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1
Evidence for overuse of cardiovascular healthcare services in high-income countries: protocol for a systematic review and meta-analysis
In: BMJ Open (2022)
Abstract: INTRODUCTION: Overuse of cardiovascular healthcare services, defined as the provision of low-value (ineffective, harmful, cost-ineffective) tests, medications and procedures, may be common and associated with increased patient harm and health system inefficiencies and costs. We seek to systematically review the evidence for overuse of different cardiovascular healthcare services in high-income countries. METHODS AND ANALYSIS: We will search MEDLINE, EMBASE and Evidence-Based Medicine Reviews from 2010 onwards. Two investigators will independently review titles and abstracts and full-text studies. We will include published English-language studies conducted in high-income countries that enrolled adults (mean/median age ≥18 years) and reported the incidence or prevalence of overuse of cardiovascular tests, medications or procedures; adjusted risk factors for overuse; or adjusted associations between overuse and outcomes (reported estimates of morbidity, mortality, costs or lengths of hospital stay). Acceptable methods of defining low-value care will include literature review and multidisciplinary iterative panel processes, healthcare services with reproducible evidence of a lack of benefit or harm, or clinical practice guideline or Choosing Wisely recommendations. Two investigators will independently extract data and evaluate study risk of bias in duplicate. We will calculate summary estimates of the incidence and prevalence of overuse of different cardiovascular healthcare services across studies unstratified and stratified by country; method of defining low-value care; the percentage of included females, different races, and those with low and high socioeconomic status or cardiovascular risk; and study risks of bias using random-effects models. We will also calculate pooled estimates of adjusted risk factors for overuse and adjusted associations between overuse and outcomes overall and stratified by country using random-effects models. We will use the Grading of Recommendations, Assessment, Development and Evaluation to determine certainty in estimates. ETHICS AND DISSEMINATION: No ethics approval is required for this study as it deals with published data. Results will be presented at meetings and published in a peer-reviewed journal. PROSPERO REGISTRATION NUMBER: CRD42021257490.
Keyword: Cardiovascular Medicine
URL: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8991042/
http://www.ncbi.nlm.nih.gov/pubmed/35393307
https://doi.org/10.1136/bmjopen-2021-053920
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2
Different Rates of Bioprosthetic Aortic Valve Failure With Perimount™ and Trifecta™ Bioprostheses
In: Front Cardiovasc Med (2022)
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3
Switching of oral anticoagulants in atrial fibrillation: a cohort study using Australian general practice data
Kefale, AT; Peterson, GM; Bezabhe, WM. - : Taylor & Francis, 2022
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4
Potencialidades do estudo contextualizado do sistema cardiovascular para o desenvolvimento da linguagem científica
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5
Molecular Epidemiology of G6PD Genotypes in Different Ethnic Groups Residing in Saharan and Sahelian Zones of Mauritania
In: ISSN: 2076-0817 ; Pathogens ; https://hal-amu.archives-ouvertes.fr/hal-03429269 ; Pathogens, MDPI, 2021, 10 (8), pp.931. ⟨10.3390/pathogens10080931⟩ (2021)
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6
Associations between Cardiovascular Signal Entropy and Cognitive Performance over Eight Years
In: Entropy ; Volume 23 ; Issue 10 (2021)
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7
Left atrial appendage aneurysm with cerebral infarcts ...
Mohsin, Farwa. - : EURORAD, 2021
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8
Elastogenesis Correlates With Pigment Production in Murine Aortic Valve Leaflets
In: Front Cardiovasc Med (2021)
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9
Oral, Tongue-Coating Microbiota, and Metabolic Disorders: A Novel Area of Interactive Research
In: Front Cardiovasc Med (2021)
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10
Respiratory Sinus Arrhythmia in Children—Predictable or Random?
In: Front Cardiovasc Med (2021)
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11
Utility of blood pressure measurements at an initial screening visit to identify Chinese children and adolescents with hypertension
Duan, Y; Sun, J; Zhao, M. - : Wiley Periodicals Inc., 2021
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12
Switching of oral anticoagulants in patients with nonvalvular atrial fibrillation: A narrative review
Kefale, AT; Peterson, GM; Bezabhe, WM. - : Blackwell Publishing Ltd, 2021
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13
Psychophysiological Responses to Acute Cold Water Immersion
Park, Talia. - : University of Oregon, 2021
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14
Implementation of cascade genetic screening for familial hypercholesterolemia: Design of the Swiss catch randomized controlled trial
In: EAS 2021 abstracts : European Atherosclerosis Society, vol. 331, pp. e184 (2021)
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15
Sotagliflozin in Patients with Diabetes and Chronic Kidney Disease
Bhatt, DL; Szarek, M; Pitt, B. - : MASSACHUSETTS MEDICAL SOC, 2021
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16
Minimizing the duration of laser Doppler flowmetry recordings while maintaining wavelet analysis quality: A methodological study
In: ISSN: 0026-2862 ; EISSN: 1095-9319 ; Microvascular Research ; https://hal-univ-avignon.archives-ouvertes.fr/hal-03291993 ; Microvascular Research, Elsevier, 2020, 131, ⟨10.1016/j.mvr.2020.104034⟩ (2020)
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17
Tropomyosin autoantibodies associated with checkpoint inhibitor myositis
In: Research outputs 2014 to 2021 (2020)
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18
Factors that influence adherence to treatment plans amongst people living with cardiovascular disease: A review of published qualitative research studies
In: Research outputs 2014 to 2021 (2020)
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19
Quality of life measured by EQ-5D at different treatment time points for coronary artery disease: protocol for a systematic review and meta-analysis
Lum, Elaine; McCreanor, Victoria; Luo, Nan. - : BMJ Publishing Group Ltd, 2020
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20
Quality of life measured by EQ-5D at different treatment time points for coronary artery disease: protocol for a systematic review and meta-analysis
In: BMJ Open (2020)
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