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Abstract
Achieving maximal health outcomes via health promotion and disease prevention requires the adoption of healthy behaviors. Brief action planning (BAP) is a method for patient self-management, health behavior change, and health coaching with potentially broad implications for and clinical applications in health and health care contexts. This scoping review presents 5 major findings about the literature on BAP: the principal geographic locations and the clinical contexts of its application, the types of research evaluations that it has undergone to date, the theoretic frameworks in which it is grounded, and the fidelity of its use in clinical practice.
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Affiliation(s)
- Yuri Jadotte
- Department of Family, Population, and Preventive Medicine, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY, USA; Northeast Institute for Evidence Synthesis and Translation, Division of Nursing Science, School of Nursing, Rutgers University, Newark NJ, USA.
| | - Benjamin Buchholz
- Sickle Cell Center of Excellence, College of Medicine, Howard University, Washington, DC, USA
| | - William Carroll
- Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles CA, USA
| | - Deirdra Frum-Vassallo
- Health Promotion Disease Prevention, Northport VA Medical Center, Northport, NY, USA
| | | | - Steven Cole
- BAP Professional Network, US; Department of Psychiatry, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY, USA; Department of Scientific Education, Zucker SOM at Hofstra/Northwell, Hempstead, NY, USA; Department of Psychiatry, Zucker SOM at Hofstra/Northwell, Hempstead, NY, USA
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Nkemjika S, Tokede O, Okosun IS, Jadotte Y, Pigott T. Biological sex disparity in survival outcomes following treatment for renal cell carcinoma: A systematic review and meta-analysis. Cancer Epidemiol 2023; 86:102409. [PMID: 37478631 DOI: 10.1016/j.canep.2023.102409] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2023] [Accepted: 06/26/2023] [Indexed: 07/23/2023]
Abstract
INTRODUCTION Renal cell carcinoma (RCC), a type of kidney cancer has biological sex-based differences that play a role in cancer incidence. Specifically, the incidence of urinary system cancers in men is two times greater than in women, while the incidence of genital cancers is three times greater. There is conflicting epidemiologic and limited evidence in the literature to suggest apparent biological sex discrepancy. The primary objective of this review and meta-analysis is to synthesize evidence to understand biological sex disparity in the survival outcomes of RCC following any treatment intervention. METHODS A three-step search strategy was utilized in this review. We searched MEDLINE, EMBASE and PsycINFO databases for manuscript on biological sex differences in treatment outcomes. Study screening, critical appraisal, and data extraction were executed independently by pairs of reviewers among co-authors. Studies that had any form of treatment modality in the management of RCC were included. Study designs included observational studies in the form of prospective and retrospective studies that utilized cox proportional hazard assumption to conduct survival analysis. The data synthesis was carried out using the R metafor software package (Software version of 1.2.8) and Microsoft Office Excel 2019 package (Microsoft Corporation, USA). The random effects model was estimated using restricted maximum likelihood estimation (REML). Data synthesis included narrative review and meta-analysis. RESULTS We had 23 eligible studies for this review. On review of the full text, 35 studies were excluded due to irrelevances to measure estimates utilized. Finally, 12 studies were selected for the meta-analysis with a total of n = 21,2453 individuals. Females had a better survival outcome following a treatment intervention for RCC than their male counterpart [Mean effect size = -0.1737 (95 % CI: -0.2524, -0.0949)]. CONCLUSION Females were more likely to be cancer free than their male counterpart following treatment for RCC. This finding will inform appropriate decision making for stakeholders.
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Affiliation(s)
- Stanley Nkemjika
- Department of Psychiatry and Behavioral Sciences, Interfaith Medical Center, Brooklyn, NY, USA.
