Module

Uitkomst raming

Toelichting

Module Echografie: flacons met niet-steriele gel

geen financiële gevolgen

Hoewel uit de toetsing volgt dat de aanbeveling(en) breed toepasbaar zijn (>40.000 patiënten), volgt uit de toetsing dat het overgrote deel (±90%) van de zorgaanbieders en zorgverleners al aan de norm voldoet. Er worden daarom geen financiële gevolgen verwacht.

Cluster/richtlijn: SRI Echografie & TEE - UV2.1 Echografie echogel vat vs fles

Uitgangsvraag/modules: Wat is de aanbevolen manier voor het gebruik van echogelflessen met niet-steriele gel?

Database(s): Embase.com, Ovid/Medline

Datum: 18 november 2024

Periode: geen restrictie

Talen: geen restrictie

Literatuurspecialist: Esther van der Bijl

Rayyan review:  https://new.rayyan.ai/reviews/1231652/overview

BMI-zoekblokken: voor verschillende opdrachten wordt (deels) gebruik gemaakt van de zoekblokken van BMI-Online https://blocks.bmi-online.nl/

Deduplication: voor het ontdubbelen is gebruik gemaakt van http://dedupendnote.nl/

Toelichting:

Voor deze vraag is gezocht op de elementen echografie EN gel EN navulling.

De sleutelartikelen worden gevonden met deze search. 

Te gebruiken voor richtlijntekst:

A systematic literature search was performed by a medical information specialist using the following bibliographic databases: Embase.com and Ovid/Medline. Both databases were searched to 18^th of November 2024 for systematic reviews, RCTs and observational studies. Systematic searches were completed using a combination of controlled vocabulary/subject headings (e.g., Emtree-terms, MeSH) wherever they were available and natural language keywords. The overall search strategy was derived from three primary search concepts: (1) ultrasound; (2) gel; (3) refill. Duplicates were removed using EndNote software. After deduplication a total of 172 records were imported for title/abstract screening.

EMBASE

OVID/MEDLINE

Ontdubbeld

SR

3

0

3

RCT

32

25

42

Observationele studies

114

35

127

Totaal

149

60

172*

No.

Query

Results

#1

(refill*:ti,ab,kw OR dispens*:ti,ab,kw OR reus*:ti,ab,kw) AND (gel:ti,ab,kw OR gels:ti,ab,kw OR aquasonic*:ti,ab,kw) AND (ultraso*:ti,ab,kw OR sonograph*:ti,ab,kw OR echograph*:ti,ab,kw)

87

#2

'ultrasound'/exp OR 'ultrasound scanner'/exp OR 'echography'/exp OR 'endoscopic ultrasonography'/exp OR ultraso*:ti,ab,kw OR sonograph*:ti,ab,kw OR echograph*:ti,ab,kw OR sonogram*:ti,ab,kw OR 'echocardiography'/exp OR cardioechogra*:ti,ab,kw OR 'echo cardiogra*':ti,ab,kw OR 'echocardiogra*':ti,ab,kw

1590439

#3

'lubricating agent'/exp OR 'gel'/exp OR 'ultrasound gel'/exp OR ((lubricati* NEAR/3 agent*):ti,ab,kw) OR lubricant*:ti,ab,kw OR gel:ti,ab,kw OR gels:ti,ab,kw

517496

#4

#2 AND #3

10751

#5

'ultrasound gel'/exp OR 'aquasonic'/exp OR (((ultraso* OR echo OR contact OR 'non-sterile' OR nonsterile OR sterile OR doppler OR cardioechogra* OR 'echo cardiogra*' OR 'echocardiogra*') NEAR/3 (gel OR gels)):ti,ab,kw) OR aquasonic*:ti,ab,kw OR 'aqua sonic*':ti,ab,kw

1458

#6

#4 OR #5

11217

#7

'container'/exp OR 'dispenser'/de OR container*:ti,ab,kw OR tank*:ti,ab,kw OR vessel*:ti,ab,kw OR barrel*:ti,ab,kw OR vat:ti,ab,kw OR 'bin':ti,ab,kw OR 'jar':ti,ab,kw OR 'bins':ti,ab,kw OR 'jars':ti,ab,kw OR 'dispens*':ti,ab,kw OR reus*:ti,ab,kw OR refill*:ti,ab,kw

