Type 1 diabetes mellitus and educational attainment in childhood: a systematic review.
Type 1 diabetes mellitus and educational attainment in childhood: a systematic review.
复制标题
1 型糖尿病和儿童教育程度：系统评价。
DOI：
10.1136/bmjopen-2019-033215
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发表时间：
2020
期刊：
影响因子：
2.9
通讯作者：
Oakley NJ
中科院分区：
文献类型：
--
作者：
Oakley NJ
本系统综述的主要目的是评价现有文献中关于1型糖尿病（T1DM）对在义务教育结束时进行高风险标准化测试的个人的教育程度有影响。设计一项系统的回顾，比较了在义务教育结束时进行高风险测试的T1DM患者和非T1DM患者的教育程度。数据来源MEDLINE综合检索（epub before print，in-process and other non-indexed citations），EMBASE，Web of Science，British Education Index，Education Resources Information Center and Cumulative Index to Nursing and Allied Health Literature于2018年1月15日进行，并于2019年1月17日更新。观察性研究或随机对照试验;包括在义务教育结束时进行高风险测试的个人;将T1DM个人获得的成绩与具有代表性的人群Control.Data提取和synthesTwo评论者独立进行研究选择和数据提取。使用Newcastle-Ottawa量表评估纳入的观察性研究的偏倚质量和风险。结果共检索到3103篇文献，其中2项瑞典队列研究（使用相同的管理数据）符合最终纳入标准。据报道，T1DM儿童的平均最终成绩存在较小但具有统计学显著性的差异，T1DM儿童的平均成绩低于非糖尿病儿童（调整后的平均差异为0.07 - 0.08）。结论需要更多的当代研究来评估儿童期T1DM对在义务教育结束时进行高风险标准化测试的个人的教育程度的影响，考虑到过去10年来T1DM管理方面的重大进展，PROSPERO注册号CRD 42017084078。
ObjectivesThe primary objective of this systematic review was to evaluate available literature on whether type 1 diabetes mellitus (T1DM) has an impact on educational attainment in individuals undertaking high stakes standardised testing at the end of compulsory schooling.DesignA systematic review was undertaken comparing educational attainment for individuals with and without T1DM who have undertaken high stakes testing at the end of compulsory schooling.Data sourcesA comprehensive search of MEDLINE, MEDLINE (epub ahead of print, in-process and other non-indexed citations), EMBASE, Web of Science, British Education Index, Education Resources Information Center and Cumulative Index to Nursing and Allied Health Literature was undertaken on 15 January 2018 and updated on 17 January 2019.Eligibility criteriaIncluded studies fulfilled the following criteria: observational study or randomised controlled trial; included individuals who have undertaken high stakes testing at the end of compulsory schooling; compared the grades obtained by individuals with T1DM with a representative population control.Data extraction and synthesisTwo reviewers performed study selection and data extraction independently. Quality and risk of bias in the observational studies included were assessed using the Newcastle-Ottawa Scale. A detailed narrative synthesis of the included studies was completed.Results3103 articles were identified from the database search, with two Swedish cohort studies (using the same linked administrative data) meeting final inclusion criteria. A small but statistically significant difference was reported in mean final grades, with children with T1DM found to have lower mean grades than their non-diabetic counterparts (adjusted mean difference 0.07–0.08).ConclusionsMore contemporary research is required to evaluate the impact of T1DM in childhood on educational attainment in individuals undertaking high stakes standardised testing at the end of compulsory schooling, taking into consideration the substantial advances in management of T1DM in the last decade.PROSPERO registration numberCRD42017084078.