data quality was found in 67% and 60% of the articles about physical activity and smoking, respectively. High data quality was found in 77% and 61% of the articles dedicated to diet and blood pressure, respectively. Representativeness was low for 41%, 31% and 25% of the studies focusing on diet, smoking and diabetes, respectively. Translation of research results into prevention scored lowest of all three criteria, as 41% of all 314 articles scored low. None of the articles on obesity, diabetes, lipids, physical activity or psychosocial factors identified any specific preventive intervention. CONCLUSION Future Spanish CVD epidemiology research will benefit from improving not just the quality and representativeness of the data measured, but drastically improving the translation of research results into future preventive interventions. The lack of a translational focus remains the fundamental gap in CVD research.
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Affiliation(s)
- Manuel Franco
- Department of Public Health Sciences, School of Medicine, University of Alcala, Madrid, Spain.
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Catalá-López F, García-Altés A, Alvarez-Martín E, Gènova-Maleras R, Morant-Ginestar C, Parada A. Burden of disease and economic evaluation of healthcare interventions: are we investigating what really matters? BMC Health Serv Res 2011; 11:75. [PMID: 21489236 PMCID: PMC3097252 DOI: 10.1186/1472-6963-11-75] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2010] [Accepted: 04/13/2011] [Indexed: 12/23/2022] Open
Abstract
Background The allocation of limited available healthcare resources demands an agreed rational allocation principle and the consequent priority setting. We assessed the association between economic evaluations of healthcare interventions published in Spain (1983-2008) and the disease burden in the population. Methods Electronic databases (e.g., PubMed/MEDLINE, SCOPUS, ISI Web of Knowledge, CRD, IME, IBECS) and reports from health technology assessment agencies were systematically reviewed. For each article, multiple variables were recorded such as: year and journal of publication, type of study, health intervention targetted, perspective of analysis, type of costs and sources of information, first author's affiliation, explicit recommendations aimed at decision-making, and the main disease cause to which the intervention was addressed. The following disease burden measures were calculated: years of life lost (YLLs), years lived with disability (YLDs), disability-adjusted life years (DALYs), and mortality by cause. Correlation and linear regression models were fitted. Results Four hundred and seventy-seven economic evaluations were identified. Cardiovascular diseases (15.7%), infectious diseases (15.3%), malignant neoplasms (13.2%), and neuropsychiatric diseases (9.6%) were the conditions most commonly addressed. Accidents and injuries, congenital anomalies, oral conditions, nutritional deficiencies and other neoplasms were the categories with a lowest number of studies (0.6% for each of them). For the main disease categories (n = 20), a correlation was seen with: mortality 0.67 (p = 0.001), DALYs 0.63 (p = 0.003), YLLs 0.54 (p = 0.014), and YLDs 0.51 (p = 0.018). By disease sub-categories (n = 51), the correlations were generally low and non statistically significant. Conclusions Examining discrepancies between economic evaluations in particular diseases and the overall burden of disease helps shed light on whether there are potentially over- and under-investigated areas. The approach taken could help policy-makers understand whether resources for economic evaluation are being allocated by using summary measures of population health.
