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Low-value clinical practices in adult traumatic brain injury: an umbrella review protocol

Pier-Alexandre Tardif Orcid Logo, Lynne Moore, François Lauzier, Imen Farhat, Patrick Archambault, Francois Lamontagne, Michael Chassé, Henry Thomas Stelfox, Belinda Gabbe Orcid Logo, Fiona Lecky, John Kortbeek, Paule Lessard-Bonaventure, Catherine Truchon, Alexis F Turgeon Orcid Logo

BMJ Open, Volume: 9, Issue: 10, Start page: e031747

Swansea University Author: Belinda Gabbe Orcid Logo

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DOI (Published version): 10.1136/bmjopen-2019-031747

Abstract

Introduction Traumatic brain injury (TBI) leads to 50 000 deaths, 85 000 disabilities and costs $60 billion each year in the USA. Despite numerous interventions and treatment options, the outcomes of TBI have improved little over the last three decades. In a previous scoping review and expert consul...

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Published in: BMJ Open
ISSN: 2044-6055 2044-6055
Published: BMJ 2019
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URI: https://cronfa.swan.ac.uk/Record/cronfa52753
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The objective of this umbrella review is to synthesise the evidence on potentially low-value clinical practices in the care of acute TBI.Methods and analysis Using umbrella review methodology, we will search Cochrane Central Register of Controlled Trials, Embase, Epistemonikos, International Prospective Register of Systematic Reviews (PROSPERO) and PubMed to identify systematic reviews evaluating the effect of potential intrahospital low-value practices using tailored population, intervention, comparator, outcome and study design questions based on the results of a previous scoping review. We will present data on the methodological quality of these reviews (Assessing the Methodological Quality of Systematic Reviews-2), reported effect sizes and strength of evidence (Grading of Recommendations, Assessment, Development and Evaluation).Ethics and dissemination Ethics approval is not required as original data will not be collected. 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spelling 2022-12-05T12:59:51.6414653 v2 52753 2019-11-15 Low-value clinical practices in adult traumatic brain injury: an umbrella review protocol 4bdcc94332b2bd10530c5e71ceb04f14 0000-0001-7096-7688 Belinda Gabbe Belinda Gabbe true false 2019-11-15 FGMHL Introduction Traumatic brain injury (TBI) leads to 50 000 deaths, 85 000 disabilities and costs $60 billion each year in the USA. Despite numerous interventions and treatment options, the outcomes of TBI have improved little over the last three decades. In a previous scoping review and expert consultation survey, we identified 13 potentially low-value clinical practices in acute TBI. The objective of this umbrella review is to synthesise the evidence on potentially low-value clinical practices in the care of acute TBI.Methods and analysis Using umbrella review methodology, we will search Cochrane Central Register of Controlled Trials, Embase, Epistemonikos, International Prospective Register of Systematic Reviews (PROSPERO) and PubMed to identify systematic reviews evaluating the effect of potential intrahospital low-value practices using tailored population, intervention, comparator, outcome and study design questions based on the results of a previous scoping review. We will present data on the methodological quality of these reviews (Assessing the Methodological Quality of Systematic Reviews-2), reported effect sizes and strength of evidence (Grading of Recommendations, Assessment, Development and Evaluation).Ethics and dissemination Ethics approval is not required as original data will not be collected. Knowledge users from five healthcare quality organisations and clinical associations are involved in the design and conduct of the study. Results will be disseminated in a peer-reviewed journal, at international scientific meetings and to clinical, healthcare quality and patient–partner associations. This work will support the development of metrics to measure the use of low-value practices, inform policy makers on potential targets for deimplementation and in the long term reduce the use of low-value clinical practices in acute TBI care.PROSPERO registration number CRD42019132428. Journal Article BMJ Open 9 