Ergonomic interventions for treating work-related complaints of the arm, neck or shoulder in adults This is a protocol for a Cochrane Review (intervention). The objectives are as follows: To determine the effect of ergonomic interventions for work-related complaints of the arm, neck or shoulder (CANS) in adults on pain, function and work-related outcomes. This is a protocol....

Interventions to increase immunosuppressant medication adherence after a solid organ transplant What is the issue? Solid organ transplantation refers to the transplantation of the heart, lungs, kidney, pancreas or liver. After a solid organ transplant, immunosuppressant medication works to suppress the immune system and ensure the short and long-term survival of the organ transplant. Taking the immunosuppressant medication at the correct time and at the correct dose is a critical part of post-transplant care. However, non-adherence to immunosuppressant medication is frequent and can be a...

Endovascular therapy versus medical treatment for spontaneous isolated dissection of the superior mesenteric artery Key message There is not enough evidence to compare the benefits and harms of the two main options for treating people with spontaneous dissection of the mesenteric artery (SIDSMA). Why is this question important? Blood vessels are made up of different layers. If one of these layers rips or ruptures, blood can flow between the layers, pushing the layers apart and creating two channels for the blood to flow through, which stops the blood from delivering oxygen and nutrients. A...

Glucagon-like peptide-1 analogues for overweight or obese adults This is a protocol for a Cochrane Review (intervention). The objectives are as follows: To assess the effects of glucagon-like peptide-1 analogues on overweight or obese adults. This is a protocol....

Prevention of infection in peripheral arterial reconstruction of the lower limb This is a protocol for a Cochrane Review (intervention). The objectives are as follows: To assess the effects of pharmacological and non-pharmacological interventions, including antimicrobial therapy, antisepsis, and wound management, for the prevention of infection in people undergoing any open or hybrid lower limb peripheral arterial reconstruction. This is a protocol....

Interventions for treating head lice: a network meta-analysis This is a protocol for a Cochrane Review (intervention). The objectives are as follows: To assess the comparative efficacy, safety and tolerability of pharmacological, physical, or other combinations of interventions in use for the treatment of head lice. To establish amongst the used treatments which are the most effective therapies for the treatment of head lice according to their effectiveness and safety, through a network meta‐analysis. This is a protocol....

Point-of-care diagnostic tests for sickle cell disease This is a protocol for a Cochrane Review (diagnostic). The objectives are as follows: To determine the accuracy of point-of-care tests (POCT) to screen sickle cell disease (SCD). To determine the accuracy of the different POCT techniques to screen SCD. Secondary objectives To compare the accuracy of POCT to screen SCD in different settings, i.e. controlled laboratory and field settings. To determine the accuracy of POCT to screen SCD in asymptomatic and symptomatic individuals. This is a protocol....

Prevention of infection in aortic or aortoiliac peripheral arterial reconstruction This is a protocol for a Cochrane Review (intervention). The objectives are as follows: To assess the effects of pharmacological and non-pharmacological interventions, including antimicrobial therapy, antisepsis, and wound management, for the prevention of infection in people undergoing any open or hybrid aortic or aortoiliac peripheral arterial reconstruction. This is a protocol....

Interventions to prevent obesity in children aged 2 to 4 years old This is a protocol for a Cochrane Review (intervention). The objectives are as follows: The overall aim of the review is to determine the effectiveness of interventions to prevent obesity in two- to four-year-old children. The four objectives are: 1. to evaluate the effects of interventions that aim to modify dietary intake on changes in zBMI score, BMI and serious adverse events among children; 2. to evaluate the effects of interventions that aim to modify physical activity, sedentary behaviour, sleep, play or structured...

The diagnostic accuracy of widely used self-report questionnaires for detecting anxiety disorders in adults This is a protocol for a Cochrane Review (diagnostic). The objectives are as follows: To determine the diagnostic test accuracy (DTA) of the following five widely used self-reporting questionnaires for detecting anxiety disorders against standardized or structured clinical interviews as the reference standard among adults in any setting. This is a generic protocol for four parallel Cochrane Reviews of DTA. Review 1. Generalized Anxiety Disorder 7-item (GAD-7) Scale and its short...

Risk-reducing mastectomy for unaffected women with a strong family history of breast cancer This is a protocol for a Cochrane Review (intervention). The objectives are as follows: To assess the effects of risk-reducing mastectomy on unaffected women with a strong family history of breast cancer with a specific focus on breast cancer incidence, psychosocial outcomes (including satisfaction with decision and cosmetic outcomes), surgical complications, and mortality. This is a protocol....

