ABSTRACT
BACKGROUND: As researchers in disability and health conduct systematic reviews with greater frequency, the definition of disability used in these reviews gains importance. Translating a comprehensive conceptual definition of "disability" into an operational definition that utilizes electronic databases in the health sciences is a difficult step necessary for performing systematic literature reviews in the field. Consistency of definition across studies will help build a body of evidence that is comparable and amenable to synthesis. OBJECTIVE: To illustrate a process for operationalizing the World Health Organization's International Classification of Disability, Functioning, and Health concept of disability for MEDLINE, PsycINFO, and CINAHL databases. METHODS: We created an electronic search strategy in conjunction with a reference librarian and an expert panel. Quality control steps included comparison of search results to results of a search for a specific disabling condition and to articles nominated by the expert panel. RESULTS: The complete search strategy is presented. Results of the quality control steps indicated that our strategy was sufficiently sensitive and specific. CONCLUSIONS: Our search strategy will be valuable to researchers conducting literature reviews on broad populations with disabilities.
Subject(s)
Databases, Factual , Disabled Persons , International Classification of Functioning, Disability and Health , Research Design , Review Literature as Topic , Search Engine , Algorithms , Humans , MEDLINE , Quality Control , World Health OrganizationSubject(s)
Nail Diseases/etiology , Anemia, Iron-Deficiency/complications , Environmental Exposure/adverse effects , Environmental Pollutants/toxicity , Folic Acid Deficiency/complications , Humans , Hypoalbuminemia/complications , Hypocalcemia/complications , Kwashiorkor/complications , Malnutrition/complications , Polychlorinated Biphenyls/toxicity , Vitamin B 12 Deficiency/complications , Zinc/deficiencyABSTRACT
Yes, but data aren't plentiful. Limited evidence suggests that turmeric and its active compound, curcumin, are effective for rheumatoid arthritis and other inflammatory conditions (strength of recommendation [SOR]: C, primarily low-quality cohort studies with small patient numbers). Curcumin has shown limited benefit for patients with psoriasis, inflammatory bowel disease (IBS), inflammatory eye diseases, familial adenomatous polyposis, and kidney transplantation (SOR: B, small, short randomized controlled trials [RCTs]). No evidence indicates that curcumin helps patients with human immunodeficiency virus (HIV) (SOR: B, single RCT).
Subject(s)
Anti-Inflammatory Agents, Non-Steroidal/therapeutic use , Curcumin/therapeutic use , Inflammation/drug therapy , Evidence-Based Medicine , Humans , Practice Guidelines as Topic , Randomized Controlled Trials as Topic , Treatment OutcomeABSTRACT
There is no evidence to suggest that testing for hypercoagulopathy benefits most patients with deep venous thrombosis (DVT). Nor has research established that thrombophilia test results improve the ability to predict recurrence better than clinical risk assessment alone. Testing may be warranted in patients younger than 50 years with idiopathic DVT or patients with recurrent episodes of thromboembolism to assess risk in other family members. A theoretical cost-benefit analysis demonstrates that testing for antiphospholipid antibody syndrome and homozygous factor V Leiden may be cost effective when comparing quality-adjusted life years in patients with idiopathic DVT.
Subject(s)
Thrombophilia/diagnosis , Venous Thrombosis/blood , Anticoagulants/therapeutic use , Consensus Development Conferences as Topic , Humans , Venous Thrombosis/prevention & controlSubject(s)
Breast Feeding/adverse effects , Nipples/physiopathology , Pain Management , Skin Care/methods , Administration, Topical , Analgesics/therapeutic use , Bandages , Evidence-Based Medicine , Female , Hot Temperature/therapeutic use , Humans , Pain/etiology , Pain/physiopathology , Pain Measurement , Patient Education as Topic , Prognosis , Randomized Controlled Trials as Topic , Severity of Illness Index , Treatment OutcomeSubject(s)
Endocrine System Diseases/diagnosis , Follicle Stimulating Hormone/metabolism , Luteinizing Hormone/metabolism , Testosterone/deficiency , Adolescent , Adult , Age Factors , Aged , Evidence-Based Medicine , Family Practice/methods , Follicle Stimulating Hormone/analysis , Humans , Luteinizing Hormone/analysis , Male , Mass Screening/methods , Middle Aged , Monitoring, Physiologic/methods , Pituitary Gland/metabolism , Practice Guidelines as Topic , Prognosis , Puberty/physiology , Risk Factors , Testosterone/metabolism , Young AdultSubject(s)