10 e031747 BMJ 2044-6055 2044-6055 9 10 2019 2019-10-09 10.1136/bmjopen-2019-031747 COLLEGE NANME Medicine, Health and Life Science - Faculty COLLEGE CODE FGMHL Swansea University 2022-12-05T12:59:51.6414653 2019-11-15T14:44:10.1649324 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Pier-Alexandre Tardif 0000-0003-3003-2399 1 Lynne Moore 2 François Lauzier 3 Imen Farhat 4 Patrick Archambault 5 Francois Lamontagne 6 Michael Chassé 7 Henry Thomas Stelfox 8 Belinda Gabbe 0000-0001-7096-7688 9 Fiona Lecky 10 John Kortbeek 11 Paule Lessard-Bonaventure 12 Catherine Truchon 13 Alexis F Turgeon 0000-0001-5675-8791 14 52753__15896__5b1b0b3ff776463a8641697da7b36c35.pdf 52753.pdf 2019-11-15T14:45:41.3221096 Output 297755 application/pdf Version of Record true Released under the terms of a Creative Commons Attribution Non Commercial License (CC-BY-NC). true eng http://creativecommons.org/licenses/by-nc/4.0/
title Low-value clinical practices in adult traumatic brain injury: an umbrella review protocol
spellingShingle Low-value clinical practices in adult traumatic brain injury: an umbrella review protocol
Belinda Gabbe
title_short Low-value clinical practices in adult traumatic brain injury: an umbrella review protocol
title_full Low-value clinical practices in adult traumatic brain injury: an umbrella review protocol
title_fullStr Low-value clinical practices in adult traumatic brain injury: an umbrella review protocol
title_full_unstemmed Low-value clinical practices in adult traumatic brain injury: an umbrella review protocol
title_sort Low-value clinical practices in adult traumatic brain injury: an umbrella review protocol
author_id_str_mv 4bdcc94332b2bd10530c5e71ceb04f14
author_id_fullname_str_mv 4bdcc94332b2bd10530c5e71ceb04f14_***_Belinda Gabbe
author Belinda Gabbe
author2 Pier-Alexandre Tardif
Lynne Moore
François Lauzier
Imen Farhat
Patrick Archambault
Francois Lamontagne
Michael Chassé
Henry Thomas Stelfox
Belinda Gabbe
Fiona Lecky
John Kortbeek
Paule Lessard-Bonaventure
Catherine Truchon
Alexis F Turgeon
format Journal article
container_title BMJ Open
container_volume 9
container_issue 10
container_start_page e031747
publishDate 2019
institution Swansea University
issn 2044-6055
2044-6055
doi_str_mv 10.1136/bmjopen-2019-031747
publisher BMJ
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
document_store_str 1
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description Introduction Traumatic brain injury (TBI) leads to 50 000 deaths, 85 000 disabilities and costs $60 billion each year in the USA. Despite numerous interventions and treatment options, the outcomes of TBI have improved little over the last three decades. In a previous scoping review and expert consultation survey, we identified 13 potentially low-value clinical practices in acute TBI. The objective of this umbrella review is to synthesise the evidence on potentially low-value clinical practices in the care of acute TBI.Methods and analysis Using umbrella review methodology, we will search Cochrane Central Register of Controlled Trials, Embase, Epistemonikos, International Prospective Register of Systematic Reviews (PROSPERO) and PubMed to identify systematic reviews evaluating the effect of potential intrahospital low-value practices using tailored population, intervention, comparator, outcome and study design questions based on the results of a previous scoping review. We will present data on the methodological quality of these reviews (Assessing the Methodological Quality of Systematic Reviews-2), reported effect sizes and strength of evidence (Grading of Recommendations, Assessment, Development and Evaluation).Ethics and dissemination Ethics approval is not required as original data will not be collected. Knowledge users from five healthcare quality organisations and clinical associations are involved in the design and conduct of the study. Results will be disseminated in a peer-reviewed journal, at international scientific meetings and to clinical, healthcare quality and patient–partner associations. This work will support the development of metrics to measure the use of low-value practices, inform policy makers on potential targets for deimplementation and in the long term reduce the use of low-value clinical practices in acute TBI care.PROSPERO registration number CRD42019132428.
published_date 2019-10-09T04:05:18Z
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