A methodological framework for rigorous systematic reviews: Tailoring comprehensive analyses to clinicians and healthcare professionals

Mancin, Stefano; Sguanci, Marco; Anastasi, Giuliano; Godino, Lea; Lo Cascio, Alessio; Morenghi, Emanuela; Piredda, Michela; Grazia De Marinis, Maria

doi:10.1016/j.ymeth.2024.03.006

Cited by 5 publications

(3 citation statements)

References 28 publications

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“…The research question for this review was formulated using a PICO tool [ 16 ]. The PICO framework aids authors in formulating a research question for a review by focusing on four main components: the population or problem (P), the intervention of interest (I), the comparison (C), and the outcome (O).…”

Section: Methodsmentioning

confidence: 99%

“…Recognized for their meticulousness in evaluating various research designs, these tools provided a structured framework to discern the reliability and applicability of each study. High-quality studies were identified based on a previous study [ 16 ], in which studies with a JBI score ≥ 70% were classified as having a high quality, those with a score between 69.9% and 50% as medium quality, and those with a score < 50% as low quality.…”

Section: Methodsmentioning

confidence: 99%

“… Legend: NP = nutritional prehabilitation; SIM = specialized immunonutrition; ONS = oral nutritional supplements; IG = intervention group; CG = control group; SOC = standard of care; RCT = randomized controlled trial. Quality/Bias according to JBI Critical Appraisal Tools and Mancin et al [ 16 ]: High = +++; Medium = ++. …”

Section: Figurementioning

confidence: 99%

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Nutritional Prehabilitation in Patients Undergoing Cystectomy: A Systematic Review

Dal Bello,

Mancin,

Morales Palomares

et al. 2024

Nutrients

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Background/Aim: Nutrition is a key element of the prehabilitation process prior to surgery. The aim of this study was to identify the clinical pathways of nutritional prehabilitation before cystectomy. Methods: A systematic literature review was conducted in PubMed, the Cochrane Library, CINAHL, Scopus and the Web of Science databases. Quality and risk of bias assessment was conducted adhering to the JBI framework and evidence was evaluated according to the Oxford Centre for Evidence Based Medicine levels of evidence. Results: Out of 586 records identified, six studies were included. Among them, only two were randomized controlled trials. Immunonutrition has been shown to improve postoperative bowel function (3.12 vs. 3.74 days; RR 0.82; CI, 0.73–0.93; p = 0.0029) and decrease postoperative complications (−36.7%; p = 0.008) and readmission rates (−15.38%; p = 0.03). Furthermore, oral nutritional supplements combined with nutritional counseling demonstrated an accelerated recovery of bowel function (−1 day; p < 0.01), a reduction in the length of hospital stay (−1.75 days; p = 0.01), an improvement in handgrip strength (+6.8%, p < 0.001), an increase in bone mass (+0.3 kg, p = 0.04), and a better BMI value (+2.3%, p = 0.001). Conclusions: Nutritional prehabilitation demonstrates potential in enhancing postoperative outcomes following radical cystectomy. Oral supplements, immunonutrition, and counseling exhibit efficacy in improving postoperative results.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%