P1-S4.29 Synthesis of evidence on implementation research on point-of-care syphilis tests: a systematic review
Notice bibliographique
Résumé
Background With the increase in global prevalence of syphilis, synthesis of evidence of point-of-care (POC) assays is warranted. While a clear methodology exists to meta-analyse diagnostic performance, a clear rubric that incorporates implementation research outcomes (IRO) relevant for policy making is lacking. Recently, Grading of Recommendations Assessment, Development and Evaluation (GRADE) working group called for a shift to emphasis on patient-centred outcomes for making policy recommendations. However, a lack of clarity in defining, elucidating, and reporting of these outcomes prevents their utilisation in practice. Within this context, we reviewed global evidence on IROs for syphilis POC tests. Method We systematically searched nine electronic databases for the period of January 1980 to September 2010. Articles that addressed IRO regarding POC syphilis tests were reviewed and data extracted. A second reviewer independently reviewed a subset of the articles. Outcomes were synthesised into a narrative review. Results 31 (48%) from 64 full text articles assessed were included in the narrative review. Twenty-four studies were cross-sectional, six were case-control, while one was a clustered randomised control trial (RCT). IROs were categorised into: Acceptability, Preference, Feasibility, Prevalence, Barriers and Challenges, and Economic Evaluations of POC tests. Three papers reported outcomes on acceptability, four on preference, ten on feasibility, seven on impact, six on prevalence, seven on barriers and challenges, and seven on economic evaluations. Overall, studies were concordant on findings of high acceptability and feasibility of POC tests as well as the testing strategy used. Preference was not well demonstrated in studies. Impact was particularly well demonstrated in antenatal clinic attendees by a clustered RCT. Barriers and challenges ranged from biotechnological limitations of the tests to lack of political will. Heterogeneous methodologies employed across studies to conduct economic evaluations made it difficult to draw conclusive statements. Conclusions Results were generally in agreement across studies, yet unsystematic methods of collecting and recording outcomes made it difficult to statistically combine outcomes. Weaknesses in the reporting of IROs limit our ability to form comprehensive context-specific policies. Further efforts in establishing a framework for conducting implementation research is required.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,002 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,004 | 0,001 |
| Bibliométrie | 0,001 | 0,002 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».