799613

#8

#6 AND #7

681

#9

#1 OR #8

681

#10

#9 NOT ('conference abstract'/it OR 'editorial'/it OR 'letter'/it OR 'note'/it) NOT (('animal'/exp OR 'animal experiment'/exp OR 'animal model'/exp OR 'nonhuman'/exp) NOT 'human'/exp)

318

#11

'meta analysis'/exp OR 'meta analysis (topic)'/exp OR metaanaly*:ti,ab OR 'meta analy*':ti,ab OR metanaly*:ti,ab OR 'systematic review'/de OR 'cochrane database of systematic reviews'/jt OR prisma:ti,ab OR prospero:ti,ab OR (((systemati* OR scoping OR umbrella OR 'structured literature') NEAR/3 (review* OR overview*)):ti,ab) OR ((systemic* NEAR/1 review*):ti,ab) OR (((systemati* OR literature OR database* OR 'data base*') NEAR/10 search*):ti,ab) OR (((structured OR comprehensive* OR systemic*) NEAR/3 search*):ti,ab) OR (((literature NEAR/3 review*):ti,ab) AND (search*:ti,ab OR database*:ti,ab OR 'data base*':ti,ab)) OR (('data extraction':ti,ab OR 'data source*':ti,ab) AND 'study selection':ti,ab) OR ('search strategy':ti,ab AND 'selection criteria':ti,ab) OR ('data source*':ti,ab AND 'data synthesis':ti,ab) OR medline:ab OR pubmed:ab OR embase:ab OR cochrane:ab OR (((critical OR rapid) NEAR/2 (review* OR overview* OR synthes*)):ti) OR ((((critical* OR rapid*) NEAR/3 (review* OR overview* OR synthes*)):ab) AND (search*:ab OR database*:ab OR 'data base*':ab)) OR metasynthes*:ti,ab OR 'meta synthes*':ti,ab

1078090

#12

'clinical trial'/exp OR 'randomization'/exp OR 'single blind procedure'/exp OR 'double blind procedure'/exp OR 'crossover procedure'/exp OR 'placebo'/exp OR 'prospective study'/exp OR rct:ab,ti OR random*:ab,ti OR 'single blind':ab,ti OR 'randomised controlled trial':ab,ti OR 'randomized controlled trial'/exp OR placebo*:ab,ti

4143795

#13

'major clinical study'/de OR 'clinical study'/de OR 'case control study'/de OR 'family study'/de OR 'longitudinal study'/de OR 'retrospective study'/de OR 'prospective study'/de OR 'comparative study'/de OR 'cohort analysis'/de OR ((cohort NEAR/1 (study OR studies)):ab,ti) OR (('case control' NEAR/1 (study OR studies)):ab,ti) OR (('follow up' NEAR/1 (study OR studies)):ab,ti) OR (observational NEAR/1 (study OR studies)) OR ((epidemiologic NEAR/1 (study OR studies)):ab,ti) OR (('cross sectional' NEAR/1 (study OR studies)):ab,ti)

