Medicine and Health Sciences Commons^™

Alzheimer's Disease Heterogeneity And Co-Pathologies: Defining Novel Targets, Biomarkers, Modalities, And Research Methodologies, Malú Gámez Tansey, Jorge J Llibre-Guerra, Suzanne E Schindler

2020-Current year OA Pubs

Alzheimer's disease (AD) is a biologically heterogeneous condition with vascular, proteinopathic, metabolic, and immune processes jointly shaping its clinical expression, trajectory of progression, and response to therapeutic intervention. Common AD co-pathologies such as cerebral amyloid angiopathy, Lewy body pathology, α-synuclein, and transactive response DNA-binding protein of 43 kDa (TDP-43)/limbic-predominant age-related TDP-43 encephalopathy are also increasingly connected with cognitive decline and therapeutic response. Significant advances in biomarkers, including seed amplification assays, proteomic signatures, and emerging positron emission tomography tracers bolster the field's understanding of a biological staging model and discovery of previously unrecognized co-pathologies. The Fall 2025 Alzheimer's Association Research Roundtable …

Immunoembolization In Liver-Predominant Metastatic Uveal Melanoma: A Single-Center Retrospective Analysis, Renee Morecroft, Jordan Phillipps, Amrat Kumar, Jacob Strelnikov, George Nassief, Naganathan Mani, Jennifer Gould, Tanner Johanns, George Ansstas

2020-Current year OA Pubs

INTRODUCTION: Approximately 50% of patients with uveal melanoma develop metastatic disease, most commonly involving the liver, and prognosis remains poor. Immunoembolization (IE) is an established liver-directed therapy for patients with liver-dominant metastatic uveal melanoma (mUM), though comparative data with other regional therapies remain limited. We present a single-center retrospective analysis of IE in hepatic mUM and compare outcomes with those reported in the Phase 3 FOCUS trial evaluating melphalan via percutaneous hepatic perfusion.

METHODS: All patients with liver-dominant mUM treated with IE between 2010 and 2023 at our institution were included. Clinical records were reviewed for demographics, tumor characteristics, treatment …

Hiv-2 Infection As A Comparative Lens For Functional Hiv-1 Remission, Sabastine Eugene Arthur, John Atanniba, Prince Adom Nartey, Yeena Abla Tay, Dzidzor Aku Attoh, Christopher Zaab-Yen Abana, Evelyn Yayra Bonney, George Boateng Kyei

2020-Current year OA Pubs

Four decades into the HIV pandemic, HIV-2 infection remains an underutilized comparative resource for HIV-1 cure research. HIV-2 is associated with lower plasma viral loads, slower CD4

Hierarchical Bayesian Regression For Experimental Psychology: A Case Study Of Cognitive Control, Thomas A Dudey, Joshua J Jackson, Shelly R Cooper, Todd S Braver

2020-Current year OA Pubs

Arising from the so-called 'replication crisis' in the experimental psychology literature, there has been a growing call to reassess whether specific analytic practices might enhance the accuracy and precision of reported findings. This issue is explored here, through a case study examination of two previously collected datasets from the Dual Mechanisms of Cognitive Control (DMCC) task battery. This case study highlights the unique advantages afforded by Hierarchical Bayesian Regression (HBR) models as a potentially more rigorous analytic approach to statistical inference. In the DMCC datasets, two sets of HBR models are presented, with the estimates of the former used as …

A Digital Audio Workstation Approach For Matching The Sound Quality Of Speech And Music For Single-Sided Deaf Patients Fit With Cochlear Implants, Stephen R Dennison, Katelyn A Berg, Sarah C Natale, Beatriz De Diego-Lázaro, David Carabias-Galindo, Alberto Acebes-De-Pablo, Joshua S Stohl, Michael F Dorman

2020-Current year OA Pubs

INTRODUCTION: Cochlear implant (CI) patients who are single-sided deaf can match the sound quality of speech presented to their CI ear and speech presented to their normal hearing ear. Previous work using this patient population has generated acoustic approximations of CI sound quality for speech, achieving high similarity ratings through interactive manipulation of sound parameters such as filtering, pitch shifting, and spectral smearing. The present study aimed to extend this approach to music.

METHODS: A digital audio workstation (DAW) methodology was developed for generating sound quality matches to both speech and music in 11 adults with unilateral MED-EL CIs and …

Multi-Institutional Mri-Based Radiomic Pilot Study To Measure The Variations Between Scanner Vendors And Imaging Sessions, Suong Duong, Danny Lee, Carri Glide-Hurst, Bhudatt Paliwal, Jennie Crosby, Michael Boss, Yunfeng Cui, Mi Huang, Heng Li, Khadija Sheikh, Taeho Kim, James Monroe, Jung Hun Oh, Ying Xiao, Jason W Sohn

2020-Current year OA Pubs

BACKGROUND: Multi-institutional clinical trials frequently use MRI imaging for critical decisions and guidance for medical treatments. Collecting and analyzing images produced by various MR vendors and models is quite difficult since image quality can be highly variable. No unifying quality control targeting protocol studies exists to ensure MRI images used in that study are comparable. This project will investigate variations between imaging sessions and between various scanners using radiomic parameters from prototype MRI QA phantom.