| | | | - Ike S Okosun
- Department of Population Health Sciences, School of Public Health, Georgia State University, Atlanta, GA, USA
| | - Yuri Jadotte
- Department of Family Population and Preventive Medicine, Stony Brook University, Stony Brook, NY, USA; The Northeast Institute for Evidence Synthesis and Translation (NEST), JBI Center of Excellence, Rutgers School of Nursing, Newark, NJ, USA
| | - Therese Pigott
- Department of Population Health Sciences, School of Public Health, Georgia State University, Atlanta, GA, USA
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Jadotte Y, Levy C, Tallon LA, Phillips L, Caron R. Diversity, Equity, and Inclusion in the Environmental Health Workforce: Mapping the Literature and Moving Toward Liberation. Environ Health Insights 2023; 17:11786302231175802. [PMID: 37229358 PMCID: PMC10204044 DOI: 10.1177/11786302231175802] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Accepted: 04/27/2023] [Indexed: 05/27/2023]
Abstract
Introduction Diversity, equity, and inclusion, also known as DEI, is an essential topic being discussed across society. The field of environmental health (EH) should certainly not be excluded from the conversation. Objective The purpose of this mini-review was to map the literature and identify gaps on the topic of DEI in the EH workforce. Methods A rapid scoping review was conducted using standard synthesis science methods to search and map the published literature. All study titles, abstracts, and full texts were screened by 2 independent reviewers among the authorship team. Results The search strategy yielded 179 English language papers. Of those, 37 met all inclusion criteria after full text screening. Overall, the majority of the articles had weak or moderate DEI engagement and only 3 articles had strong DEI engagement. Discussion There is a significant need for additional research in this realm. Future studies should explicitly focus on workforce issues, and attempt to achieve the highest level of the evidence possible for this field. Conclusion Although DEI initiatives are a step in the right direction, the current evidence suggests that inclusivity and liberation may prove to be more impactful and meaningful constructs to fully advance equity in the EH workforce.
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Affiliation(s)
- Yuri Jadotte
- Department of Family, Population and
Preventive Medicine, Renaissance School of Medicine at Stony Brook University, Stony Brook,
NY, USA
- Division of Nursing Science, Rutgers School
of Nursing, New Brunswick, NJ, USA
| | - Carly Levy
- Master of Public Health Program, School of
Arts and Sciences, Massachusetts College of Pharmacy and Health Sciences, Boston, MA,
USA
| | - Lindsay A. Tallon
- Master of Public Health Program, School of
Arts and Sciences, Massachusetts College of Pharmacy and Health Sciences, Boston, MA,
USA
| | - Lynelle Phillips
- Department of Public Health, School of Health
Professions, University of Missouri, Columbia, MO, USA
| | - Rosemary Caron
- Department of Health Management and Policy,
Master of Public Health Program, College of Health and Human Services, University of New
Hampshire, Durham, NH, USA
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Bagchi AD, Hargwood P, Saravana A, DiBello AM, D'Alonzo KT, Jadotte Y. Methods of training lay individuals in the use of evidence-based services for the management of mental and behavioral health disorders: a scoping review protocol. JBI Evid Synth 2022; 20:3034-3044. [PMID: 35975306 DOI: 10.11124/jbies-21-00419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
OBJECTIVE The objective of this scoping review is to describe how lay individuals have been trained in evidence-based therapies to manage mental and behavioral health disorders as defined by the International Classification of Diseases, version 11. INTRODUCTION Health service delivery by lay individuals is common in under-resourced areas. Prior systematic reviews have examined the characteristics of lay workers, the types of services they provide, and the efficacy of their services. Our goal is to focus on the methods of training. INCLUSION CRITERIA Participants will include lay individuals who provide services to community residents; we will exclude individuals with formal training in health service delivery. We will consider for inclusion studies that include training programs for evidence-based therapies delivered to individuals with mental and behavioral health disorders, and will exclude those involving pharmacology or focusing on cognitive defects. METHODS We conducted a preliminary search of the literature on PubMed and CINAHL for articles related to the inclusion criteria and published in the past 10 years. Scanning the title, abstract, keywords, and MeSH terms, we generated comprehensive lists of terms and added search terms from 6 recent systematic reviews. Our search strategy will include MEDLINE, CINAHL, PsycINFO, Scopus, Web of Science, and gray literature. We will also consult with experts and review the reference lists of articles selected for final inclusion. Articles published in English or Spanish between 1960 and the present will be considered for inclusion. Data analysis will use a mix of descriptive and qualitative approaches, with data presented graphically or in diagrammatic or tabular format.
