Systematic Reviews and Clinical Trials in Rehabilitation: Comprehensive Analyses of Publication Trends

Jesus, Tiago S.

doi:10.1016/j.apmr.2016.06.017

Cited by 31 publications

(52 citation statements)

References 52 publications

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“…Searches for the relevant literature were conducted in PubMed, covering the period between March 2006 and March 2016, using the following MeSH terms: ‘Manpower’ OR ‘Health Manpower’ AND rehabilitation-related terms, abstracted from previous studies finding physical rehabilitation content in PubMed [43, 44]. Additional file 1 details that search strategy.…”

Section: Methodsmentioning

confidence: 99%

Human resources for health (and rehabilitation): Six Rehab-Workforce Challenges for the century

et al. 2017

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BackgroundPeople with disabilities face challenges accessing basic rehabilitation health care. In 2006, the United Nations Convention on the Rights of Persons with Disabilities (CRPD) outlined the global necessity to meet the rehabilitation needs of people with disabilities, but this goal is often challenged by the undersupply and inequitable distribution of rehabilitation workers. While the aggregate study and monitoring of the physical rehabilitation workforce has been mostly ignored by researchers or policy-makers, this paper aims to present the ‘challenges and opportunities’ for guiding further long-term research and policies on developing the relatively neglected, highly heterogeneous physical rehabilitation workforce.MethodsThe challenges were identified through a two-phased investigation. Phase 1: critical review of the rehabilitation workforce literature, organized by the availability, accessibility, acceptability and quality (AAAQ) framework. Phase 2: integrate reviewed data into a SWOT framework to identify the strengths and opportunities to be maximized and the weaknesses and threats to be overcome.ResultsThe critical review and SWOT analysis have identified the following global situation: (i) needs-based shortages and lack of access to rehabilitation workers, particularly in lower income countries and in rural/remote areas; (ii) deficiencies in the data sources and monitoring structures; and (iii) few exemplary innovations, of both national and international scope, that may help reduce supply-side shortages in underserved areas.DiscussionBased on the results, we have prioritized the following ‘Six Rehab-Workforce Challenges’: (1) monitoring supply requirements: accounting for rehabilitation needs and demand; (2) supply data sources: the need for structural improvements; (3) ensuring the study of a whole rehabilitation workforce (i.e. not focused on single professions), including across service levels; (4) staffing underserved locations: the rising of education, attractiveness and tele-service; (5) adapt policy options to different contexts (e.g. rural vs urban), even within a country; and (6) develop international solutions, within an interdependent world.ConclusionsConcrete examples of feasible local, global and research action toward meeting the Six Rehab-Workforce Challenges are provided. Altogether, these may help advance a policy and research agenda for ensuring that an adequate rehabilitation workforce can meet the current and future rehabilitation health needs.Electronic supplementary materialThe online version of this article (doi:10.1186/s12960-017-0182-7) contains supplementary material, which is available to authorized users.

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Section: Methodsmentioning

confidence: 99%

Human resources for health (and rehabilitation): Six Rehab-Workforce Challenges for the century

et al. 2017

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“…papers analyzing publication trends in physical rehabilitation and physical therapy across conditions [20][21][22]; and finally on the below working definition [23][24][25][26][27][28]. Of note, within the application of the working definition and exclusion criteria, 'dubious' selection decisions existed.…”

Section: Data Selectionmentioning

confidence: 99%

Global Need for Physical Rehabilitation: Systematic Analysis from the Global Burden of Disease Study 2017

Jesus

Landry

Hoenig

2019

Preprint

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Background: To inform global health policies and resources planning, this paper analyzes evolving trends in physical rehabilitation needs, using data on Years Lived with Disability (YLDs) from the Global Burden of Disease Study (GBD) 2017. Methods: Secondary analysis of how YLDs from conditions amenable to physical rehabilitation have evolved from 1990 to 2017, for the world and across countries of varying income levels. Linear regression analyses were used. Results: A 66.2% growth was found in estimated YLD Counts amenable to physical rehabilitation: a significant and linear growth of more than 5.1 billion YLDs per year (99%CI: 4.8–5.4; r2 = 0.99). Low-income countries more than doubled (111.5% growth) their YLD Counts amenable to physical rehabilitation since 1990. YLD Rates per 100,000 people and the percentage of YLDs amenable to physical rehabilitation also grew significantly over time, across locations (all p > 0.05). Finally, only in high-income countries Age-standardized YLD Rates significantly decreased (p < 0.01; r² = 0.86). Conclusions: Physical rehabilitation needs have been growing significantly in absolute, per-capita and in percentage of total YLDs, globally and across countries of varying income level. In absolute terms, growths were higher in lower income countries, wherein rehabilitation is under-resourced.

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“…Despite this growing interest, to our knowledge there is no systematic, quantitative analysis of the evolving research production on Rehabilitation HPSSR topics, even though its exists for other rehabilitation research areas [35][36][37][38][39] and for aspects of the overall HPSSR [21,[40][41][42][43][44][45].…”

Section: Introductionmentioning

confidence: 99%

Development of the Rehabilitation Health Policy, Systems, and Services Research Field: Quantitative Analyses of Publications over Time (1990–2017) and across Country Type

Jesus

Hoenig

Landry

2020

IJERPH

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Background: Health policy, systems and services research (HPSSR) is increasingly needed to enable better access to, and value of, rehabilitation services worldwide. We aim to quantify the growth of Rehabilitation HPSSR publications since 1990, compared to that of overall rehabilitation research and overall HPSSR. Methods: Quantitative, comparative analysis of publication trends using the PubMed database and its indexation system. Comprehensive search filters, based on Medical Subject Headings (MeSH), were built and calibrated to locate research articles with content on HPSSR and rehabilitation of physical impairments. Additional filters were used for locating research publications declaring funding support, publications in rehabilitation journals, and finally publications focused on high-income (HICs) or low- and middle-income countries (LMICs). The same approach was used for retrieving data on comparator fields—overall HPSSR and overall rehabilitation research. Linear regressions, with ANOVA, were used for analyzing yearly publication growths over the 28-year time frame. Results: Rehabilitation HPSSR publications in PubMed have grown significantly from 1990 to 2017 in the percentage of all rehabilitation research (from 11% to 18%) and all HPSSR (from 2.8% to 3.9%; both p < 0.001). The rate of Rehabilitation HPSSR published in rehabilitation journals did not change significantly over time (p = 0.47). The rates of publications with declared funding support increased significantly, but such growth did not differ significantly from that of the comparator fields. Finally, LMICs accounted for 9.3% of the country-focused rehabilitation HPSSR since 1990, but this percentage value increased significantly (p < 0.001) from 6% in 1990 to 13% in 2017. Conclusion: Rehabilitation HPSSR publications, i.e., those indexed in PubMed with related MeSH terms, have grown in both absolute and relative values. Rehabilitation HPSSR publications focused on LMICs also grew significantly since 1990, but still remained a tiny portion of the Rehabilitation HPSSR publications with country-specific MeSH terms.

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Systematic Reviews and Clinical Trials in Rehabilitation: Comprehensive Analyses of Publication Trends

Cited by 31 publications

References 52 publications

Human resources for health (and rehabilitation): Six Rehab-Workforce Challenges for the century

Human resources for health (and rehabilitation): Six Rehab-Workforce Challenges for the century

Global Need for Physical Rehabilitation: Systematic Analysis from the Global Burden of Disease Study 2017

Development of the Rehabilitation Health Policy, Systems, and Services Research Field: Quantitative Analyses of Publications over Time (1990–2017) and across Country Type

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