PURPOSE: To develop a 3D radiomic phantom for quantifying radiomic feature consistency between MRI scanners across multi-institutions.

METHODS: The prototype phantom consists of five 3D-printed …

Real-World Use Of Theophylline In Critically Ill Patients With Sinus Pauses: A Case Series, Muhammad Ali Elahi, Hamza Jalal, William Frick, Bryan D Kraft

2020-Current year OA Pubs

BACKGROUND: A sinus pause is is defined as a delay in sinus node depolarization exceeding 3 s following atrial depolarization. In patients with pauses greater than 5 s accompanied by hemodynamic compromise, the primary treatment is permanent pacemaker (PPM) implantation. However, in the presence of an active infection, alternative strategies such as temporary transvenous pacing or pharmacologic agents may be more appropriate. This report highlights the use of theophylline as a non-invasive therapeutic option in two patients with asymptomatic sinus pauses who had contraindications to PPM placement.

CASES: Patient A was a 74-year-old woman with a history of pulmonary arterial …

The Impact Of Fixation Method And Surgical Approach On Outcomes Following Hip Hemiarthroplasty For Femoral Neck Fracture, Brian D Rust, Mitchel R Obey, Jenna-Leigh Wilson, Christopher M Mcandrew, Marschall B Berkes

2020-Current year OA Pubs

INTRODUCTION: Hip hemiarthroplasty is commonly performed for displaced femoral neck fractures in older adults, with implants placed either cemented or uncemented. While cemented fixation offers immediate stability, uncemented fixation reduces operative time and pulmonary complications. Large single-center analyses comparing these techniques remain limited, and this study aims to assess this.

METHODS: We conducted a retrospective case-control study of 634 adult patients undergoing hip hemiarthroplasty at a single Level 1 trauma center from 2019 to 2025. Patients were classified by cemented (n=403) or uncemented (n=231) fixation and further stratified by surgical approach (anterolateral vs posterior). Outcomes included length of stay, postoperative …

Development Of Colonic Polyposis In A Woman With Chronic Myeloid Leukemia Treated With Dasatinib, Guido Pelaez, Behram Suha Yildiz, Mert Candan, Mohammad Ismail, Francesca Vacca, Marianna B Ruzinova, Samuel Ballentine, Kathleen Byrnes, Armin Ghobadi

2020-Current year OA Pubs

INTRODUCTION: Chronic myeloid leukemia (CML) is a hematopoietic malignancy driven by constitutive tyrosine kinase activity. Dasatinib, a second-generation (2G) tyrosine kinase inhibitor (TKI), is a preferred treatment due to its superior, durable, and rapid response rates. While dasatinib has known gastrointestinal (GI) side effects, colonic polyposis is a rare complication, not well described in the literature.

CASE PRESENTATION: Upon routine colonoscopy, a 66-year-old woman with chronic-phase CML was incidentally discovered to have asymptomatic colonic polyposis after 11 months of dasatinib therapy. Histopathology revealed reactive inflammatory changes without evidence of dysplasia or neoplasia. The polyposis resolved completely after cessation of dasatinib. …

Towards Precision Functional Brain Network Mapping In Parkinson's Disease, Jacob Chernicky, Ally Dworetsky, Sarah Grossen, Emma Carr, Abdulmunaim Eid, Meghan C Campbell, Caterina Gratton

2020-Current year OA Pubs

BACKGROUND: Parkinson's disease (PD) is a complex neurodegenerative condition that leads to widespread disruption of large-scale brain networks and is further complicated by substantial individual variability in symptomology, progression rates, and treatment response. Consequently, the investigation of individual differences in networks measured via resting state functional connectivity (RSFC) may provide insight. However, most RSFC studies are unable to identify interindividual differences due to poor reliability and group average network definitions. "Precision" RSFC addresses these shortcomings through extended data collection, strict denoising, and individual network definition, but remains untested in PD.

OBJECTIVES: To evaluate the feasibility and reliability of precision RSFC …

Excellent Survival Following Low-Intensity Approaches Prior To Allo-Hsct In Ph+ All: A Comprehensive Meta-Analysis, Lacey S. Williams, Wenners Ballard Iii, Deniz Ozisik, Charles Scott Dorris, Kepher Makambi, Scott Rowley, Kieron Dunleavy, John Dipersio, Alaa Ali

2020-Current year OA Pubs

No abstract provided.

Antihypertensive Medications And Risk Of Alzheimer's Disease: Evidence For Specific Medication Use, Osvaldo J. Laurido-Soto, Alejandra Camacho-Soto, Irene M. Faust, Kassu M. Beyene, Aaron Katz, Jordan A. Killion, Brad A. Racette

2020-Current year OA Pubs

No abstract provided.