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Affiliation(s)
- Ann D Bagchi
- Division of Nursing Science, School of Nursing, Rutgers, The State University of New Jersey, Newark, NJ, USA
| | - Pamela Hargwood
- Robert Wood Johnson Library of the Health Sciences, Rutgers, The State University of New Jersey, New Brunswick, NJ, USA
| | - Arunadevi Saravana
- Division of Psychiatric Services Research, School of Medicine, University of Maryland, Baltimore, MD, USA
| | - Angelo M DiBello
- Center of Alcohol and Substance Use Studies and the Graduate School of Applied and Professional Psychology, Rutgers: The State University of New Jersey, Piscataway, NJ, USA
| | - Karen T D'Alonzo
- Division of Nursing Science, School of Nursing, Rutgers, The State University of New Jersey, Newark, NJ, USA
| | - Yuri Jadotte
- The Northeast Institute for Evidence Synthesis and Translation (NEST): A JBI Centre of Excellence, Rutgers, The State University of New Jersey, Newark, NJ, USA.,Department of Family, Population and Preventive Medicine, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, USA
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Aromataris E, Stern C, Lockwood C, Barker TH, Klugar M, Jadotte Y, Evans C, Ross-White A, Lizarondo L, Stephenson M, McArthur A, Jordan Z, Munn Z. JBI series paper 2: tailored evidence synthesis approaches are required to answer diverse questions: a pragmatic evidence synthesis toolkit from JBI. J Clin Epidemiol 2022; 150:196-202. [PMID: 35429608 DOI: 10.1016/j.jclinepi.2022.04.006] [Citation(s) in RCA: 19] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2021] [Revised: 12/15/2021] [Accepted: 04/09/2022] [Indexed: 12/16/2022]
Abstract
Evidence synthesis is critical in evidence-based healthcare and is a core program of JBI. JBI evidence synthesis is characterised by a pluralistic view of what constitutes evidence and is underpinned by a pragmatic ethos to facilitate the use of evidence to inform practice and policy. This second paper in this series provides a descriptive overview of the JBI evidence synthesis toolkit with reference to resources for 11 different types of reviews. Unique methodologies such as qualitative syntheses, mixed methods reviews, and scoping reviews are highlighted. Key features include standardised and collaborative processes for development of methodologies and a broad range of tailored resources to facilitate the conduct of a JBI evidence synthesis, including appraisal and data extraction tools, software to support the conduct of a systematic review and an intensive systematic review training program. JBI is one of the leading international protagonists for evidence synthesis, providing those who want to answer health-related questions with a toolkit of resources to synthesize the evidence.
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Affiliation(s)
- Edoardo Aromataris
- JBI, Faculty of Health and Medical Sciences, The University of Adelaide, 5006, Adelaide, Australia.
| | - Cindy Stern
- JBI, Faculty of Health and Medical Sciences, The University of Adelaide, 5006, Adelaide, Australia
| | - Craig Lockwood
- JBI, Faculty of Health and Medical Sciences, The University of Adelaide, 5006, Adelaide, Australia
| | - Timothy H Barker
- JBI, Faculty of Health and Medical Sciences, The University of Adelaide, 5006, Adelaide, Australia
| | - Miloslav Klugar
- Czech National Centre for Evidence-Based Healthcare and Knowledge Translation (Czech EBHC: A JBI Centre of Excellence, Cochrane Czech Republic, Masaryk University GRADE Centre), Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Kamenice 5, 625 00 Brno, Czech Republic
| | - Yuri Jadotte
- The Northeast Institute for Evidence Synthesis and Translation (NEST), a JBI Centre of Excellence, School of Nursing, Rutgers University, and the Department of Family, Population and Preventive Medicine, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY, USA
| | - Catrin Evans
- Nottingham Centre for Evidence Based Healthcare, JBI Centre of Excellence, University of Nottingham, School of Health Sciences, QMC, Nottingham, NG7 2HA, UK
| | - Amanda Ross-White
- Queen's Collaboration for Health Care Quality: A JBI Centre of Excellence, School of Nursing, Queen's University Library, Kingston, Ontario, Canada
| | - Lucylynn Lizarondo
- JBI, Faculty of Health and Medical Sciences, The University of Adelaide, 5006, Adelaide, Australia
| | - Matthew Stephenson
- JBI, Faculty of Health and Medical Sciences, The University of Adelaide, 5006, Adelaide, Australia
| | - Alexa McArthur
- JBI, Faculty of Health and Medical Sciences, The University of Adelaide, 5006, Adelaide, Australia
| | - Zoe Jordan
- JBI, Faculty of Health and Medical Sciences, The University of Adelaide, 5006, Adelaide, Australia
| | - Zachary Munn
- JBI, Faculty of Health and Medical Sciences, The University of Adelaide, 5006, Adelaide, Australia
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Jadotte Y, Salmond S, Allread V. A Population Health Perspective on Racism and Racial Microaggressions. Orthop Nurs 2022; 41:148-157. [PMID: 35358136 DOI: 10.1097/nor.0000000000000834] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Racism, one of the social determinants of health, often goes unnoticed by those less affected by its pernicious effects. The lived social experience of race has been linked to significant physical and mental health disparities. Individually or together, we know that racism and discrimination are associated with poorer health of persons from racial minority groups as evidenced in higher rates of mortality, earlier onset of disease, greater severity and progression of disease and higher levels of comorbidity and impairment. These disparities are persistent over time and, although may lessen in degree, are evident at every level of income and education. This article provides a glimpse of the impact of racism on individuals and groups, with a focus on microaggressions as a subtle but pervasive form of racism, and how it is an underlying causative factor for health disparities.
