The utility of elective flexible bronchoscopy to improve quality of life and clinical outcomes for children: A systematic review

Author:

Thomas Rahul J.12ORCID,Yerkovich Stephanie T.13,Goyal Vikas124,Chang Anne B.123,Rutter Cameron5,Masters Ian Brent12,Marchant Julie M.12

Affiliation:

1. Australian Centre for Health Services Innovation Queensland University of Technology Brisbane Queensland Australia

2. Department of Respiratory and Sleep Medicine Queensland Children's Hospital Brisbane Queensland Australia

3. Child Health Division, Menzies School of Health Research Charles Darwin University Darwin Northern Territory Australia

4. Departments of Paediatrics Gold Coast University Hospital Southport Queensland Australia

5. Academic Division, Library Queensland University of Technology Brisbane Queensland Australia

Abstract

AbstractIntroductionElective flexible bronchoscopy (FB) is now widely available and standard practice for a variety of indications in children with respiratory conditions. However, there is limited evidence regarding the utility of elective FB in children. This systematic review (SRs) aimed to determine the utility of FB on its impact in clinical decision making and quality of life (QoL).MethodsWe searched Pubmed, Cochrane central register of controlled trials, Embase, World Health Organization Clinical Trials Registry Platform and Cochrane database of SRs from inception to April 20, 2023. We included SRs and randomized controlled trials (RCTs) that used parallel group design (comparing use of elective FB vs. no FB, or a wait‐list approach [early FB vs. usual wait FB]) in children aged ≤ 18 years. Our protocol was prospectively registered and used Cochrane methodology for systemic reviews of interventions.ResultsOur search identified 859 articles; 102 duplicates were removed, and 753 articles were excluded by title and abstract. Four full text articles were reviewed and subsequently excluded, as none met the inclusion criteria outlined in our patient, intervention, comparator, outcome measures framework.ConclusionsThere is a paucity of high‐quality RCT evidence to support the routine use of elective FB in children with respiratory conditions. However, available retrospective and a single prospective study demonstrate the high utility of FB in the elective pediatric setting.RegistrationPROSPERO CRD42021291305.

Publisher

Wiley

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3