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Healthcare Assignment: Healthcare Research

   

Added on  2020-06-05

28 Pages5523 Words68 Views
HEALTHRESEARCH

TABLE OF CONTENTSINTRODUCTION...........................................................................................................................4METHODOLOGY..........................................................................................................................4Review question: ...................................................................................................................4PICOT:...................................................................................................................................4Strategy and keywords for database searching:......................................................................4Inclusion criteria:....................................................................................................................5Exclusion criteria:...................................................................................................................5Study types:............................................................................................................................5Databases searched:................................................................................................................5RESULTS........................................................................................................................................6DISCUSSION..................................................................................................................................9RECOMMENDATIONS...............................................................................................................10REFERENCES..............................................................................................................................11APPENDIX....................................................................................................................................13

Illustration IndexIllustration 1: PRISMA report format..............................................................................................6

INTRODUCTIONDiabetes mellitus type 2 associated with the obesity has become a major health concernin the world. According to the International Diabetes Federation there 366 million peoplesuffering from diabetes worldwide and estimated that this rate will take a hike up to 552 millionby 2030 (Buchwald and Oien, 2013). Many interventions have been discovered that help incontrolling and preventing the type 2 diabetes in obese people. However, bariatric surgery isfound to be more effective for the type 2 diabetes remission in the obese patients (NationalStatistics, 2017). Along with this in many cases the improvement in lifestyle and change indietary pattern have also contributed in the prevention of diabetes in obese patients (Courcoulaset.al., 2013).METHODOLOGYReview question:In adult obese patients with type II diabetes does bariatric surgery or dietary approachesalone cause greater likelihood of diabetic remission?PICOT:Population: Obese adultsIntervention: Bariatric surgery and dietary approachControl: NilOutcome: Type 2 diabetes mellitus remissionType of study: Randomised control trials (RCTs)Strategy and keywords for database searching:1. Obesity11 Intervention2. Adults12 Researches3. Overweight13 Outcome4. Randomised14 Study5. Type 2 diabetes15 Population6. Dietary approach16 Control7. Bariatric surgery17 Database8. Remission18 Limit to RCTs9. Suspension19 English language studies10. Diet20 Criteria4

Inclusion criteria:The research done in English language only.Researches conducted from the year 2008-2017.Studies carried out on adult obese patients with type II diabetes does bariatric surgery ordietary approaches alone cause greater likelihood of diabetic remission.Research meeting the PICOT criteria.Studies having randomised control trail.Exclusion criteria:The research done in other language other than EnglishResearch done prior to 2008Studies carried out on other intervention method than bariatric surgery and dietaryapproachesResearch not able to meet PICOT criteriaNot having Randomised control trialsStudy types:Randomised control trial is a type of study in which many people are assigned to get oneout of several clinical interventions (Angrisani, Santonicola, Iovino, Formisano, Buchwald &Scopinaro, 2015). From these interventions one is selected as the standard of control andcomparison. This is a scientific experiment which is basically performed to lower the chances ofbias when new treatment procedure is tested.Databases searched:Pubmed, Science Direct and The Cochrane Library. 5

RESULTSIllustration 1: PRISMA report formatOn the basis of available study's bariatric surgery and dietary approach is considered to be thebest intervention from the remission of type 2 diabetic mellitus.According to the study done by Mottalib, Sakr, Shehabeldin & Hamdy (2015), partial andcomplete remission cases in type 2 diabetes mellitus are observed after performing the successful6

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