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Affiliation(s)
- Yuri Jadotte
- Yuri Jadotte, MD, PhD, MPH, FACPM, School of Nursing, Rutgers University-The State University of New Jersey, Newark; and Department of Family, Population and Preventive Medicine, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY
- Susan Salmond, EdD, RN, ANEF, FAAN, School of Nursing, Rutgers University-The State University of New Jersey, Newark
- Virginia Allread, MPH, BA, School of Nursing, Rutgers University-The State University of New Jersey, Newark
| | - Susan Salmond
- Yuri Jadotte, MD, PhD, MPH, FACPM, School of Nursing, Rutgers University-The State University of New Jersey, Newark; and Department of Family, Population and Preventive Medicine, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY
- Susan Salmond, EdD, RN, ANEF, FAAN, School of Nursing, Rutgers University-The State University of New Jersey, Newark
- Virginia Allread, MPH, BA, School of Nursing, Rutgers University-The State University of New Jersey, Newark
| | - Virginia Allread
- Yuri Jadotte, MD, PhD, MPH, FACPM, School of Nursing, Rutgers University-The State University of New Jersey, Newark; and Department of Family, Population and Preventive Medicine, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY
- Susan Salmond, EdD, RN, ANEF, FAAN, School of Nursing, Rutgers University-The State University of New Jersey, Newark
- Virginia Allread, MPH, BA, School of Nursing, Rutgers University-The State University of New Jersey, Newark
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Nkemjika S, Tokede O, Jadotte Y, Olatunji E, Bosah J, Pigott T, Okosun IS. Biological sex disparity in survival outcomes following treatment for renal cell carcinoma: a systematic review protocol. JBI Evid Synth 2021; 19:3355-3362. [PMID: 34261092 DOI: 10.11124/jbies-20-00277] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
OBJECTIVE This systematic review will assess the biological sex disparity in survival outcomes following treatment for renal cell carcinoma and analyze the estimates of biological sex disparity outcomes following supposed or proposed curative treatment. INTRODUCTION Renal cell carcinoma is a type of kidney cancer. There is a lack of conformity in the literature on the biological sex disparity in survival outcomes after treatment. This review will help inform the decision-making of clinicians, health care administrators, policy makers, public health workers, and pharmaceutical/biotechnology researchers in predicting positive outcomes following treatment. INCLUSION CRITERIA The review will consider prospective and retrospective studies on any form of treatment for renal cell carcinoma. The Cox proportional hazard assumption will be used to conduct survival analysis. Hazard rates of participants' survivability across biological sex will also be reported. METHODS A three-step search strategy will be used. First, a limited search of MEDLINE, Embase, and PsycINFO was conducted and text words in the title, abstract, and index terms were analyzed. Second, a search using identified keywords and index terms will be tailored for all included databases. Third, the reference lists of all included reports and articles will be screened to search for additional studies. There will be no language or date restrictions. Papers not written in English but with a professional translated copy will be included. Study screening, critical appraisal, and data extraction will be conducted independently by pairs of reviewers. Data synthesis will include narrative review and meta-analysis, if appropriate. SYSTEMATIC REVIEW REGISTRATION NUMBER PROSPERO CRD42020195721.
