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Patient and public involvement in systematic reviews: frequency, determinants, stages, barriers, and dissemination
Qi Zhou1, Hongfeng He2, Qinyuan Li3
1Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China; Lanzhou University, an Affiliate of the Cochrane China Network, Lanzhou 730000, China.
Objectives:
To investigate the frequency, determinants, stages, and barriers of patient and public involvement (PPI) in systematic reviews and to explore its association with the dissemination of reviews.
Study Design And Setting:
We examined systematic reviews that required the inclusion of a PPI declaration, published in The BMJ between January 1, 2015, and December 31, 2022. Multivariable analysis was used to assess the association between PPI and key variables. We investigated the association between PPI and the dissemination of reviews using Altmetric scores, citations, and full-text views.
Results:
A total of 217 systematic reviews were included, of which 56 (25.8%, 95% CI 20.0%-31.6%) included PPI, with a steady increase from 5.9% (1/17) in 2015 to 44.4% (4/35) in 2022. Of the 217 systematic reviews, 160 (73.7%) involved methodologists as co-authors. Factors significantly associated with a higher proportion of PPI included the publication year after 2019 (adjusted odds ratio [aOR] 2.46, 95% CI 1.26-4.83), the involvement of methodologist (aOR 3.08; 95% CI 1.27-7.47), and being led by researchers from high-income countries (aOR 5.47; 95% CI 1.23-24.30). Reviews that included PPI had higher Altmetric scores per month (6.6 vs 3.4, P = .002) and more monthly full-text (1048.6 vs 636.5, P < .001) and PDF (217.7 vs 129.0, P < .001) views than reviews without PPI. However, there was no difference in the monthly citations (2.2 vs 2.0, P = .365) between reviews with and without PPI.
Conclusion:
The proportion of systematic reviews reporting PPI in The BMJ has increased over time, possibly due to journal policies, but it still remains at a low level. Reviews led by researchers from high-income countries or involving methodologists are associated with a higher frequency of PPI within The BMJ. Furthermore, reviews incorporating PPI within The BMJ have a higher potential for broad dissemination.
Insights
Patient and public involvement (PPI) in systematic reviews is increasing but remains low. Reviews with PPI show greater dissemination, particularly those led by researchers from high-income countries or involving methodologists.
Area of Science:
- Health Sciences
- Medical Research
- Evidence Synthesis
Background:
- Patient and Public Involvement (PPI) is crucial for relevant and impactful research.
- Systematic reviews are a cornerstone of evidence-based practice.
- Understanding PPI in systematic reviews is essential for improving research quality and reach.
Purpose of the Study:
- To determine the frequency, influencing factors, and barriers of PPI in systematic reviews.
- To assess the association between PPI and the dissemination of systematic reviews.
Main Methods:
- Analysis of 217 systematic reviews published in The BMJ from 2015-2022 with PPI declarations.
- Multivariable analysis to identify determinants of PPI.
- Evaluation of dissemination using Altmetric scores, citations, and full-text views.
Main Results:
- PPI was present in 25.8% of reviews, showing a rising trend.
- Factors associated with higher PPI included recent publication year (post-2019), involvement of methodologists, and lead researchers from high-income countries.
- Reviews with PPI had significantly higher Altmetric scores and full-text/PDF views, but not citations.
Conclusions:
- While PPI in systematic reviews is increasing, its overall frequency remains low.
- PPI is more common in reviews led by researchers from high-income countries or involving methodologists.
- Incorporating PPI enhances the dissemination potential of systematic reviews.
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