Effectiveness of self-financing patient-led support groups in the management of hypertension and diabetes in low- and middle-income countries: Systematic review.
Effectiveness of self-financing patient-led support groups in the management of hypertension and diabetes in low- and middle-income countries: Systematic review.
复制标题
DOI：
10.1111/tmi.13842
复制
发表时间：
2023-02
影响因子：
3.3
通讯作者：
Asiki, Gershim
中科院分区：
文献类型：
--
作者：
Sanya, Richard E. E.;Johnston, Erin Stewart;Kibe, Peter;Werfalli, Mahmoud;Mahone, Sloan;Levitt, Naomi S. S.;Klipstein-Grobusch, Kerstin;Asiki, Gershim
关键词：
在低收入和中等收入国家，自费患者支持团体在控制血压（BP）和/或糖尿病方面的作用证据不足。我们进行了一项系统评价，以调查这些组在血压和血糖控制方面的有效性。我们检索了PubMed、Embase、SCOPUS、Web of Science、Global Health、African Journals Online、CINAHL和African Index Medicus，检索了从创立到2021年11月发表的同行评议文章。灰色文献来源于OpenGrey。纳入了在中低收入国家进行的关于高血压和/或糖尿病患者支持小组的研究，这些研究包含了汇集财政资源的组成部分。以英语和法语以外的语言发表的叙述性评论、评论、社论和文章不包括在内。使用美国国立卫生研究院质量评估工具和修订后的Cochrane偏倚风险工具评估研究质量和偏倚风险。根据PRISMA指南报告结果。在筛选的724份记录中，有三项研究符合标准：在肯尼亚进行的两项试验和在柬埔寨进行的一项回顾性队列研究。所有的研究都报告了在12个月的随访后血压控制的改善，收缩压分别降低了23,14.8和16.9 mmHg。两项研究报告了糖尿病参数。首次报道了HbA1c（从基线10.8%降至6个月时的10.6%）和随机血糖（基线8.9 mmol/L， 6个月时降至8.5 mmol/L）的改善，但这些变化没有统计学意义。第二项研究报告了服药的糖尿病患者空腹血糖（基线为216 mg/dl， 12个月为159 mg/dl）的降低。自筹资金的糖尿病和高血压患者支持团体在中低收入国家控制血压和糖尿病方面具有潜在的有效性。需要更多的研究来补充关于自费患者支持团体作用的稀缺证据。
There is insufficient evidence on the role of self‐financing patient support groups in the control of blood pressure (BP) and/or diabetes in low‐ and middle‐income countries (LMICs). We conducted a systematic review to investigate the effectiveness of these groups in BP and glycaemic control. We searched PubMed, Embase, SCOPUS, Web of Science, Global Health, African Journals Online, CINAHL and African Index Medicus for published peer‐reviewed articles from inception up to November 2021. Grey literature was obtained from OpenGrey. Studies on patient support groups for hypertension and/or diabetes with a component of pooling financial resources, conducted in LMICs, were included. Narrative reviews, commentaries, editorials and articles published in languages other than English and French were excluded. Study quality and risk of bias were assessed using the National Institutes of Health Quality assessment tool and the revised Cochrane risk‐of‐bias tool. Results are reported according to PRISMA guidelines. Of 724 records screened, three studies met the criteria: two trials conducted in Kenya and a retrospective cohort study conducted in Cambodia. All studies reported improvement in BP control after 12 months follow‐up with reductions in systolic BP of 23, 14.8, and 16.9 mmHg, respectively. Two studies reported diabetes parameters. The first reported improvement in HbA1c (reduction from baseline 10.8%, to 10.6% at 6 months) and random blood sugar (baseline 8.9 mmol/L, to 8.5 mmol/L at 6 months) but these changes did not achieve statistical significance. The second reported a reduction in fasting blood glucose (baseline—216 mg/dl, 12 months—159 mg/dl) in diabetic patients on medication. Self‐financing patient support groups for diabetes and hypertension are potentially effective in the control of BP and diabetes in LMICs. More studies are needed to add to the scarce evidence base on the role of self‐financing patient support groups.
登录
查看更多内容
影响因子：
5.7
作者：
Pastakia, Sonak D.;Manyara, Simon M.;Laktabai, Jeremiah
通讯作者：
Laktabai, Jeremiah
影响因子：
168.9
作者：
Cameron, A.;Ewen, M.;Laing, R.
通讯作者：
Laing, R.
影响因子：
37.8
作者：
Mills KT;Bundy JD;Kelly TN;Reed JE;Kearney PM;Reynolds K;Chen J;He J
通讯作者：
He J
影响因子：
1.8
作者：
Arrivillaga, Marcela;Pablo Salcedo, Juan
通讯作者：
Pablo Salcedo, Juan
影响因子：
3.7
作者：
Ouzzani M;Hammady H;Fedorowicz Z;Elmagarmid A
通讯作者：
Elmagarmid A