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初级卫生保健中青少年和成人饮食失调筛查测试的诊断准确性:系统评价与荟萃分析方案

Diagnostic accuracy of screening tests for eating disorders in adolescents and adults in primary health care: protocol for systematic review and meta-analysis.

作者信息

de Oliveira Thiala Santos Duarte, de Santana Mônica Leila Portela, Queiroz Valterlinda Alves de Oliveira, da Silva Karine Brito Beck, Martins Poliana Cardoso, Pereira Emile Miranda, Costa Priscila Ribas de Farias

机构信息

School of Nutrition, Federal University of Bahia, Salvador, Brazil

School of Nutrition, Federal University of Bahia, Salvador, Brazil.

出版信息

BMJ Open. 2024 Dec 20;14(12):e086361. doi: 10.1136/bmjopen-2024-086361.

DOI:10.1136/bmjopen-2024-086361
PMID:39806671
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11667258/
Abstract

INTRODUCTION

Eating disorders can be irreversible and, in many cases, fatal. However, the symptoms full recovery is possible, and early diagnosis is one, of many, important factors for the success of treatment. In this sense, the screening of risk behaviours arises as a relevant alternative to improve the prognosis of patients. This review will analyse the diagnostic accuracy of self-administered screening tests for eating disorders in adolescent and adult users of primary healthcare.

METHODS AND ANALYSIS

A systematic review will be performed by independent reviewers. The databases used will be Medline, Embase, the Latin American and Caribbean Health Sciences Literature, the Cumulative Index to Nursing and Allied Health Literature, Web of Science, PsycINFO, ProQuest Dissertations and Theses Database and Google Scholar without restrictions on the year of publication and language. Studies that compared the results of self-administered screening tests for eating disorders in adolescents and adults in primary care with the results of clinical interviews will be included. Data extraction will consist of the identification of the publication, study and participant characteristics, general information about the tools and data on the diagnostic accuracy properties. The risk of bias in the studies will be assessed via the Quality Assessment of Diagnostic Accuracy Studies. Qualitative data will be presented in narrative form. The meta-analysis will be conducted via the random effects model with the metadata command of Stata. The summary statistics for sensitivity and specificity, as well as their 95% CI, will be generated.

ETHICS AND DISSEMINATION

This systematic review is based on published literature; therefore, submission to an ethics committee is not necessary. The dissemination of the study will be carried out through technical reports, scientific articles, posters, meeting presentations, specific forums, national congresses and international media.

PROSPERO REGISTRATION NUMBER

CRD42023476156.

摘要

引言

饮食失调可能是不可逆的,在许多情况下甚至会致命。然而,症状完全恢复是有可能的,而早期诊断是治疗成功的诸多重要因素之一。从这个意义上说,筛查风险行为成为改善患者预后的一种相关选择。本综述将分析针对初级医疗保健中的青少年和成年使用者的饮食失调自我管理筛查测试的诊断准确性。

方法与分析

将由独立评审员进行系统综述。所使用的数据库将包括Medline、Embase、拉丁美洲和加勒比健康科学文献数据库、护理学与健康相关学科累积索引数据库、科学引文索引数据库、PsycINFO、ProQuest学位论文数据库以及谷歌学术,对出版年份和语言不设限制。将纳入比较初级保健中青少年和成年人饮食失调自我管理筛查测试结果与临床访谈结果的研究。数据提取将包括确定出版物、研究和参与者特征、工具的一般信息以及诊断准确性属性的数据。将通过诊断准确性研究质量评估来评估研究中的偏倚风险。定性数据将以叙述形式呈现。将通过Stata的元数据命令使用随机效应模型进行荟萃分析。将生成敏感性和特异性的汇总统计数据及其95%置信区间。

伦理与传播

本系统综述基于已发表的文献;因此,无需提交伦理委员会。研究结果将通过技术报告、科学文章、海报、会议报告、特定论坛、全国性大会和国际媒体进行传播。

PROSPERO注册号:CRD42023476156。

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