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Affiliation(s)
- Stanley Nkemjika
- Department of Population Health Sciences, School of Public Health, Georgia State University, Atlanta, GA, USA.,Department of Psychiatry, Interfaith Medical Center, Brooklyn, NY, USA
| | - Oluwatosin Tokede
- Rural Health Corporation of Northeastern Pennsylvania, Freeland, PA, USA
| | - Yuri Jadotte
- Department of Family Population and Preventive Medicine, Stony Brook University, Stony Brook, NY, USA.,The Northeast Institute for Evidence Synthesis and Translation (NEST): A JBI Centre of Excellence, Rutgers School of Nursing, Newark, NJ, USA
| | - Eniola Olatunji
- Department of Health Policy, School of Public Health, Texas A&M, College Station, TX, USA
| | - John Bosah
- Montefiore Einstein Starfish Program, Montefiore Medical Center, Bronx, NY, USA
| | - Terri Pigott
- Department of Population Health Sciences, School of Public Health, Georgia State University, Atlanta, GA, USA.,College of Education & Human Development, Georgia State University, Atlanta, GA, USA
| | - Ike S Okosun
- Department of Population Health Sciences, School of Public Health, Georgia State University, Atlanta, GA, USA
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Qureshi R, Jadotte Y, Zha P, Porter SA, Holly C, Salmond S, Watkins EA. The association between prenatal exposure to environmental tobacco smoke and childhood obesity: a systematic review. ACTA ACUST UNITED AC 2019; 16:1643-1662. [PMID: 30113549 DOI: 10.11124/jbisrir-2017-003558] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
OBJECTIVE The objective of the review was to determine if prenatal exposure to environmental tobacco smoke (ETS) increases the risk of obesity and overweight in children. INTRODUCTION Childhood obesity has reached epidemic proportions in many developed countries. This is of great concern as childhood obesity is associated with early onset of chronic diseases such as coronary artery disease, type II diabetes and hypertension in adulthood. Extensive research suggests a multifactorial etiology. These factors include genetic markers, individual lifestyle, social and environmental factors, particularly the interaction between these factors. Among environmental factors, prenatal exposure to ETS has been linked to increased rates of obesity and overweight in childhood. INCLUSION CRITERIA This review considered studies on children of women who were non-smokers and who reported exposure to ETS during pregnancy. The exposure of interest was exposure to ETS or second hand smoke during pregnancy, determined by either: i) self-reported maternal exposure; and/or ii) serum cotinine levels. Observational studies such as cohort studies, case control studies, retrospective studies and analytical cross-sectional studies were included. Outcomes of interest were weight, height and body mass index of children from birth up to 18 years. METHODS A three-step search strategy was used to search for published and unpublished studies in the English language. No search range (years) was set. Two reviewers assessed the studies for inclusion and methodological quality using the Joanna Briggs Institute System for the Unified Management, Assessment and Review of Information (JBI SUMARI) standardized appraisal instruments. Data was extracted by two people independently and entered into the JBI extraction tool. Extracted data was pooled in a statistical meta-analysis based on a random effects model. RESULTS Nineteen studies were included in the review. Eight of the studies were included in the final meta-analysis. Findings suggest that there was an association between prenatal exposure to ETS and childhood obesity (odds ratio [OR]: 1.905, CI: 1.23-2.94), and no association between ETS exposure and overweight (OR: 1.51, CI: 0.49-4.59). The high rates of heterogeneity between studies in both of the meta-analyses determined by the I statistic (97% and 99%, respectively) sanction caution in the interpretation and use of these findings. CONCLUSIONS Based on the evidence, childhood obesity is associated with exposure to prenatal ETS, however overweight does not appear to be associated with this type of exposure.
