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潜在与挑战并存:结核、糖尿病与高血压的综合管理:系统综述方案

Potential and challenges for an integrated management of tuberculosis, diabetes mellitus, and hypertension: A scoping review protocol.

机构信息

Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia.

Disease Control Research Group, Universitas Sebelas Maret, Surakarta, Indonesia.

出版信息

PLoS One. 2022 Jul 12;17(7):e0271323. doi: 10.1371/journal.pone.0271323. eCollection 2022.

DOI:10.1371/journal.pone.0271323
PMID:35819954
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9275721/
Abstract

In many low- and middle-income countries (LMICs), the epidemiological transition is characterized by an increased burden of non-communicable diseases (NCDs) and the persistent challenge of infectious diseases. The transmission of tuberculosis, one of the leading infectious diseases, can be halted through active screening of risk groups and early case findings. Studies have reported comorbidities between tuberculosis (TB) and NCDs, which necessitates the development of an integrated disease management model. This scoping review discusses the possibilities and problems of integration in managing TB and NCDs, with a particular emphasis on diabetic mellitus (DM) and hypertension screening and control. We will conduct this review following Arksey and O'Malley's framework for scoping review. We will use key terms related to integrated management, i.e., screening, diagnosis, treatment, and care, of TB, DM, and hypertension in PubMed, Scopus Database, and ScienceDirect for research published from January 2005 to July 2021. This review will also consider grey literature, including unpublished literature and international disease management guidelines on TB, DM, and hypertension from WHO or other health professional organization. We will export the search results to citation manager software (EndNote). We will remove duplicates and apply the inclusion and exclusion criteria to identify the set of papers for the review. After screening the titles and abstract, two authors will independently review the full text of selected studies and extract the data. We will synthesize all selected studies qualitatively and the results will be discussed with the experts. The results will be used as the basis of the development of a guideline for integrated TB, DM, and hypertension management.

摘要

在许多低收入和中等收入国家(LMICs),传染病的负担仍然存在,同时非传染性疾病(NCDs)的负担也在增加,这是流行病学转变的特征。通过对高危人群进行主动筛查和早期发现病例,可以阻止结核病等主要传染病的传播。已有研究报告称,结核病(TB)与非传染性疾病之间存在合并症,这就需要制定综合疾病管理模式。本范围综述讨论了在管理结核病和非传染性疾病方面整合的可能性和问题,特别强调了糖尿病(DM)和高血压的筛查和控制。我们将按照 Arksey 和 O'Malley 的范围综述框架进行综述。我们将使用与结核病、DM 和高血压的综合管理(即筛查、诊断、治疗和护理)相关的关键词,在 PubMed、Scopus 数据库和 ScienceDirect 中搜索 2005 年 1 月至 2021 年 7 月发表的研究。本综述还将考虑灰色文献,包括未发表的文献和来自世卫组织或其他卫生专业组织的结核病、DM 和高血压的国际疾病管理指南。我们将把搜索结果导出到引文管理软件(EndNote)。我们将删除重复项,并应用纳入和排除标准来确定用于综述的论文集。在筛选标题和摘要后,两名作者将独立审查选定研究的全文并提取数据。我们将对所有选定的研究进行定性综合,并与专家讨论结果。结果将作为制定结核病、DM 和高血压综合管理指南的基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc14/9275721/3f492be108a1/pone.0271323.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc14/9275721/3f492be108a1/pone.0271323.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc14/9275721/3f492be108a1/pone.0271323.g001.jpg

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PLoS Med. 2022 Jan 18;19(1):e1003899. doi: 10.1371/journal.pmed.1003899. eCollection 2022 Jan.
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