Calidad de las revisiones sistemáticas de COVID-19 en personas con diabetes: una revisión sistemática / Quality of systematic reviews of COVID-19 in people with diabetes: A systematic review

Objetivo: Investigar la calidad metodológica de las revisiones sistemáticas publicadas sobre factores asociados con COVID-19 en personas con diabetes. Método: Revisión sistemática con protocolo de registro en PROSPERO, bajo el número CRD42020222418. Las búsquedas se realizaron de octubre a noviembre de 2020 en las bases de datos de las bibliotecas Medline, Web of Science, Scopus, LILACS, Embase y Cochrane Library, además de la búsqueda en la lista de referencias de los estudios seleccionados. Se incluyeron estudios de revisión sistemática con o sin metaanálisis y sin restricciones de fecha e idioma. Los datos se extrajeron de forma estandarizada y la calidad de los estudios se evaluó mediante la escala Assessment of Multiple Systematic Reviews. Resultados: Se incluyeron 12 revisiones, publicadas entre 2020 y 2021, con predominio del idioma inglés; son revisiones sistemáticas de estudios observacionales con metaanálisis con una muestra que va desde 6 a 83 estudios. En cuanto a la financiación, la mayoría de los estudios informaron que no recibieron este tipo de ayuda. En cuanto a la evaluación de la calidad metodológica, 3 fueron de calidad moderada, 5 fueron clasificados como de baja calidad y 3 revisiones sistemáticas fueron evaluadas como críticamente bajas. Conclusiones: Los artículos analizados presentaron un sesgo en la elaboración de informes sobre sus estudios, evidenciando la necesidad de utilizar mecanismos para mejorar la adherencia a los lineamientos de reporte establecidos y herramientas de evaluación metodológica.(AU)

Objective: To investigate the methodological quality of published systematic reviews of factors associated with COVID-19 in people with diabetes. Method: Systematic review with registration protocol in PROSPERO, under the number CRD42020222418. Searches were carried out from October to November 2020 in the databases of the Medline, Web of Science, Scopus, LILACS, Embase and Cochrane Library, in addition to searching the reference list of the selected studies. Systematic review studies with or without meta-analysis and without date and language restrictions were included. Data were extracted in a standardized way and the quality of the studies was assessed using the Assessment of Multiple Systematic Reviews scale. Results: Twelve reviews, published between 2020 and 2021, with a predominance of the English language, systematic reviews of observational studies with meta-analysis with a sample ranging from 6 to 83 studies, were included. Regarding financing, most of the study reported did not receive this type of support. Regarding to the assessment of the methodological quality of the studies, 3 were of moderate quality, 5 were classified as low quality and 3 with critically low quality. Conclusions: The analyzed articles presented a bias in the preparation of reports on their studies, suggesting the need to use mechanisms to improve adherence to the established reporting guidelines and methodological evaluation tools.(AU)

Quality of systematic reviews of COVID-19 in people with diabetes: A systematic review.

OBJECTIVE: To investigate the methodological quality of published systematic reviews of factors associated with COVID-19 in people with diabetes. METHOD: Systematic review with registration protocol in PROSPERO, under the number CRD42020222418. Searches were carried out from October to November 2020 in the databases of the MedLine, Web of Science, Scopus, Lilacs, Embase and Cochrane libraries, in addition to searching the reference list of the selected studies. Systematic review studies with or without meta-analysis and without date and language restrictions were included. Data were extracted in a standardized way and the quality of the studies was assessed using the Assessment of Multiple Systematic Reviews scale. RESULTS: Twelve reviews, published between 2020 and 2021, with a predominance of the English language, systematic reviews of observational studies with meta-analysis with a sample ranging from six to 83 studies, were included. Regarding financing, most of the study reported did not receive this type of support. Regarding to the assessment of the methodological quality of the studies, three were of moderate quality, five were classified as low quality and three with critically low quality. CONCLUSIONS: The analyzed articles presented a bias in the preparation of reports on their studies, suggesting the need to use mechanisms to improve adherence to the established reporting guidelines and methodological evaluation tools.

[Quality of systematic reviews of COVID-19 in people with diabetes: A systematic review]. / Calidad de las revisiones sistemáticas de COVID-19 en personas con diabetes: una revisión sistemática.

Objective: To investigate the methodological quality of published systematic reviews of factors associated with COVID-19 in people with diabetes. Method: Systematic review with registration protocol in PROSPERO, under the number CRD42020222418. Searches were carried out from October to November 2020 in the databases of the Medline, Web of Science, Scopus, LILACS, Embase and Cochrane Library, in addition to searching the reference list of the selected studies. Systematic review studies with or without meta-analysis and without date and language restrictions were included. Data were extracted in a standardized way and the quality of the studies was assessed using the Assessment of Multiple Systematic Reviews scale. Results: Twelve reviews, published between 2020 and 2021, with a predominance of the English language, systematic reviews of observational studies with meta-analysis with a sample ranging from 6 to 83 studies, were included. Regarding financing, most of the study reported did not receive this type of support. Regarding to the assessment of the methodological quality of the studies, 3 were of moderate quality, 5 were classified as low quality and 3 with critically low quality. Conclusions: The analyzed articles presented a bias in the preparation of reports on their studies, suggesting the need to use mechanisms to improve adherence to the established reporting guidelines and methodological evaluation tools.