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Affiliation(s)
- Rubab Qureshi
- School of Nursing, Rutgers University, Newark, USA.,The Northeast Institute for Evidence Synthesis and Translation (NEST): A Joanna Briggs Institute Centre of Excellence
| | - Yuri Jadotte
- School of Nursing, Rutgers University, Newark, USA.,The Northeast Institute for Evidence Synthesis and Translation (NEST): A Joanna Briggs Institute Centre of Excellence
| | - Peijia Zha
- School of Nursing, Rutgers University, Newark, USA
| | - Sallie Ann Porter
- School of Nursing, Rutgers University, Newark, USA.,The Northeast Institute for Evidence Synthesis and Translation (NEST): A Joanna Briggs Institute Centre of Excellence
| | - Cheryl Holly
- School of Nursing, Rutgers University, Newark, USA.,The Northeast Institute for Evidence Synthesis and Translation (NEST): A Joanna Briggs Institute Centre of Excellence
| | - Susan Salmond
- School of Nursing, Rutgers University, Newark, USA.,The Northeast Institute for Evidence Synthesis and Translation (NEST): A Joanna Briggs Institute Centre of Excellence
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Benenson I, Jadotte Y, Echevarria M. Factors influencing utilization of hospital services by adult sickle cell disease patients: a systematic review. JBI Database System Rev Implement Rep 2017; 15:765-808. [PMID: 28267033 DOI: 10.11124/jbisrir-2016-002983] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
BACKGROUND Painful vaso-occlusive crisis is a hallmark of sickle cell disease (SCD) that commonly results in utilization of hospital services. Recurrent use of hospital services by SCD patients is associated with high healthcare costs and adverse clinical outcomes. Understanding the factors influencing the pattern of utilization is a first step in improving medical care of this patient population while reducing healthcare expenditures. OBJECTIVES The primary objective of this systematic review was to determine what modifiable and non-modifiable factors influence utilization of hospital services by adult SCD patients. INCLUSION CRITERIA TYPES OF PARTICIPANTS Adult SCD patients of both sexes who utilized hospital services for acute or emergency care. TYPES OF FACTORS/EXPOSURE Non-modifiable and modifiable factors influencing utilization of hospital services. TYPES OF STUDIES Prospective and retrospective cohort studies, case-control and analytical cross-sectional studies. OUTCOMES The primary outcome of interest was high utilization of hospital services by adult SCD patients based on non-modifiable and modifiable factors measured as an odds ratio (analytical outcome). The secondary outcome was the prevalence of non-modifiable and modifiable factors among SCD patients who utilized hospital services measured as an event rate (descriptive outcome). SEARCH STRATEGY A comprehensive multi-step search was undertaken to find both published and unpublished studies. Only studies published in the English language were included. The search was not limited by year of publication. METHODOLOGICAL QUALITY Retrieved papers were assessed for methodological quality using standardized critical appraisal instruments from the Joanna Briggs Institute Meta Analysis of Statistics Assessment and Review Instrument. DATA EXTRACTION Data were extracted using a researcher-developed tool. DATA SYNTHESIS Included studies were combined in a statistical meta-analysis. The meta-analysis was based on a random effect model. For studies that did not allow statistical pooling, the findings have been presented in a narrative form. RESULTS Fourteen studies were included in this review. The analysis demonstrated that male patients accounted for 40.8% (95% confidence interval [CI] 0.370-0.447) of all utilizing patients. Sickle cell disease patients who were publically insured accounted for 76.5% (95% CI 0.632-0.861) of all patients who had hospital encounters. Patients aged 25-35 years had the highest rate of utilization, and the rate of utilization declined in patients older than 50 years. High utilizing patients had more diagnoses of acute chest syndrome and sepsis than patients who were moderate or low utilizers. CONCLUSION The majority of SCD patients who utilized hospital services were women, young people and publically insured individuals. Patients with particularly high level of utilization had more frequent diagnoses of acute chest syndrome and sepsis.
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Affiliation(s)
- Irina Benenson
- 1School of Nursing, Rutgers University, Newark, USA 2The Northeast Institute for Evidence Synthesis and Translation (NEST): a Joanna Briggs Institute Center of Excellence 3Division of Nursing Science, School of Nursing, Rutgers University, Newark, USA 4Department of Quantitative Methods, Epidemiology and Biostatistics, School of Public Health, Rutgers University, Newark, USA 5Division of Advanced Nursing Practice, School of Nursing, Rutgers University, Newark, USA
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Qureshi R, Jadotte Y. The association between prenatal exposure to environmental tobacco smoke and childhood obesity: a systematic review protocol. ACTA ACUST UNITED AC 2013. [DOI: 10.11124/jbisrir-2013-769] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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Holly C, Salmond S, Jadotte Y. Families' Experiences of Having an Adult Family Member in a Critical Care Area: A Systematic Review of Quantitative Evidence. ACTA ACUST UNITED AC 2011; 9:1-14. [PMID: 27820189 DOI: 10.11124/01938924-201109641-00018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Affiliation(s)
- Cheryl Holly
- 1.University of Medicine and Dentistry of New Jersey - School of Nursing, New Jersey Center for Evidence-Based Practice: a collaborating centre of the Joanna Briggs Institute, Newark, NJ
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