Advanced Care Research Centre, Centre of Population Health Sciences, Usher Institute, University of Edinburgh, Edinburgh, UK.
NHS Lothian, Royal Infirmary of Edinburgh, Edinburgh, UK.
JBI Evid Synth. 2023 Sep 1;21(9):1863-1878. doi: 10.11124/JBIES-22-00406.
This umbrella review will synthesize evidence on the effectiveness of holistic assessment-based interventions in improving health outcomes in adults (aged ≥18) with multiple long-term conditions and/or frailty.
Health systems need effective, evidence-based interventions to improve health outcomes for adults with multiple long-term conditions. Holistic assessment-based interventions are effective in older people admitted to hospital (usually called "comprehensive geriatric assessments" in that context); however, the evidence is inconclusive on whether similar interventions are effective in community settings.
We will include systematic reviews examining the effectiveness of community and/or hospital holistic assessment-based interventions in improving health outcomes for community-dwelling and hospitalized adults aged ≥ 18 with multiple long-term conditions and/or frailty.
The review will follow the JBI methodology for umbrella reviews. MEDLINE, Embase, PsycINFO, CINAHL Plus, Scopus, ASSIA, Cochrane Library, and the TRIP Medical Database will be searched to identify reviews published in English from 2010 till the present. This will be followed by a manual search of reference lists of included reviews to identify additional reviews. Two reviewers will independently screen titles and abstracts against the selection criteria, followed by screening of full texts. Methodological quality will be assessed using the JBI critical appraisal checklist for systematic reviews and research syntheses and data will be extracted using an adapted and piloted JBI data extraction tool. The summary of findings will be presented in tabular format, with narrative descriptions and visual indications. The citation matrix will be generated and the corrected covered area calculated to analyze the overlap in primary studies across the reviews.
PROSPERO CRD42022363217.
本伞式综述将综合评估基于整体的干预措施在改善患有多种慢性疾病和/或衰弱的成年人健康结局方面的有效性证据。
卫生系统需要有效的、基于证据的干预措施来改善患有多种慢性疾病的成年人的健康结局。基于整体评估的干预措施在住院的老年人中是有效的（在这种情况下通常称为“全面老年评估”）；然而，关于类似的干预措施在社区环境中是否有效的证据尚无定论。
我们将纳入系统评价，这些评价研究了社区和/或医院基于整体评估的干预措施在改善社区居住和住院的年龄≥18 岁、患有多种慢性疾病和/或衰弱的成年人健康结局方面的有效性。
本综述将遵循 JBI 伞式综述方法。将检索 MEDLINE、Embase、PsycINFO、CINAHL Plus、Scopus、ASSIA、Cochrane 图书馆和 TRIP 医学数据库，以确定从 2010 年至今以英文发表的综述。随后将对纳入综述的参考文献进行手动搜索，以确定其他综述。两名评审员将独立筛选标题和摘要以符合入选标准，然后筛选全文。将使用 JBI 系统评价和研究综合的批判性评估清单评估方法学质量，并使用改编和试点的 JBI 数据提取工具提取数据。将以表格形式呈现结果总结，并用叙述性描述和可视化指示。将生成引文矩阵并计算校正后的覆盖面积，以分析综述中的原始研究之间的重叠。
PROSPERO CRD42022363217。
