电子卫生干预和宫癌查:系统性审查和元分析
Xiaoxia Liu1, Lianzhen Ning1, Wenqi Fan1
1Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Nanhu Campus, Shenyang, China.
Journal of medical Internet research
|October 31, 2024
概括
电子健康干预显著增加了宫癌查率,特别是在低收入和中等收入地区. 对于这些有前途的公共卫生战略,建议对成本效益进行进一步研究.
科学领域:
- 公共卫生 公共卫生
- 数字健康数字健康
- 在瘤学瘤学.
背景情况:
- 宫癌仍然是全球女性死亡的主要原因之一.
- 低于最佳的查率导致了可预防的死亡.
- 电子健康干预为改善查参与提供了一个有希望的方法.
研究的目的:
- 系统地审查和元分析电子健康干预措施在促进宫癌查方面的有效性.
- 评估各种电子干预类型及其对不同人群的影响.
主要方法:
- 在多个数据库中对随机对照试验 (2013-2022) 进行了全面的搜索.
- 经过严格的查和偏见风险评估,包括了15项涉及23102名参与者的研究.
- 分析使用Mantle-Haenszel方法在随机效应模型中组合相对风险.
主要成果:
- 电子健康干预显著提高了宫癌查率 (RR 1.464).
- 具体的干预措施,如电话,多模式方法,短信和基于网络的预订显示出优于通常的护理.
- 干预措施在低收入和中等收入地区更有效,但并没有显著改善HPV女性的发病率.
结论:
- 建议在宫癌查计划中使用电子健康干预措施,以促进参与.
- 存在显著的异质性,需要进一步进行大规模的成本效益研究.
- 数字健康策略有可能加强癌症预防工作.
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