Hypersensitivity in patients receiving metal implants: a scoping review protocol.
Dzifa Dordunoo1,2, Judith Anaman-Torgbor3, Catherine Smith4
1School of Nursing/Human and Social Development, University of Victoria, Victoria, BC, Canada.
JBI Evidence Synthesis
|December 5, 2020
Summary
This scoping review maps evidence on metal hypersensitivity, a growing concern with increased use of metallic devices. It highlights the need for better screening to improve patient outcomes and diagnosis.
Area of Science:
- Medical Science
- Materials Science
- Immunology
Background:
- Metal hypersensitivity, first reported in 1966, has seen increased incidence with the rise of metal-based prosthetic devices.
- Subtle symptoms of metal hypersensitivity may lead to delayed diagnosis, as clinicians may not routinely inquire about it.
- This diagnostic delay poses risks for patients, potentially leading to adverse outcomes.
Purpose of the Study:
- To conduct a scoping review of available evidence on metal hypersensitivity.
- To determine the extent of the problem of metal hypersensitivity associated with medical devices.
- To identify gaps in current screening practices for metal hypersensitivity.
Main Methods:
- The review will adhere to JBI methodology for scoping reviews.
- Searches will encompass multiple databases, gray literature, and organizational websites.
- Studies involving patients undergoing procedures with metal implantation will be screened and data extracted.
Main Results:
- Evidence on metal hypersensitivity and associated screening practices will be synthesized.
- The review will map the existing body of knowledge.
- Gaps in research and clinical practice will be identified.
Conclusions:
- A comprehensive understanding of metal hypersensitivity evidence is needed.
- Improved screening practices are crucial for timely diagnosis and better patient care.
- Further research is warranted to address identified evidence gaps.


