Primary Care Unit, Faculty of Medicine, University of Geneva, Geneva, Switzerland
Department of Woman, Child and Adolescent Health, Geneva University Hospitals, Geneva, Switzerland.
BMJ Open. 2020 Dec 10;10(12):e037396. doi: 10.1136/bmjopen-2020-037396.
Guidelines for clinical preventive services targeting school-aged children and adolescents in primary care are limited, often inconsistent and difficult to apply in clinical contexts. This publication describes the protocol concerning a comprehensive systematic review that primarily aims to collect and synthesise available guidelines for prevention in primary care focused on school-aged children living in high-income regions. A second objective is to assess the quality of identified documents.
We will search for reports providing clinical practice guidelines or consensus or expert opinion on preventive actions in paediatric primary care. We will use the WHO definition of prevention. We will focus on children aged 6-18 years living in the European region, the USA, Canada and Australia. We will search PubMed, Embase, Web of Science and Cochrane Library and guidelines-specific databases from 1 January 2010. We will also explore the grey literature using web search engines (Google and Google Scholar). We will finally obtain unpublished information through personal contact with national paediatric societies. We will summarise all identified documents as well as their potential methodological bias. We will further use the Appraisal of Guidelines Research and Evaluation Instrument, version II tool to critically appraise their quality.
Our findings will contribute to the identification of clinical preventive guidelines for which implementation in routine paediatric primary care should be considered. We intend to disseminate our results through publication in peer-reviewed journals and conference proceedings.CRD42020163184.
针对初级保健中小学生的临床预防服务指南有限,往往不一致且难以在临床环境中应用。本出版物描述了一项全面系统评价的方案,该评价主要旨在收集和综合针对高收入地区学龄儿童的初级保健中预防的现有指南。第二个目标是评估确定文件的质量。
我们将搜索提供临床实践指南或共识或专家意见的报告,这些报告涉及儿科初级保健中的预防措施。我们将使用世界卫生组织对预防的定义。我们将重点关注 6-18 岁生活在欧洲地区、美国、加拿大和澳大利亚的儿童。我们将从 2010 年 1 月 1 日起在 PubMed、Embase、Web of Science 和 Cochrane Library 以及指南特定数据库中进行搜索。我们还将使用网络搜索引擎(Google 和 Google Scholar)探索灰色文献。我们将通过与国家儿科协会的个人联系来最终获取未发表的信息。我们将总结所有确定的文件及其潜在的方法学偏见。我们还将使用评估指南研究和评估工具(第二版)工具对其质量进行批判性评估。
我们的研究结果将有助于确定应考虑在常规儿科初级保健中实施的临床预防指南。我们打算通过在同行评议期刊和会议论文集上发表来传播我们的结果。CRD42020163184。