从PROGRESS-PLUS公平视角看全膝关节置换个体的全球概况：一项系统评价方案
Global profile of individuals undergoing total knee replacement through the PROGRESS-PLUS equity lens: Protocol for a systematic review.
作者信息
Coetzee Marisa, Clifford Amanda M, Jordaan Jacobus D, Louw Quinette A
机构信息
Division of Physiotherapy, Department of Health and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Health Research Institute, Ageing Research Centre, School of Allied Health, University of Limerick, Limerick, Ireland.
出版信息
S Afr J Physiother. 2022 Apr 20;78(1):1649. doi: 10.4102/sajp.v78i1.1649. eCollection 2022.
BACKGROUND
Osteoarthritis (OA) is a heterogenous degenerative disorder often causing destructive joint changes with severe pain and functional disability. Modifiable and non-modifiable risk factors, social context and psychological factors influence the development and progression of the disease. Total knee replacement (TKR) aims at reducing pain and improving function and is more successful with pre-operative and post-operative rehabilitation. However, most international research on rehabilitation interventions is conducted in high income contexts.
OBJECTIVE
The aim of our systematic review is to gain an overview of the demographic and social profiles of adults undergoing TKR for primary knee OA in lower, middle- and high-income countries through a health equity lens to inform the translation of intervention research in local contexts.
METHODS
A systematic review will be conducted and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement. Eligibility criteria include observational studies and grey literature (theses) since the beginning of the databases reporting on demographic data of adults awaiting or undergoing TKR surgery. The PROGRESS-Plus framework will be used to describe equity elements.
RESULTS
A narrative summary and description of the global profile of individuals undergoing total knee replacement for osteoarthritis.
CONCLUSION
A snapshot of the global demographic and social profile of individuals receiving TKR for primary knee OA through an equity lens will shed light on the similarities and differences between individuals from different contexts. Global demographic profile information may inform or assist in the development of translational strategies for evidence-based rehabilitation.
CLINICAL IMPLICATIONS
Translation of existing rehabilitation interventions to local contexts could improve pre-operative and post-operative outcomes for individuals on our surgical waiting lists.
背景
骨关节炎（OA）是一种异质性退行性疾病，常导致破坏性的关节变化，伴有严重疼痛和功能障碍。可改变和不可改变的风险因素、社会环境及心理因素会影响该疾病的发生和发展。全膝关节置换术（TKR）旨在减轻疼痛并改善功能，术前和术后康复会使其效果更佳。然而，大多数关于康复干预的国际研究是在高收入环境中进行的。
目的
我们进行系统评价的目的是，从健康公平的角度，全面了解低收入、中等收入和高收入国家因原发性膝骨关节炎接受全膝关节置换术的成年人的人口统计学和社会概况，以为当地环境下干预研究的转化提供参考。
方法
将根据系统评价和Meta分析的首选报告项目（PRISMA）声明进行系统评价并报告结果。纳入标准包括自数据库开始报告等待或接受全膝关节置换手术成年人的人口统计学数据以来的观察性研究和灰色文献（论文）。将使用PROGRESS-Plus框架来描述公平要素。
结果
对因骨关节炎接受全膝关节置换术的个体的全球概况进行叙述性总结和描述。
结论
从公平的角度对因原发性膝骨关节炎接受全膝关节置换术的个体的全球人口统计学和社会概况进行概述，将揭示不同背景个体之间得异同。全球人口统计学概况信息可为循证康复转化策略的制定提供参考或帮助。
临床意义
将现有的康复干预措施转化到当地环境中，可改善手术等待名单上个体的术前和术后结局。
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