使用患者报告结局测量常规评估和处理抑郁及糖尿病困扰对改善 2 型糖尿病患者结局的效果：系统评价方案。

Effect of routinely assessing and addressing depression and diabetes distress using patient-reported outcome measures in improving outcomes among adults with type 2 diabetes: a systematic review protocol.

机构信息

Department of General Practice, The University of Melbourne, Melbourne, Victoria, Australia

Department of General Practice, The University of Melbourne, Melbourne, Victoria, Australia.

出版信息

BMJ Open. 2021 Mar 15;11(3):e044888. doi: 10.1136/bmjopen-2020-044888.

DOI:10.1136/bmjopen-2020-044888

PMID:33722873

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7970291/

Abstract

INTRODUCTION

Type 2 diabetes is a global health priority. People with diabetes are more likely to experience mental health problems relative to people without diabetes. Diabetes guidelines recommend assessment of depression and diabetes distress during diabetes care. This systematic review will examine the effect of routinely assessing and addressing depression and diabetes distress using patient-reported outcome measures in improving outcomes among adults with type 2 diabetes.

METHODS AND ANALYSIS

MEDLINE, Embase, CINAHL Complete, PsycInfo, The Cochrane Library and Cochrane Central Register of Controlled Trials will be searched using a prespecified strategy using a prespecified Population, Intervention, Comparator, Outcomes, Setting and study design strategy. The date range of the search of all databases will be from inception to 3 August 2020. Randomised controlled trials, interrupted time-series studies, prospective and retrospective cohort studies, case-control studies and analytical cross-sectional studies published in peer-reviewed journals in the English language will be included. Two review authors will independently screen abstracts and full texts with disagreements resolved by a third reviewer, if required, using Covidence software. Two reviewers will undertake risk of bias assessment using checklists appropriate to study design. Data will be extracted using prespecified template. A narrative synthesis will be conducted, with a meta-analysis, if appropriate.

ETHICS AND DISSEMINATION

Ethics approval is not required for this review of published studies. Presentation of results will follow the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidance. Findings will be disseminated via peer-reviewed publication and conference presentations.

PROSPERO REGISTRATION NUMBER

CRD42020200246.

摘要

简介

2 型糖尿病是全球卫生重点。与没有糖尿病的人相比，糖尿病患者更有可能出现心理健康问题。糖尿病指南建议在糖尿病护理期间评估抑郁和糖尿病困扰。本系统评价将研究使用患者报告的结果测量在改善 2 型糖尿病成人患者结局方面，常规评估和处理抑郁和糖尿病困扰的效果。

方法和分析

将使用预设策略，通过预设的人群、干预措施、比较、结局、设置和研究设计策略，对 MEDLINE、Embase、CINAHL Complete、PsycInfo、The Cochrane Library 和 Cochrane 中央对照试验注册中心进行搜索。所有数据库的搜索日期范围为从建立到 2020 年 8 月 3 日。将纳入同行评议期刊上发表的随机对照试验、中断时间序列研究、前瞻性和回顾性队列研究、病例对照研究和分析性横断面研究。两名综述作者将独立筛选摘要和全文，如果需要，使用 Covidence 软件解决分歧。两名综述作者将使用适合研究设计的检查表进行偏倚风险评估。将使用预设模板提取数据。如果合适，将进行叙述性综合分析，并进行荟萃分析。