Literature DB >> 18975366

Is health equity considered in systematic reviews of the Cochrane Musculoskeletal Group?

Peter Tugwell1, Lara Maxwell, Vivian Welch, Elizabeth Kristjansson, Mark Petticrew, George Wells, Rachelle Buchbinder, Maria E Suarez-Almazor, Marie-Andrée Nowlan, Erin Ueffing, Maryam Khan, Bev Shea, Setorme Tsikata.   

Abstract

OBJECTIVE: To determine whether Cochrane Musculoskeletal Group (CMSG) systematic reviews and corresponding primary studies of rheumatoid arthritis interventions report and analyze the data needed to assess the effectiveness of interventions in reducing socioeconomic differences in health and/or improving the health of the poor.
METHODS: We selected all CMSG reviews on rheumatoid arthritis published since issue 1, 2003. Fourteen reviews were identified; 147 of the 156 primary studies included in these reviews were obtained and assessed. We extracted data on whether the dimensions place of residence, race/ethnicity/culture, occupation, gender, religion, education, socioeconomic status, and social capital and networks (PROGRESS) were reported or analyzed, and whether any interventions were aimed at disadvantaged or low- and middle-income country populations.
RESULTS: Among the dimensions of PROGRESS reported at baseline in 147 primary studies, gender (89%) was the most commonly reported, followed by education (25%) and race/ethnicity (18%). Less than 50% of the systematic reviews reported dimensions of PROGRESS even when they had been reported in the primary study. Of 147 primary studies, 6 (5%) were aimed specifically at disadvantaged populations; another 6 reported on effectiveness by at least 1 dimension of PROGRESS.
CONCLUSION: Primary studies of interventions for rheumatoid arthritis generally reported few variables necessary to answer questions about health inequalities. Most CMSG systematic reviews failed to assess those variables even when described in the primary studies. The Cochrane Health Equity Field welcomes the opportunity to provide guidance to systematic review authors on incorporating equity considerations into their reviews.

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Mesh:

Year:  2008        PMID: 18975366     DOI: 10.1002/art.24206

Source DB:  PubMed          Journal:  Arthritis Rheum        ISSN: 0004-3591


  13 in total

1.  Examining the Supply of and Demand for Physiotherapy in Saskatchewan: The Relationship between Where Physiotherapists Work and Population Health Need.

Authors:  Brighid McFadden; Kendra Jones McGrath; Teghan Lowe; Carla Thiessen; Steven Irinici; Tayyab Shah; Stephan Milosavljevic; Brenna Bath
Journal:  Physiother Can       Date:  2016       Impact factor: 1.037

Review 2.  How effects on health equity are assessed in systematic reviews of interventions.

Authors:  Vivian Welch; Peter Tugwell; Mark Petticrew; Joanne de Montigny; Erin Ueffing; Betsy Kristjansson; Jessie McGowan; Maria Benkhalti Jandu; George A Wells; Kevin Brand; Janet Smylie
Journal:  Cochrane Database Syst Rev       Date:  2010-12-08

3.  Does consideration and assessment of effects on health equity affect the conclusions of systematic reviews? A methodology study.

Authors:  Vivian Welch; Mark Petticrew; Erin Ueffing; Maria Benkhalti Jandu; Kevin Brand; Bharbhoor Dhaliwal; Elizabeth Kristjansson; Janet Smylie; George Anthony Wells; Peter Tugwell
Journal:  PLoS One       Date:  2012-03-13       Impact factor: 3.240

Review 4.  How effects on health equity are assessed in systematic reviews of interventions.

Authors:  Vivian Welch; Omar Dewidar; Elizabeth Tanjong Ghogomu; Salman Abdisalam; Abdulah Al Ameer; Victoria I Barbeau; Kevin Brand; Kisanet Kebedom; Maria Benkhalti; Elizabeth Kristjansson; Mohamad Tarek Madani; Alba M Antequera Martín; Christine M Mathew; Jessie McGowan; William McLeod; Hanbyoul Agatha Park; Jennifer Petkovic; Alison Riddle; Peter Tugwell; Mark Petticrew; Jessica Trawin; George A Wells
Journal:  Cochrane Database Syst Rev       Date:  2022-01-18

5.  GRADE equity guidelines 3: considering health equity in GRADE guideline development: rating the certainty of synthesized evidence.

Authors:  Vivian A Welch; Elie A Akl; Kevin Pottie; Mohammed T Ansari; Matthias Briel; Robin Christensen; Antonio Dans; Leonila Dans; Javier Eslava-Schmalbach; Gordon Guyatt; Monica Hultcrantz; Janet Jull; Srinivasa Vittal Katikireddi; Eddy Lang; Elizabeth Matovinovic; Joerg J Meerpohl; Rachael L Morton; Annhild Mosdol; M Hassan Murad; Jennifer Petkovic; Holger Schünemann; Ravi Sharaf; Bev Shea; Jasvinder A Singh; Ivan Solà; Roger Stanev; Airton Stein; Lehana Thabaneii; Thomy Tonia; Mario Tristan; Sigurd Vitols; Joseph Watine; Peter Tugwell
Journal:  J Clin Epidemiol       Date:  2017-04-04       Impact factor: 6.437

6.  Clinical guidelines contribute to the health inequities experienced by individuals with intellectual disabilities.

Authors:  Lindsay Am Mizen; Marjorie L Macfie; Linda Findlay; Sally-Ann Cooper; Craig A Melville
Journal:  Implement Sci       Date:  2012-05-11       Impact factor: 7.327

Review 7.  Extending the PRISMA statement to equity-focused systematic reviews (PRISMA-E 2012): explanation and elaboration.

Authors:  Vivian Welch; Mark Petticrew; Jennifer Petkovic; David Moher; Elizabeth Waters; Howard White; Peter Tugwell
Journal:  Int J Equity Health       Date:  2015-10-08

Review 8.  Equality of Medical Health Resource Allocation in China Based on the Gini Coefficient Method.

Authors:  Jian Jin; Jianxiang Wang; Xiaoyi Ma; Yuding Wang; Renyong Li
Journal:  Iran J Public Health       Date:  2015-04       Impact factor: 1.429

9.  On decreasing inequality in health care in a cost-effective way.

Authors:  Antti Malmivaara
Journal:  BMC Health Serv Res       Date:  2014-02-20       Impact factor: 2.655

10.  Protocol for the development of a CONSORT-equity guideline to improve reporting of health equity in randomized trials.

Authors:  Vivian Welch; J Jull; J Petkovic; R Armstrong; Y Boyer; L G Cuervo; Sjl Edwards; A Lydiatt; D Gough; J Grimshaw; E Kristjansson; L Mbuagbaw; J McGowan; D Moher; T Pantoja; M Petticrew; K Pottie; T Rader; B Shea; M Taljaard; E Waters; C Weijer; G A Wells; H White; M Whitehead; P Tugwell
Journal:  Implement Sci       Date:  2015-10-21       Impact factor: 7.327

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