Bruyère Research Institute, University of Ottawa, 85 Primrose Ave, Ottawa, Ontario K1R 6M1, Canada.
Section for Epidemiology and Social Medicine, Department of Public Health, Institute of Medicine-Master in Global Health, The Sahlgrenska Academy at University of Gothenburg, Box 414, SE-405 Gothenburg, Sweden.
J Clin Epidemiol. 2022 Oct;150:142-153. doi: 10.1016/j.jclinepi.2022.07.007. Epub 2022 Jul 19.
We provide guidance for considering equity in rapid reviews through examples of published COVID-19 rapid reviews.
This guidance was developed based on a series of methodological meetings, review of internationally renowned guidance such as the Cochrane Handbook and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis for equity-focused systematic reviews (PRISMA-Equity) guideline. We identified Exemplar rapid reviews by searching COVID-19 databases and requesting examples from our team.
We proposed the following key steps: 1. involve relevant stakeholders with lived experience in the conduct and design of the review; 2. reflect on equity, inclusion and privilege in team values and composition; 3. develop research question to assess health inequities; 4. conduct searches in relevant disciplinary databases; 5. collect data and critically appraise recruitment, retention and attrition for populations experiencing inequities; 6. analyse evidence on equity; 7. evaluate the applicability of findings to populations experiencing inequities; and 8. adhere to reporting guidelines for communicating review findings. We illustrated these methods through rapid review examples.
Implementing this guidance could contribute to improving equity considerations in rapid reviews produced in public health emergencies, and help policymakers better understand the distributional impact of diseases on the population.
通过已发表的 COVID-19 快速综述示例，为快速综述中考虑公平性提供指导。
本指导是基于一系列方法学会议、对国际知名指南（如 Cochrane 手册和专门针对公平性的系统评价和荟萃分析的首选报告条目（PRISMA-Equity）指南）的审查，并通过搜索 COVID-19 数据库和向我们的团队请求示例来确定示例快速综述。
我们提出了以下关键步骤：1. 让有实际经验的相关利益攸关方参与综述的进行和设计；2. 反思团队价值观和组成中的公平性、包容性和特权；3. 制定评估健康不公平问题的研究问题；4. 在相关学科数据库中进行搜索；5. 收集数据，并批判性地评估在经历不公平的人群中招募、保留和流失情况；6. 分析关于公平性的证据；7. 评估研究结果对经历不公平的人群的适用性；8. 坚持报告准则以交流综述结果。我们通过快速综述示例说明了这些方法。
实施本指导可以有助于提高在公共卫生紧急情况下进行的快速综述中对公平性的考虑，并帮助政策制定者更好地了解疾病对人群的分布影响。