Xpert Ultra for diagnosing tuberculosis and rifampicin resistance in children Why is improving the diagnosis of tuberculosis important? Every year, an estimated one million children and young adolescents become ill with tuberculosis, and around 226,000 die from the disease. Tuberculosis is caused by the bacterium Mycobacterium tuberculosis and mostly affects the lungs (pulmonary tuberculosis), though it can affect other sites in the body (extrapulmonary tuberculosis). Signs and symptoms of pulmonary tuberculosis include cough, fever, night sweats, and weight loss. Signs and symptoms of...

Are hypoxia-inducible factor stabilisers effective for management of anaemia among people with chronic kidney disease? What is the issue? Anaemia (reduced levels of circulating red blood cells) is common in people with chronic kidney disease (CKD). Anaemia is linked to cardiovascular disease, infection and death. Hypoxia-inducible factors (HIF) stabilisers have now become available to manage anaemia and can be taken by mouth, thus avoiding injections. What did we do? We evaluated whether HIF stabilisers are beneficial for children and adults with CKD to manage anaemia. We evaluated all...

How accurate are contrast-enhanced ultrasound scans for detecting hepatocellular carcinoma? Key messages In adults with chronic liver disease, contrast-enhanced ultrasound (CEUS) can miss diagnosing hepatocellular carcinoma in around 22.2% of people who would not then receive timely or appropriate treatment, and would fail to diagnose hepatocellular carcinoma in 6.2% of people who could receive unnecessary further testing or treatment. In the subset of people who are able have the hepatocellular carcinoma removed by surgery, CEUS probably misses hepatocellular carcinoma in 22.5% of people...

Conservative interventions for urinary incontinence in women: an overview of Cochrane Reviews What is urinary incontinence? Bladder problems are common in women. Having to go to the toilet frequently, urgently and sometimes not making it in time is called urgency urinary incontinence. Urgency urinary incontinence occurs when, for some reason, the signals telling women to empty their bladder are much stronger and occur more often than necessary. Leaking when sneezing or exercising is called stress urinary incontinence, and can happen if the muscles controlling the outlet from the bladder are...

Mothers' positions in labour when baby is lying 'back-to-back' What is the issue? Malposition is when the back of the baby's head lies towards the mother's back. As a result, labour and birth can be long and difficult, sometimes resulting in an operative birth (where the baby is delivered by caesarean section or with special tools to help the baby through the birth canal) and more perineal trauma (damage to the pelvic floor). The baby may be more likely to go to a neonatal care unit. Also, women may experience stress or disappointment with the birth experience. Why is this...

Reduction in the number of antipsychotics for people with schizophrenia Key messages – Reducing the number of antipsychotics may be associated with more participants leaving the study early, especially due to inefficacy. - The low number of studies and participants do not allow us to make strong conclusions. Introduction Schizophrenia is a severe mental disorder. People with the illness struggle to differentiate between their own thoughts, beliefs and ideas versus reality. For example, they may be hearing voices in their head but it feels like someone is really talking to them. It is mainly...

D-mannose (sugar tablets) for preventing or treating urinary tract infections in adults and children What is the issue? Urinary tract infections (UTIs) are very common around the world. At least 50% of females will have a UTI once in their lifetime. Approximately 15% to 25% of adults and children suffer from repeated and long-term UTIs. In many people, standard antibiotics do not work. D-mannose is a sugar which is part of a normal diet and is believed to create a non-stick surface on the bladder wall, as well as around the bacteria. It is thought that the bacteria is then expelled when...

Interventions for preventing and reducing the use of physical restraints of older people in hospital What was studied in this review? Physical restraints are devices which reduce a person's freedom to move. These can be bedrails, belts in chairs or beds, and fixed tables, which prevent people from getting out of bed or a chair, or mitts which prevent someone using their hands freely. In some countries, physical restraints are used quite commonly for older people in general hospital wards. A main reason for this is to try to prevent falls and fall-related injuries, or to prevent people from...

Barriers and facilitators of and strategies for successful community engagement in infectious disease clinical trials in low- and middle-income countries This is a protocol for a Cochrane Review (qualitative). The objectives are as follows: 1. To identify and synthesise barriers and facilitators of successful community engagement in infectious disease clinical trials (e.g. HIV, tuberculosis, and malaria) in low- and middle-income countries; and 2. To identify and synthesise strategies for engaging community stakeholders in infectious disease clinical trials in low- and middle-income...