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Relación en España entre las publicaciones sobre zoonosis bacterianas no gastrointestinales y la incidencia de las enfermedades. Enferm Infecc Microbiol Clin 2010; 28:656-7. [DOI: 10.1016/j.eimc.2010.03.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2009] [Revised: 02/23/2010] [Accepted: 03/10/2010] [Indexed: 11/20/2022]
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Sánchez Lora FJ, Téllez Santana T, Gijón Trigueros A. Instrumentos específicos de medida de la calidad de vida relacionada con la salud en la diabetes mellitus tipo 2 disponibles en España. Med Clin (Barc) 2010; 135:658-64. [DOI: 10.1016/j.medcli.2009.04.029] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2009] [Accepted: 04/14/2009] [Indexed: 11/30/2022]
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Sanz-Valero J, Ferreira MS, Castiel LD, Wanden-Berghe C, Guilam MCR. El filtro académico brasileño: aplicación a la literatura científica sobre actividad física. Rev Saude Publica 2010; 44:877-83. [DOI: 10.1590/s0034-89102010005000024] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2009] [Accepted: 02/27/2010] [Indexed: 11/21/2022] Open
Abstract
OBJETIVO: Elaborar una ecuación de búsqueda que permita recuperar la producción científica académico institucional brasileña, aplicada al tema de la actividad física. MÉTODOS: La ecuación de búsqueda consistió en la unión booleana del descriptor «ejercicio» asociado por el booleano AND, al nombre de las distintas instituciones académicas asociadas, a su vez, mediante el conector OR. La búsqueda en MEDLINE, a través de PubMed se realizó el 16/11/2008. Las instituciones se seleccionaron según la clasificación de Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Capes) para los convenios interuniversitarios. RESULTADOS: Se recuperó un total de 407 referencias, de las cuales, 0,9% era sobre ejercicio y el 0,5% de producción científica académica brasileña, indexadas en MEDLINE, en la fecha de la consulta. Al comparar con la revisión manual efectuada, la ecuación de búsqueda (descriptor + filtro institucional) manifestó una sensibilidad del 99% y una especificidad del 100%. CONCLUSIONES: El filtro académico institucional presentó alta sensibilidad y especificidad, que es a su vez aplicable a otras áreas del conocimiento relacionadas con las ciencias de la salud. Sería conveniente que las instituciones académicas establecieran su "nombre/marca" con el fin de poder rescatar de forma eficiente su literatura científica.
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[Research on social determinants of health and health inequalities: evidence for health in all policies]. GACETA SANITARIA 2010; 24 Suppl 1:101-8. [PMID: 20685013 DOI: 10.1016/j.gaceta.2010.05.005] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/09/2010] [Revised: 04/22/2010] [Accepted: 05/05/2010] [Indexed: 11/23/2022]
Abstract
This article aims to review conceptual frameworks and some principles to be considered in research on social determinants of health and health inequalities. Some indicators of research on these issues in Spain are described. General expenditure on research and development in Spain is far from the Organisation for Economic Co-operation and Development mean. In addition, both globally and within Spain, the scientific production on health inequalities is very low, especially compared with other research areas. The budget for research on health inequalities is also reduced. A striking example is provided by analysis of the projects funded by the Marató de TV3, which seems to have little interest in funding research on health inequalities. However, both the scientific production and project financing on health inequalities have increased in the last decade. Finally, to advance research on health inequalities and its contribution to the incorporation of health in all policies, recommendations are made, which include redefining priorities, ensuring resources and promoting knowledge translation.
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Radut DS, Sanz-Valero J. Developing and testing of search filters for the new European Union Member States’ research. Health Info Libr J 2010; 27:227-34. [DOI: 10.1111/j.1471-1842.2010.00903.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Sanz-Valero J, Wanden-Berghe C. Nutrition search terms have changed: making the most of thematic search filters. J Nutr 2009; 139:1203. [PMID: 19420349 DOI: 10.3945/jn.109.106492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Sanz-Valero J, Wanden-Berghe C. [The Spanish geographical filter: "Spain NOT Trinidad and Tobago"]. GACETA SANITARIA 2009; 23:253. [PMID: 19467740 DOI: 10.1016/j.gaceta.2008.09.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/26/2008] [Accepted: 09/03/2008] [Indexed: 10/20/2022]
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Valderas JM. [Identifying studies in Spanish population in PubMed]. GACETA SANITARIA 2009; 23:82. [PMID: 19231730 DOI: 10.1016/j.gaceta.2008.07.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/04/2008] [Accepted: 07/10/2008] [Indexed: 10/20/2022]
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Radut DS, Kim YJ, Min BN, Cho KJ, Lee JY. South Korean Study in a Public Health -Preventive Medicine and Sports Environment-. J Prev Med Public Health 2009; 42:209-14. [DOI: 10.3961/jpmph.2009.42.4.209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Affiliation(s)
- Dan Silviu Radut