8494548

#14

'case control study'/de OR 'comparative study'/exp OR 'control group'/de OR 'controlled study'/de OR 'controlled clinical trial'/de OR 'crossover procedure'/de OR 'double blind procedure'/de OR 'phase 2 clinical trial'/de OR 'phase 3 clinical trial'/de OR 'phase 4 clinical trial'/de OR 'pretest posttest design'/de OR 'pretest posttest control group design'/de OR 'quasi experimental study'/de OR 'single blind procedure'/de OR 'triple blind procedure'/de OR (((control OR controlled) NEAR/6 trial):ti,ab,kw) OR (((control OR controlled) NEAR/6 (study OR studies)):ti,ab,kw) OR (((control OR controlled) NEAR/1 active):ti,ab,kw) OR 'open label*':ti,ab,kw OR (((double OR two OR three OR multi OR trial) NEAR/1 (arm OR arms)):ti,ab,kw) OR ((allocat* NEAR/10 (arm OR arms)):ti,ab,kw) OR placebo*:ti,ab,kw OR 'sham-control*':ti,ab,kw OR (((single OR double OR triple OR assessor) NEAR/1 (blind* OR masked)):ti,ab,kw) OR nonrandom*:ti,ab,kw OR 'non-random*':ti,ab,kw OR 'quasi-experiment*':ti,ab,kw OR crossover:ti,ab,kw OR 'cross over':ti,ab,kw OR 'parallel group*':ti,ab,kw OR 'factorial trial':ti,ab,kw OR ((phase NEAR/5 (study OR trial)):ti,ab,kw) OR ((case* NEAR/6 (matched OR control*)):ti,ab,kw) OR ((match* NEAR/6 (pair OR pairs OR cohort* OR control* OR group* OR healthy OR age OR sex OR gender OR patient* OR subject* OR participant*)):ti,ab,kw) OR ((propensity NEAR/6 (scor* OR match*)):ti,ab,kw) OR versus:ti OR vs:ti OR compar*:ti OR ((compar* NEAR/1 study):ti,ab,kw) OR (('major clinical study'/de OR 'clinical study'/de OR 'cohort analysis'/de OR 'observational study'/de OR 'cross-sectional study'/de OR 'multicenter study'/de OR 'correlational study'/de OR 'follow up'/de OR cohort*:ti,ab,kw OR 'follow up':ti,ab,kw OR followup:ti,ab,kw OR longitudinal*:ti,ab,kw OR prospective*:ti,ab,kw OR retrospective*:ti,ab,kw OR observational*:ti,ab,kw OR 'cross sectional*':ti,ab,kw OR cross?ectional*:ti,ab,kw OR multicent*:ti,ab,kw OR 'multi-cent*':ti,ab,kw OR consecutive*:ti,ab,kw) AND (group:ti,ab,kw OR groups:ti,ab,kw OR subgroup*:ti,ab,kw OR versus:ti,ab,kw OR vs:ti,ab,kw OR compar*:ti,ab,kw OR 'odds ratio*':ab OR 'relative odds':ab OR 'risk ratio*':ab OR 'relative risk*':ab OR 'rate ratio':ab OR aor:ab OR arr:ab OR rrr:ab OR ((('or' OR 'rr') NEAR/6 ci):ab)))

15541698

#15

#10 AND #11 - SR 

3

#16

#10 AND #12 NOT #15 - RCT

32

#17

#10 AND (#13 OR #14) NOT (#15 OR #16) - Observationeel

114

#18

#15 OR #16 OR #17 - Totaal

149

#

Searches

Results

1

((refill* or dispens* or reus*) and (gel or gels or aquasonic*) and (ultraso* or sonograph* or echograph*)).ti,ab,kf.

55

2

exp Ultrasonography/ or exp Ultrasonics/ or exp Endosonography/ or ultraso*.ti,ab,kf. or sonograph*.ti,ab,kf. or echograph*.ti,ab,kf. or sonogram*.ti,ab,kf. or exp Echocardiography/ or cardioechogra*.ti,ab,kf. or echo cardiogra*.ti,ab,kf. or echocardiogra*.ti,ab,kf.

871745

3

exp Gels/ or exp Lubricants/ or (lubricati* adj3 agent*).ti,ab,kf. or lubricant*.ti,ab,kf. or gel.ti,ab,kf. or gels.ti,ab,kf.

422652

4

2 and 3

5789

5

(((ultraso* or echo or contact or non-sterile or nonsterile or sterile or doppler or cardioechogra* or echo cardiogra* or echocardiogra*) adj3 (gel or gels)) or aquasonic* or aqua sonic*).ti,ab,kf.

1036

6

4 or 5

6147

7

(refill* or reus* or container* or tank* or vessel* or barrel* or vat or bin or jar or bins or jars or dispens*).ti,ab,kf.

