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低收入和中等收入国家剖腹产结果报告的变化:系统性审查
Amie Wilson1, Harpreet Kaur2, Ahmed Ali Hassan3
1Department of Metabolism and Systems Science, WHO Collaborating Centre for Global Women's Health, College of Medicine and Health, University of Birmingham, United Kingdom; Centre for Women's and Newborn Health, International Public Health, Liverpool School of Tropical Medicine, Liverpool, United Kingdom.
European journal of obstetrics, gynecology, and reproductive biology
|January 31, 2025
概括
在低收入和中等收入国家进行剖腹产 (CS) 干预的结果报告显示存在显著的差异和低质量. 开发一个核心成果集对于标准化未来的科学科学研究至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 全球健康 全球健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在低收入和中等收入国家 (LMICs) 中,剖腹产并发症仍然是一个重大问题.
- 标准化结果报告对于评估CS干预措施的有效性至关重要.
- 之前的研究强调了医学研究中结果报告的变化.
研究的目的:
- 分析LMIC中剖腹产干预的比较研究中报告的结果的变化和质量.
- 确定常见和罕见的结果类别,并使用标准化工具评估其报告的质量.
主要方法:
- 对比研究的系统审查集中在减少LMICs的剖腹产并发症.
- 结果评估使用修改后的哈曼问卷来评估主要结果的清晰度,分析方法和质量提升措施.
- 描述性分析和交互式网络可视化报告结果.
主要成果:
- 包括102项比较研究,报告了466个结果.
- 产妇死亡,残疾和出血是最常见的结果;心理和受伤的结果较少.
- 总体来说,结果报告的质量很低,很少有研究在修改后的哈曼等级上达到最高分 (主要结果的16%,次要结果的11%).
- 报告质量与结果类型,研究区域和期刊特征 (影响因子,类型) 有关.
结论:
- 在LMIC中CS干预研究中报告的结果及其频率存在显著的变化.
- 结果报告的低质量,由低修改的哈曼分数证明,强调需要一个标准化的核心结果集.
- 剖腹产干预试验的核心结果是必要的,以提高未来研究中的一致性,测量和合成.
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