Browsing by Author "Alves da Costa, Filipa"
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- Impact of harm minimization interventions on reducing blood-borne infection transmission and some injecting behaviors among people who inject drugs: an overview and evidence gap mappingPublication . Tonin, Fernanda; Alves da Costa, Filipa; Fernandez-Llimos, FernandoBackground: This study aimed to synthetize the evidence on the effectiveness of harm minimization interventions in reducing blood-borne infection transmission and injecting behaviors among people who inject drugs (PWID) through a comprehensive overview of systematic reviews and evidence gap mapping. Methods: A systematic review was conducted with searches in PubMed and Scopus to identify systematic reviews assessing the impact of interventions aimed at reducing the harms associated with injectable drug use. The overall characteristics of the studies were extracted and their methodological quality was assessed using AMSTAR-2. An evidence gap map was constructed, highlighting the most frequently reported outcomes by intervention (CRD42023387713). Results: Thirty-three systematic reviews were included. Of these, 14 (42.2%) assessed the impact of needle/syringe exchange programs (NSEP) and 11 (33.3%) examined opioid agonist therapy (OAT). These interventions are likely to be associated with reductions of HIV/HCV incidence (10-40% risk reduction for NSEP; 50-60% for OAT) and sharing injecting paraphernalia (50% for NSEP, 25-85% for OAT), particularly when combined (moderate evidence). Behavioral/educational interventions were assessed in 12 reviews (36.4%) with most authors in favor/partially in favor of the use of these approaches (moderate evidence). Take-home naloxone programs and supervised injection facilities were each assessed in two studies (6.1%), which reported inconclusive results (limited/inconsistent evidence). Most authors reported high levels of heterogeneity and risk of bias. Other interventions and outcomes were inadequately reported. Most systematic reviews presented low or critically low quality. Conclusion: The evidence is sufficient to support the effectiveness of OAT, NSEP, and their combination in reducing blood-borne infection transmission and certain injecting behaviors among PWID. However, evidence of other harm minimization interventions in different settings and for some outcomes remains insufficient.
- La International Collaboration of Pharmacy Journal Editors (ICPJE) se constituye formalmente para fomentar la calidad en torno a las publicaciones de investigación sobre farmacia práctica, clínica y socialPublication . Alves da Costa, Filipa; Fernández-Llimós, Fernando; Desselle, Shane; Arnet, Isabelle; Babar, Zaheer; Bond, Christine; Cordina, Maria; Garcia Cardenas, Victoria; El Hajj, Maguy S.; Jacobsen, Ramune; Law, Anandi V.; Nørgaard, Lotte S.; Polidori, Carlo; Shcherbakova, Natalia; Stewart, Derek; Tonin, Fernanda; Weidmann, Anita E.La declaración de Granada fue el resultado de la necesidad de fortalecer la farmacia práctica clínica, social y administrativa como un área de conocimiento que se materialice en la práctica, la investigación y la política. Para ello, un grupo de editores de revistas de farmacia práctica, clínica y social puso en marcha en el año 2022 en Granada una iniciativa para discutir formas de mejorar la calidad de las publicaciones en esta área, y que culminó en el documento denominado Declaración de Granada. Se desarrollaron dieciocho recomendaciones, agrupadas en seis ámbitos principales: 1) uso apropiado de la terminología; 2) elaborar resúmenes impacto 3) necesidad de las revisiones por pares; 4) limitar la dispersión de revistas; 5) uso más efectivo y adecuado de las métricas de impacto de revistas y artículos; y 6) selección por los autores de la revista de farmacia práctica más apropiada para publicar su trabajo. La declaración de Granada ha sido publicada íntegramente en 14 revistas. Este documento pionero tiene sus antecedentes en otras iniciativas similares desarrolladas por académicos de otros grupos de profesiones de la salud, fomentando el concepto de consenso interdisciplinar y avanzando en el paradigma científico.