561220

8

1 or (6 and 7)

274

9

8 not (comment/ or editorial/ or letter/) not ((exp animals/ or exp models, animal/) not humans/)

230

10

meta-analysis/ or meta-analysis as topic/ or (metaanaly* or meta-analy* or metanaly*).ti,ab,kf. or systematic review/ or cochrane.jw. or (prisma or prospero).ti,ab,kf. or ((systemati* or scoping or umbrella or "structured literature") adj3 (review* or overview*)).ti,ab,kf. or (systemic* adj1 review*).ti,ab,kf. or ((systemati* or literature or database* or data-base*) adj10 search*).ti,ab,kf. or ((structured or comprehensive* or systemic*) adj3 search*).ti,ab,kf. or ((literature adj3 review*) and (search* or database* or data-base*)).ti,ab,kf. or (("data extraction" or "data source*") and "study selection").ti,ab,kf. or ("search strategy" and "selection criteria").ti,ab,kf. or ("data source*" and "data synthesis").ti,ab,kf. or (medline or pubmed or embase or cochrane).ab. or ((critical or rapid) adj2 (review* or overview* or synthes*)).ti. or (((critical* or rapid*) adj3 (review* or overview* or synthes*)) and (search* or database* or data-base*)).ab. or (metasynthes* or meta-synthes*).ti,ab,kf.

790065

11

exp clinical trial/ or randomized controlled trial/ or exp clinical trials as topic/ or randomized controlled trials as topic/ or Random Allocation/ or Double-Blind Method/ or Single-Blind Method/ or (clinical trial, phase i or clinical trial, phase ii or clinical trial, phase iii or clinical trial, phase iv or controlled clinical trial or randomized controlled trial or multicenter study or clinical trial).pt. or random*.ti,ab. or (clinic* adj trial*).tw. or ((singl* or doubl* or treb* or tripl*) adj (blind$3 or mask$3)).tw. or Placebos/ or placebo*.tw.

2806053

12

Epidemiologic studies/ or case control studies/ or exp cohort studies/ or Controlled Before-After Studies/ or Case control.tw. or cohort.tw. or Cohort analy$.tw. or (Follow up adj (study or studies)).tw. or (observational adj (study or studies)).tw. or Longitudinal.tw. or Retrospective*.tw. or prospective*.tw. or consecutive*.tw. or Cross sectional.tw. or Cross-sectional studies/ or historically controlled study/ or interrupted time series analysis/ [Onder exp cohort studies vallen ook longitudinale, prospectieve en retrospectieve studies]

4883266

13

Case-control Studies/ or clinical trial, phase ii/ or clinical trial, phase iii/ or clinical trial, phase iv/ or comparative study/ or control groups/ or controlled before-after studies/ or controlled clinical trial/ or double-blind method/ or historically controlled study/ or matched-pair analysis/ or single-blind method/ or (((control or controlled) adj6 (study or studies or trial)) or (compar* adj (study or studies)) or ((control or controlled) adj1 active) or "open label*" or ((double or two or three or multi or trial) adj (arm or arms)) or (allocat* adj10 (arm or arms)) or placebo* or "sham-control*" or ((single or double or triple or assessor) adj1 (blind* or masked)) or nonrandom* or "non-random*" or "quasi-experiment*" or "parallel group*" or "factorial trial" or "pretest posttest" or (phase adj5 (study or trial)) or (case* adj6 (matched or control*)) or (match* adj6 (pair or pairs or cohort* or control* or group* or healthy or age or sex or gender or patient* or subject* or participant*)) or (propensity adj6 (scor* or match*))).ti,ab,kf. or (confounding adj6 adjust*).ti,ab. or (versus or vs or compar*).ti. or ((exp cohort studies/ or epidemiologic studies/ or multicenter study/ or observational study/ or seroepidemiologic studies/ or (cohort* or 'follow up' or followup or longitudinal* or prospective* or retrospective* or observational* or multicent* or 'multi-cent*' or consecutive*).ti,ab,kf.) and ((group or groups or subgroup* or versus or vs or compar*).ti,ab,kf. or ('odds ratio*' or 'relative odds' or 'risk ratio*' or 'relative risk*' or aor or arr or rrr).ab. or (("OR" or "RR") adj6 CI).ab.))

5836565

14

9 and 10 - SR

0

15

(9 and 11) not 14 - RCT

25

16

(9 and (12 or 13)) not (14 or 15) - Observationeel

35

17

14 or 15 or 16 - Totaal

60