- College of Physical Education, The University of Suwon, Hwaseong, South Korea
| | - You Jin Kim
- College of Physical Education, The University of Suwon, Hwaseong, South Korea
| | - Byung Nam Min
- College of Physical Education, The University of Suwon, Hwaseong, South Korea
| | - Ki Jeoung Cho
- College of Physical Education, The University of Suwon, Hwaseong, South Korea
| | - Jong Young Lee
- College of Physical Education, The University of Suwon, Hwaseong, South Korea
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Valderas JM, Ferrer M, Mendívil J, Garin O, Rajmil L, Herdman M, Alonso J. Development of EMPRO: a tool for the standardized assessment of patient-reported outcome measures. VALUE IN HEALTH : THE JOURNAL OF THE INTERNATIONAL SOCIETY FOR PHARMACOECONOMICS AND OUTCOMES RESEARCH 2008; 11:700-708. [PMID: 18194398 DOI: 10.1111/j.1524-4733.2007.00309.x] [Citation(s) in RCA: 143] [Impact Index Per Article: 8.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
OBJECTIVE This study was aimed to develop a tool for the standardized assessment of patient-reported outcomes (PROs) to assist the choice of instruments. METHODS An expert panel adapted the eight attributes proposed by the Medical Outcomes Trust as evaluation review criteria, created items to evaluate them, and included a response scale for each item. A pilot test was designed to test the new tool's feasibility and to obtain preliminary information concerning its psychometric properties. The Spanish versions of five measures were selected for assessment: the SF-36 Health Survey, the Nottingham Health Profile, the COOP-WONCA charts, the EuroQol-5D, and the Quality of Life Questionnaire EORTC-QLQ-C30. We assessed the new tool's reliability (Cronbach's alpha and intraclass correlation coefficient [ICC]) and construct validity. RESULTS The new EMPRO (Evaluating the Measurement of Patient-Reported Outcomes) tool has 39 items covering eight key attributes: conceptual and measurement model, reliability, validity, responsiveness, interpretability, burden, alternative modes of administration, and cross-cultural and linguistic adaptations. Internal consistency was high (alpha = 0.95) as was interrater concordance (ICC: 0.87-0.94). Positive associations consistent with a priori hypotheses were observed between EMPRO attribute scores and the number of articles identified for the measures, the years elapsed since the publication of the first article, and the number of citations. CONCLUSION A new tool for the standardized assessment of PRO measures is available. It has shown good preliminary reliability and validity and should be a useful aid to investigators who need to choose between alternative measures. Further assessment of the tool is necessary.
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Affiliation(s)
- Jose M Valderas
- National Primary Care Research and Development Center, University of Manchester, Manchester, UK
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Esperato A, García-Altés A. [Health promotion: a profitable investment? Economic efficiency of preventive interventions in Spain]. GACETA SANITARIA 2007; 21:150-61. [PMID: 17419933 DOI: 10.1157/13101044] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
OBJECTIVE To examine the quantity and quality of economic evaluations analyzing preventive interventions in Spain to September 2005, with the further goal of extracting conclusions for further research and the design of future programs. METHODS We performed a systematic review of the evidence. First, we defined the criteria for including studies in our review. Second, a search was conducted of specialized search engines (Pubmed, NHS EED, DARE, HTA, HRSPROJ, IME, EMBASE) and a manual search was performed of journals and the web sites of Spanish public health organizations. In a third phase, the characteristics relevant to our analysis were extracted from the selected articles. Lastly, the characteristics collected were analyzed through uni- and bivariate analyses. RESULTS Forty-nine articles were found that complied with the inclusion criteria, of which 40 were reviewed. The technique most extensively used was cost-effectiveness analysis (60% of all articles). Twenty-eight evaluations (70%) focused on immunization campaigns. The quality of publications increased overtime, from an average score of 4.21 (1985-1995) to 6.38 (1995-2004), although several methodological areas still require improvement. Lastly, 72.5% of the studies supported the universal use or expansion of the policy analyzed. CONCLUSIONS The Spanish research community should increase efforts to improve the quantity and quality of economic evaluations in preventive health. Three basic strategies are suggested: a) evaluation of the preventive programs currently in place in Spain and dissemination of the results; b) efforts to publish and index articles in international scientific journals; and c) adherence to international economic evaluation guidelines and manuals.
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Affiliation(s)
- Alexo Esperato
- Agència de Salut Pública de Barcelona, Barcelona, España
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Bautista Cabello J, Ignacio Emparanza J, Ansuategi E. Mejorando las búsquedas clínicas. Filtros geográficos, filtros metodológicos. Dos lógicas distintas, dos usos diferentes. Rev Esp Cardiol 2006. [DOI: 10.1157/13096588] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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