Factores asociados con el cumplimiento de la medicación y el tratamiento sin medicación en pacientes hipertensos / Factors associated with adherence to medication and non-medication treatment in hypertensive patients

Introducción: El enfoque terapéutico para la presión arterial alta incluye medidas no farmacológicas y farmacológicas. La no adherencia al tratamiento es uno de los desafíos más importantes para la salud pública. Objetivo: Caracterizar los factores asociados con la adherencia a la medicación y el tratamiento sin medicación de pacientes hipertensos. Métodos: Este es un estudio descriptivo, cuantitativo y transversal realizado en una Unidad Básica de Salud en la ciudad de Teresina- Piauí/Brasil con 160 pacientes hipertensos. Los datos se recopilaron de febrero a julio de 2019 mediante la aplicación de un cuestionario semiestructurado que contiene preguntas relacionadas con los aspectos socioeconómicos y demográficos, el tratamiento sin medicamentos, la verificación de la presión arterial y el conocimiento de los antihipertensivos en uso. Para el análisis de los datos, se consideró la prueba de chi-cuadrado con una significación del 95 por ciento considerando las pruebas de independencia 2x2 en la combinación de variables. Resultados: La muestra consistió en mujeres, ancianos, jubilados, con ingresos salariales entre uno y dos salarios mínimos. La principal modificación de estilo de vida adoptada fue la abstención del consumo de alcohol y tabaco. La mayoría afirmó que verificaban la presión arterial de forma rutinaria (57,5 por ciento), que tenían conocimiento sobre la medicación antihipertensiva en uso (68 por ciento) y que estaban satisfechos con la atención establecida en la unidad básica de salud (78,75 por ciento). Conclusión: La población hipertensa estudiada se adhiere parcialmente al tratamiento recomendado(AU)

Introdução: A abordagem terapêutica da pressão arterial elevada inclui medidas não medicamentosas e medidas farmacológicas. A não adesão ao tratamento é um dos mais importantes desafios para a saúde pública. Objetivo: Caracterizar os fatores associados à adesão ao tratamento medicamentoso e não medicamentoso de pacientes hipertensos. Métodos: Trata-se de estudo descritivo, quantitativo e transversal realizado em uma Unidade Básica de Saúde do município de Teresina- Piauí/Brasil com 160 hipertensos. Os dados foram coletados no período de fevereiro a julho de 2019, por meio da aplicação de questionário semi-estruturado contendo questões relativas a aspectos socioeconômicos e demográficos, tratamento não medicamentoso, verificação da pressão arterial e conhecimento dos anti-hipertensivos em uso. Para a análise dos dados foi aplicado o teste qui-quadrado com significância de 95 porcento, considerando testes de independência 2x2 na combinação das variáveis. Resultados: A amostra foi constituída em sua maioria por mulheres, idosas, aposentadas, com renda salarial entre um e dois salários mínimos. As principais modificações de estilo de vida adotadas foram a abstenção do uso de álcool e tabaco. A maioria afirmou verificar a PA rotineiramente (57,50 porcento), ter conhecimento sobre o medicamento anti-hipertensivo em uso (68 porcento) e estarem satisfeitas com o atendimento estabelecido na Unidade Básica de Saúde (78,75 porcento). Conclusão: Conclui-se que a população hipertensa estudada adere parcialmente ao tratamento recomendado(AU)

Introduction: The therapeutic approach to high blood pressure includes non-drug and pharmacological measures. Non-adherence to treatment is one of the greatest, and consequently one of the most important challenges for public health. Objective: To characterize the factors associated with adherence to medication and non-medication treatment of hypertensive patients. Methods: This is a descriptive, quantitative and cross-sectional study conducted in a Basic Health Unit in the city of Teresina- Piauí with 160 hypertensive patients. The data were collected from February to July 2019 by applying a semi-structured questionnaire containing questions related to socioeconomic and demographic aspects, non-drug treatment, blood pressure verification and knowledge of antihypertensives in use. For the data analysis, the chi-square test with significance of 95 percent was considered considering 2x2 independence tests in the combination of variables. Results: The sample consisted of women, elderly, retired, with wage income between one and two minimum wages. The main lifestyle modification adopted was abstention from alcohol and tobacco use. Most stated that they routinely check blood pressure (57,50 percent), have knowledge about the antihypertensive medication in use (68,00 percent) and are satisfied with the care established at the basic health unit (78,75 percent). Conclusion: The hypertensive population studied partially adheres to the recommended treatment(AU)

