Disparities in the completion of steps to kidney transplantation: protocol for a systematic review.
Disparities in the completion of steps to kidney transplantation: protocol for a systematic review.
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DOI：
10.1136/bmjopen-2015-008677
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发表时间：
2015-09-08
期刊：
影响因子：
2.9
通讯作者：
Adair-Kriz M
中科院分区：
文献类型：
--
作者：
Traino HM;Nonterah CW;Cyrus JW;Gillespie A;Urbanski M;Adair-Kriz M
在获得移植方面的差异已经得到了充分的记录。然而，现存的文献主要集中在非洲裔美国人患者的差异和相关障碍上，没有一个文献将移植的步骤作为指导框架。本综述将对移植步骤中的差异以及现存文献中确定的完成每个步骤的障碍和促进因素进行分类。审查的结果将用于为未来的研究提出建议，以提高获得肾移植的公平性。审查将采用标准程序。将使用以下电子数据库进行检索：PubMed/Medline、PsycINFO、CINHAL、EMBASE、科克伦图书馆和Web of Science。如果原始研究报告是2005年至今发表的，以英文撰写或提供，在美国进行，招募成年受试者（18岁或以上），并采用描述性或观察性设计，则有资格入选。 两名作者将独立筛选检索到的文章以纳入。MaxQDA将用于数据分析和管理。所有纳入的报告将根据文章特征、识别的差异、完成移植步骤的障碍和动机以及针对差异和障碍提出的解决方案进行编码。每份报告将由两名作者独立编码，差异通过整个团队的讨论解决。计划采用定性方法进行数据分析。将使用标准程序评估偏倚风险。研究结果将提供关于移植机会不平等现状的重要信息。在报告审查结果时将遵循PRISMA准则。预计这些结果将为寻求增加移植机会均等的研究提供信息。PROSPERO CRD 42014015027。
Disparities in access to transplantation have been well documented. The extant literature, however, focuses largely on disparities and related barriers for African-American patients and none has used the steps to transplantation as a guiding framework. This review will catalogue disparities in the steps to transplantation as well as the barriers and facilitators to completion of each step identified in the extant literature. The results of the review will be used to generate recommendations for future research to improve equity in access to kidney transplantation. Standard procedures will be used in the conduct of the review. Searches will be performed using the following electronic databases: PubMed/Medline, PsycINFO, CINHAL, EMBASE, Cochrane library and Web of Science. Reports of original research will be eligible for inclusion if they are published from 2005 to present, written or available in English language, performed in the USA, enrol adult participants (18 years of age or more), and employ descriptive or observational designs. Two authors will independently screen retrieved articles for inclusion. MaxQDA will be used for data analysis and management. All included reports will be coded for article characteristics; disparities identified; barriers and motivators of completion of steps to transplantation; and proposed solutions to disparities and barriers. Each report will be coded independently by two authors and discrepancies resolved by discussion among the full team. A qualitative approach to data analysis is planned. Risk of bias will be assessed using standard procedures. The findings will provide crucial information on the current status of disparities in access to transplantation. PRISMA guidelines will be followed in reporting the results of the review. It is anticipated that these results will inform research which seeks to increase parity in access to transplantation. PROSPERO CRD42014015027.