Antiparasitic Agents/therapeutic use , Insecticides , Scabies/drug therapy , Administration, Cutaneous , Animals , Hexachlorocyclohexane/therapeutic use , Humans , Infectious Disease Transmission, Patient-to-Professional , Ivermectin/therapeutic use , Permethrin/therapeutic use , Pruritus/etiology , Sarcoptes scabiei , Scabies/diagnosis , Scabies/transmissionSubject(s)
Asthma/therapy , Complementary Therapies , Acupuncture Therapy , Homeopathy , Humans , Phytotherapy , Practice Guidelines as TopicSubject(s)
Enzyme-Linked Immunosorbent Assay , Glycoproteins/analysis , Herpes Genitalis/diagnosis , Herpesvirus 2, Human/isolation & purification , Blotting, Western , DNA, Viral/analysis , Evidence-Based Medicine , Family Practice , Female , Herpes Genitalis/prevention & control , Humans , Male , Randomized Controlled Trials as Topic , Sensitivity and SpecificitySubject(s)
C-Reactive Protein/analysis , Pain Measurement/methods , Pelvic Inflammatory Disease/diagnosis , Acute Disease , Blood Chemical Analysis , Blood Sedimentation , Evidence-Based Medicine , Family Practice , Female , Humans , Leukocyte Count , Risk Assessment , Secondary Prevention , Sensitivity and Specificity , Severity of Illness IndexSubject(s)
Albuminuria/prevention & control , Angiotensin II Type 2 Receptor Blockers , Angiotensin-Converting Enzyme Inhibitors/administration & dosage , Diabetic Nephropathies/prevention & control , Albuminuria/drug therapy , Diabetes Mellitus, Type 1/complications , Diabetes Mellitus, Type 2/complications , Diabetic Nephropathies/etiology , Disease Progression , Evidence-Based Medicine , Family Practice , Female , Humans , Kidney Function Tests , Male , Monitoring, Physiologic/standards , Monitoring, Physiologic/trends , Receptor, Angiotensin, Type 2/administration & dosage , Risk Assessment , Sensitivity and Specificity , UrinalysisSubject(s)
Anti-Ulcer Agents/therapeutic use , Duodenal Ulcer/prevention & control , Gastrointestinal Hemorrhage/prevention & control , Stomach Ulcer/prevention & control , Stress, Physiological/complications , Critical Care , Duodenal Ulcer/etiology , Evidence-Based Medicine , Female , Gastrointestinal Hemorrhage/etiology , Humans , Intensive Care Units , Male , Needs Assessment , Primary Prevention/methods , Prognosis , Randomized Controlled Trials as Topic , Risk Assessment , Stomach Ulcer/etiologySubject(s)
Electrocardiography , Rest , Tachycardia/diagnosis , Adult , Age Factors , Aged , Anti-Arrhythmia Agents/administration & dosage , Early Diagnosis , Electrocardiography, Ambulatory , Evaluation Studies as Topic , Evidence-Based Medicine , Family Practice , Female , Humans , Male , Middle Aged , Prognosis , Risk Factors , Severity of Illness Index , Tachycardia/drug therapy , Tachycardia, Sinus/diagnosis , Tachycardia, Sinus/drug therapyABSTRACT
Based on limited evidence, use of intrauterine devices (IUDs) is not contraindicated for women with HIV/AIDS (strength of recommendation [SOR]: C), multiple sexual partners (SOR: C), previous actinomyces colonization (SOR: C), most types of fibroids (SOR: C), or previous ectopic pregnancy (SOR: C). The risk to IUD users of pelvic inflammatory disease (PID) is similar to women using no contraception (SOR: B). Nulliparous women may experience increased insertion discomfort and higher rates of expulsion (SOR: B). IUD use of <3.5 years is not associated with decreased fertility (SOR: B).
Subject(s)
Intrauterine Devices/adverse effects , Bacterial Infections/etiology , Clinical Trials as Topic , Contraindications , Evidence-Based Medicine , Female , Humans , Infertility/etiology , Prosthesis-Related Infections/etiology , Risk Factors , Uterine Diseases/etiologySubject(s)
Fetus/radiation effects , Pregnancy Complications/diagnostic imaging , Dose-Response Relationship, Radiation , Evidence-Based Medicine , Female , Humans , Patient Education as Topic , Pregnancy , Radiography/adverse effects , Radionuclide Imaging/adverse effects , Risk Factors , Time Factors , Tomography, X-Ray Computed/adverse effectsSubject(s)
Achilles Tendon/abnormalities , Gait , Toes , Walking , Achilles Tendon/surgery , Child , Child, Preschool , Electromyography , Evaluation Studies as Topic , Evidence-Based Medicine , Heel , Humans , Leg , Orthotic Devices , Shoes , Treatment OutcomeABSTRACT
Screening patients with chronic hepatitis B infection (HBsAg+) for hepatocellular carcinoma by alpha-fetoprotein (AFP) or by AFP plus ultrasound (AFP/US) detects hepatocellular carcinoma tumors at earlier stages and increases resection rates (strength of recommendation [SOR]: B, based on a systematic review of fair-quality randomized controlled trials). It is unclear whether screening with AFP or AFP/US improves disease-specific or all-cause mortality (SOR: B).