Améliorer les pratiques et l'organisation des soins : méthodologie des revues systématiques

Zaugg, Vincent; Savoldelli, Virginie; Sabatier, Brigitte; Durieux, Pierre

doi:10.3917/spub.145.0655

Cited by 21 publications

(11 citation statements)

References 22 publications

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“…In their absence, quantitative pre- and post-intervention results were compared, and when post-intervention results improved, it was concluded that the intervention had a positive effect, regardless of the improvement level. For post-intervention results related to KAP outcomes, more than 50% of the targeted subjects had to fulfil criteria that were considered as relevant (by the authors) to conclude that the intervention had a positive effect [24]. If quantitative results were not available, the qualitative appraisal of the authors of the respective studies was taken into account.…”

Section: Methodsmentioning

confidence: 99%

Integration of schistosomiasis control activities within the primary health care system: a critical review

et al. 2019

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Background Schistosomiasis is a chronic disease linked to poverty and is widely endemic, particularly in sub-Saharan Africa. For decades, the World Health Organization has called for a larger role of the primary health care system in schistosomiasis control, and its integration within the routine activities of primary health care facilities. Here, we reviewed existing studies on the integration of schistosomiasis control measures within the primary health care system, more precisely at the health centre, and we analysed their outcomes. Methods An online search of studies published via PubMed and Embase databases was carried out until December 2017. Keywords were used to identify articles related to the integration of schistosomiasis control within the primary health care system, especially at the health centre level. Studies on integration of the following control measures were included: diagnosis and treatment, supplemented or not with (i) health education; (ii) snail control; and (iii) clean water supply and sanitation. A qualitative review was undertaken. To conclude on the effectiveness of an intervention, intermediate outcomes (knowledge, attitude and practice, coverage, access to health care) and distal outcomes (prevalence, incidence, mortality) were considered, and pre/post-intervention results were compared. Results Of 569 records found, 11 met the inclusion criteria. Studies were classified in three groups, according to the control measures they included. Integration of diagnosis and treatment, and health education in the first group resulted in an improvement of knowledge level of care providers, access to health care and health care seeking behaviour of the community. However, no positive effect was observed on the knowledge level of symptoms and modes of transmission at the community level. Most studies in the second group (with snail control as additional measure) and the third group (with clean water supply and sanitation as additional measure) showed a positive effect on schistosomiasis prevalence and incidence post-intervention, independent of the additional control measures implemented. Conclusions The results of this review suggest a positive impact of integration of schistosomiasis control within the primary health care system. However, more robust studies are needed, especially in resource-limited regions, for conclusive evidence on the effectiveness and the sustainability of this strategy.

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Section: Methodsmentioning

confidence: 99%

Integration of schistosomiasis control activities within the primary health care system: a critical review

et al. 2019

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“…Several databases were used [16]: Sciencedirect and Pubmed, EMBASE, CINAHL, MEDNAR, CENTRALE PsycINFO and la Banque de données en santé publique (public health database).…”

Section: Methodsmentioning

confidence: 99%

What interventions are required to reduce road traffic injuries in Africa? A scoping review of the literature

Bonnet

Lechat²,

Ridde

2018

PLoS ONE

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Road traffic accidents are the major cause of mortality among people aged 15–29 years in Africa. World Health Organisation (WHO) and the World Bank launched a Decade of Action for Road Safety in 2011 with the goal of halving the number of injuries and deaths on the roads. No progress has been reported in Low and Middle Income Countries (LMICs) and the number of deaths remains very high. To reach the target set, there is a need for interventions in several areas. This scoping review proposes to produce a synthesis by identifying the kinds of interventions and outcomes which have been carried out on the African continent. Using the scoping studies method, 23 articles were selected and analysed. The study shows that interventions were developed in four fields: road safety policy, health education, safety equipment and data collection. It shows also that there were records of interventions in only twelve countries, mostly in Eastern and Southern Africa. The main conclusion of this study reveals both a lack of road safety interventions and shortcomings in the assessment of those performed and selected for our study.

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“…Publication bias must also be considered, which may distort the effects of olanzapine. It is in order to limit this risk of bias that the gray literature has also been considered [54].…”

Section: Bias Of the Study Intrinsic Biasmentioning

confidence: 99%

The use of olanzapine as an antiemetic in palliative medicine: a systematic review of the literature

Saudemont¹,

Prod’homme

Silva

et al. 2020

BMC Palliat Care

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Background Olanzapine is an atypical antipsychotic that has affinity for many central nervous system receptors. Its efficacy is supported by several studies in the prevention and treatment of chemotherapy-induced nausea and vomiting. No recommendations exist on the antiemetic use of olanzapine in the palliative care setting. The aim of this work is to complete the initial work of Fonte et al. published in 2015, to determine whether the literature supports the use of olanzapine as an antiemetic in palliative situations and, in practice, to propose a therapeutic schema adapted to the palliative setting. Methods Systematic review of the literature according to the PRISMA criteria. We searched the PubMed, Cochrane, RefDoc, EMBase databases and the gray literature databases. The bibliographic search was conducted between November 2016 and August 2017. Results Thirteen articles were included: 2 case studies, 3 case series, 3 retrospective studies, 2 prospective studies, 2 literature reviews. All studies concluded on the efficacy of olanzapine as an antiemetic in the palliative care setting. No serious adverse effects were reported. Based on the data from the literature review, we propose a therapeutic scheme adapted to the palliative care context. Conclusion Action of olanzapine on many receptors and its tolerance profile make it an interesting antiemetic treatment in palliative medicine. But to date, studies are scarce and have a low statistical power. Further investigation is therefore needed to determine the benefit of this treatment in palliative care patients, compared to usual treatments.

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Améliorer les pratiques et l'organisation des soins : méthodologie des revues systématiques

Cited by 21 publications

References 22 publications

Integration of schistosomiasis control activities within the primary health care system: a critical review

Integration of schistosomiasis control activities within the primary health care system: a critical review

What interventions are required to reduce road traffic injuries in Africa? A scoping review of the literature

The use of olanzapine as an antiemetic in palliative medicine: a systematic review of the literature

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