Calidad de vida de personas con Diabetes Mellitus monitoreadas por la Unidad Básica de Salud / Qualidade de vida de pessoas com Diabetes Mellitus acompanhadas pela Unidade Básica de Saúde / Quality of Life in People with Diabetes Mellitus Followed by the Basic Health Unit

Introducción: La diabetes mellitus es una enfermedad metabólica que afecta a la población y requiere la evaluación de la calidad de vida para la formulación de estrategias de atención específicas y así minimizar o prevenir su deterioro. Objetivo: Evaluar la calidad de vida de personas con diabetes mellitus monitoreadas por la Unidad Básica de Salud. Métodos: Estudio transversal realizado con 82 diabéticos en una Unidad Básica de Salud. Se utilizaron cuestionarios que contenían variables sociodemográficas y clínicas y las áreas clínica y Problem Areas in Diabetes para la evaluación evaluar de la calidad de vida. En el análisis de datos, se utilizaron la prueba de Kruskal-Wallis, la prueba U de Mann-Whitney, la prueba t de Student y el analysis of variance. La mayoría de los participantes fueron mujeres, ancianas, casadas, con educación primaria completa, morenas, jubiladas, con su propio hogar, con un ingreso familiar de hasta un salario mínimo, diabéticos tipo 2, no fumadores, que usan antidiabéticos orales como una forma de tratamiento, sedentarios, no alcohólico, con dos comorbilidades asociadas a diabetes y entre seis y 10 años de diagnóstico. La puntuación total mostró un promedio de 32,36, lo que indica una buena calidad de vida para la mayoría de los participantes, y aquellos que sufren un impacto negativo presentan el factor emocional más afectado. Conclusión: Los datos obtenidos con este estudio permitirán la planificación de acciones específicas dirigidas a esta población para promover una mejor adherencia a las prácticas que influyen positivamente en la calidad de vida(AU)

Introdução: O Diabetes mellitus é uma doença metabólica que acomete a população, sendo necessária a avaliação da qualidade de vida para a formulação de estratégias de cuidado específicas para minimizar ou prevenir o seu comprometimento. Objetivo: Avaliar a qualidade de vida de pessoas com Diabetes Mellitus acompanhados pela Unidade Básica de Saúde. Métodos: Estudo transversal realizado com 82 diabéticos em uma Unidade Básica de Saúde. Utilizou- se questionários contendo variáveis sociodemográficas e clínicas e o Problem Areas in Diabetes para avaliação da qualidade de vida. Na análise dos dados, utilizaram-se os testes Kruskal-Wallis, U de Mann-Whitney, teste t de Student e Analysis of variance. Resultados: A maioria dos participantes são mulheres, idosas, casadas, com ensino fundamental completo, pardas, aposentadas, com casa própria, com renda familiar de até um salário mínimo, diabéticos tipo 2, não fumantes, que utilizam os antidiabéticos orais como forma de tratamento, sedentários, não etilistas, com duas comorbidades associadas ao diabetes e entre seis a 10 anos de diagnóstico. O escore total apresentou média de 32,36 , indicando boa qualidade de vida para a maioria dos participantes, e aqueles que sofrem impacto negativo apresentam o fator emocional como domínio mais acometido. Conclusão: Os dados obtidos com este estudo possibilitará o planejamento de ações específicas voltadas a essa população de modo a promover melhor adesão a práticas que influenciem positivamente na qualidade de vida(AU)

Introduction: Diabetes mellitus is a metabolic disease that affects population health and requires quality of life assessment to formulate specific care strategies to minimize or prevent its deterioration. Objective: To assess the quality of life of people with diabetes mellitus monitored by the basic health unit. Methods: Cross-sectional study carried out with 82 diabetic patients in a basic health unit. Questionnaires containing sociodemographic and clinical variables, as well as the problem areas in diabetes, were used to assess quality of life. In the data analysis, the Kruskal-Wallis test, the Mann-Whitney U test, the Student's t test and variance analysis were used. Results: Most of the participants were women, elderlies and had black skin. They were nonsmokers and nonalcoholic patients, had completed primary education and were retired. They had their own homes and a family income of up to a minimum wage. They had type 2 diabetes, apart from two comorbidities associated with diabetes, and between six and ten years of diagnosis. They used oral antidiabetics as a sedentary form of treatment. The total score showed an average of 32.36, which indicates a good quality of life for most of the participants, while those who suffered a negative impact had the emotional factor as the most affected domain. Conclusion: The data obtained from this study will allow planning specific actions targeted at this population to promote better adherence to practices that positively influence quality of life(AU)