Consideration of sex and gender in Cochrane reviews of interventions for preventing healthcare-associated infections: a methodology study

BackgroundHealthcare-associated infections (HAIs) are common and increase morbidity, mortality, and healthcare costs. Their control continues to be an unresolved issue worldwide. HAIs epidemiology shows sex/gender differences. Thus the lack of consideration of sex/gender in Cochrane reviews will lim...

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Autores: Lopez-Alcalde, J, Stallings, E, Nunes, SC, Chavez, AF, Daheron, M, Cosp, XB, Zamora, J
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2019
País:España
Institución:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
Repositorio:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
OAI Identifier:oai:iibsantpau.fundanetsuite.com:p2925
Acceso en línea:https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=2925
http://ddd.uab.cat/record/226396
Access Level:acceso abierto
Palabra clave:Systematic reviews
Data extraction
Sex
Gender
gender
Equity
Cochrane
Gender bias
Healthcare-associated infection
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spelling Consideration of sex and gender in Cochrane reviews of interventions for preventing healthcare-associated infections: a methodology studyLopez-Alcalde, JStallings, ENunes, SCChavez, AFDaheron, MCosp, XBZamora, JSystematic reviewsData extractionSexGenderSexgenderEquityCochraneGender biasHealthcare-associated infectionBackgroundHealthcare-associated infections (HAIs) are common and increase morbidity, mortality, and healthcare costs. Their control continues to be an unresolved issue worldwide. HAIs epidemiology shows sex/gender differences. Thus the lack of consideration of sex/gender in Cochrane reviews will limit their applicability and capacity to support informed decisions. This study aims to describe the extent to which Cochrane reviews of interventions for preventing HAIs consider sex and gender.MethodsMethodology study appraising Cochrane reviews of interventions to prevent HAIs. Search methods: Cochrane Database of Systematic Reviews from 1995 (launch of the journal) to 31 December 2016. Two authors independently extracted data with EPPI-Reviewer 4 software, and independently appraised the sex/gender content of the reviews with the Sex and Gender Appraisal Tool for Systematic Reviews (SGAT-SR).ResultsThis study included 113 reviews assessing the effects of interventions for preventing HAIs. 100 reviews (88%) used at least one sex or gender-related term. The terminology used was heterogeneous, being sex the term used in more reviews (51%). No review defined neither sex nor gender. Thus we could not assess the definitions provided. Consideration of sex and gender was practically absent in the included reviews; in fact, no review met all the applicable items of the SGAT-SR, and 51 reviews (50%) fulfilled no item. No review provided a complete description of the sex and the gender of the samples of the included studies. Only ten reviews (10%) planned to perform sex- and gender-based analysis and only three (3%) could complete the analysis. The method chosen was always the subgroup analysis based on sex (one review) or gender (two reviews). Three reviews (3%) considered sex or gender-related findings in the conclusions.ConclusionConsideration of sex and gender in Cochrane reviews of interventions for preventing HAIs was practically absent. This lack of attention to sex and gender reduces the quality of Cochrane reviews, and their applicability for all people: women and men, boys and girls, and people of diverse gender identities. Cochrane should attempt to address the shortfalls detected.BMC2019info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=2925http://ddd.uab.cat/record/226396BMC HEALTH SERVICES RESEARCHISSN: 14726963reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pauinstname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)Inglésinfo:eu-repo/semantics/openAccessoai:iibsantpau.fundanetsuite.com:p29252026-06-14T12:41:47Z
dc.title.none.fl_str_mv Consideration of sex and gender in Cochrane reviews of interventions for preventing healthcare-associated infections: a methodology study
title Consideration of sex and gender in Cochrane reviews of interventions for preventing healthcare-associated infections: a methodology study
spellingShingle Consideration of sex and gender in Cochrane reviews of interventions for preventing healthcare-associated infections: a methodology study
Lopez-Alcalde, J
Systematic reviews
Data extraction
Sex
Gender
Sex
gender
Equity
Cochrane
Gender bias
Healthcare-associated infection
title_short Consideration of sex and gender in Cochrane reviews of interventions for preventing healthcare-associated infections: a methodology study
title_full Consideration of sex and gender in Cochrane reviews of interventions for preventing healthcare-associated infections: a methodology study
title_fullStr Consideration of sex and gender in Cochrane reviews of interventions for preventing healthcare-associated infections: a methodology study
title_full_unstemmed Consideration of sex and gender in Cochrane reviews of interventions for preventing healthcare-associated infections: a methodology study
title_sort Consideration of sex and gender in Cochrane reviews of interventions for preventing healthcare-associated infections: a methodology study
dc.creator.none.fl_str_mv Lopez-Alcalde, J
Stallings, E
Nunes, SC
Chavez, AF
Daheron, M
Cosp, XB
Zamora, J
author Lopez-Alcalde, J
author_facet Lopez-Alcalde, J
Stallings, E
Nunes, SC
Chavez, AF
Daheron, M
Cosp, XB
Zamora, J
author_role author
author2 Stallings, E
Nunes, SC
Chavez, AF
Daheron, M
Cosp, XB
Zamora, J
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Systematic reviews
Data extraction
Sex
Gender
Sex
gender
Equity
Cochrane
Gender bias
Healthcare-associated infection
topic Systematic reviews
Data extraction
Sex
Gender
Sex
gender
Equity
Cochrane
Gender bias
Healthcare-associated infection
description BackgroundHealthcare-associated infections (HAIs) are common and increase morbidity, mortality, and healthcare costs. Their control continues to be an unresolved issue worldwide. HAIs epidemiology shows sex/gender differences. Thus the lack of consideration of sex/gender in Cochrane reviews will limit their applicability and capacity to support informed decisions. This study aims to describe the extent to which Cochrane reviews of interventions for preventing HAIs consider sex and gender.MethodsMethodology study appraising Cochrane reviews of interventions to prevent HAIs. Search methods: Cochrane Database of Systematic Reviews from 1995 (launch of the journal) to 31 December 2016. Two authors independently extracted data with EPPI-Reviewer 4 software, and independently appraised the sex/gender content of the reviews with the Sex and Gender Appraisal Tool for Systematic Reviews (SGAT-SR).ResultsThis study included 113 reviews assessing the effects of interventions for preventing HAIs. 100 reviews (88%) used at least one sex or gender-related term. The terminology used was heterogeneous, being sex the term used in more reviews (51%). No review defined neither sex nor gender. Thus we could not assess the definitions provided. Consideration of sex and gender was practically absent in the included reviews; in fact, no review met all the applicable items of the SGAT-SR, and 51 reviews (50%) fulfilled no item. No review provided a complete description of the sex and the gender of the samples of the included studies. Only ten reviews (10%) planned to perform sex- and gender-based analysis and only three (3%) could complete the analysis. The method chosen was always the subgroup analysis based on sex (one review) or gender (two reviews). Three reviews (3%) considered sex or gender-related findings in the conclusions.ConclusionConsideration of sex and gender in Cochrane reviews of interventions for preventing HAIs was practically absent. This lack of attention to sex and gender reduces the quality of Cochrane reviews, and their applicability for all people: women and men, boys and girls, and people of diverse gender identities. Cochrane should attempt to address the shortfalls detected.
publishDate 2019
dc.date.none.fl_str_mv 2019
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=2925
http://ddd.uab.cat/record/226396
url https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=2925
http://ddd.uab.cat/record/226396
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv BMC
publisher.none.fl_str_mv BMC
dc.source.none.fl_str_mv BMC HEALTH SERVICES RESEARCH
ISSN: 14726963
reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
instname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
instname_str Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
reponame_str r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
collection r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
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