Alzheimer's Disease Stage 1 And 2: Biology, Diagnostics, And Treatment, Suzanne E. Schindler, Sarah M. Hartz, Et Al.

2020-Current year OA Pubs

No abstract provided.

Eligibility For Anti-Amyloid Treatment In A Multiethnic Community-Based Study, Lydia Trudel, Joseph Therriault, Arthur C Macedo, Karin L Meeker, Meredith N Braskie, Arthur W Toga, Serge Gauthier, Paolo Vitali, Suzanne E Schindler, Sid E O'Bryant, Pedro Rosa-Neto

2020-Current year OA Pubs

INTRODUCTION: The approval of anti-amyloid monoclonal antibodies (mAbs), including lecanemab and donanemab, represents a significant advance in disease-modifying therapies (DMTs) for early Alzheimer's disease (AD). While appropriate use recommendations (AURs) have been established to guide clinical decision-making, the proportion of individuals with cognitive impairment in real-world, multiethnic populations meeting eligibility criteria remains unknown, as do potential differences in treatment-related risks across ethnic groups.

METHODS: We included 513 cognitively impaired individuals from the Health and Aging Brain Study-Health Disparities study, a multiethnic community-based cohort. Eligibility for lecanemab and donanemab was determined using published AUR criteria. Counts of amyloid-related imaging abnormalities were …

Establishing Demographic-Based Normative Values For Neurofilament Light Chain And Glial Fibrillary Acidic Protein In Serum And Plasma Samples, Tyler L Borko, Salim Chahin, Et Al.

2020-Current year OA Pubs

BACKGROUND: Interpretation of neurofilament light chain (NfL) and glial fibrillary acidic protein (GFAP) levels in blood requires reference ranges from healthy cohorts, accounting for demographic features.

OBJECTIVE: To compare serum and plasma NfL and GFAP in healthy individuals, accounting for age, sex, and body mass index (BMI).

METHODS: Adolescents through older adults were recruited at Colorado community events and a senior clinic. A neurologist reviewed self-reported medical histories. Paired serum and EDTA plasma samples were assayed using the Quanterix SR-X Simoa Neuro 4-Plex. Log-linear models estimated percent change per year of age, per BMI unit, and sex ratios. GFAP used …

The Role Of Home Visiting In Addressing Postpartum Care Gaps: Evidence From A Large Community Sample, Aishwarya Vijay, Allison Kemner, Karen Hoerchler, Abigail Edwards, Jeannie C Kelly, Rachel G Tabak, Mark D Huffman, Zainab Mahmoud

2020-Current year OA Pubs

BackgroundMaternal mortality in the United States has doubled over the last two decades, primarily due to cardiovascular disease, with more than half of deaths occurring postpartum. Despite national calls to action, attendance at postpartum clinic visits remains low. The role of alternative care delivery strategies, such as home visiting, remains insufficiently studied.ObjectiveTo describe postpartum clinic visit attendance among participants in a large national home visiting program, identify sociodemographic and clinical factors associated with attendance, and examine how timing and duration of enrollment relate to postpartum follow-up.DesignWe conducted a retrospective cohort study of pregnancy episodes among mothers enrolled in the Parents …

Strategies To Optimize Skill Acquisition And Prevent Skill Decay For The Air Transport Clinician, Mckayley Green, Aaron J Lacy, James L Li, John E Schneider

2020-Current year OA Pubs

No abstract provided.

Participatory Systems Modeling In Implementation Research: Exploring Benefits, Facilitators, And Future Needs, Natalie Riva Smith, Jennifer L Cruz, Jessica Gannon, Stephanie Mazzucca-Ragan

2020-Current year OA Pubs

BACKGROUND: Implementation science increasingly uses participatory systems modeling (PSM) approaches to handle the complexity inherent to implementation science issues. To support the process of integrating PSM with implementation science, we aimed to understand and explicate the benefits, facilitators, and future needs of applying PSM to implementation research.

METHODS: We conducted semi-structured qualitative interviews with 23 researchers (n = 18) and practitioners (n = 5). We purposively sampled participants and identified additional participants through recommendations. Interviews were inductively analyzed. Key concepts were identified via iterative description, comparison, and conceptualization.

RESULTS: Engagement with people in the system was typically focused in earlier …

Concordance Of Fluorescence In Situ Hybridization, Whole-Exome Sequencing, And Chromosomal Microarray For Evaluating High-Risk Molecular Features In Meningiomas, Brenndan Crumley, Emilie Russler-Germain, Sonika Dahiya

2020-Current year OA Pubs

BACKGROUND: Meningiomas are the most common primary intracranial tumors, classified into three WHO grades based on histologic and/or molecular criteria. cIMPACT-NOW Update 8 underscores the increasing importance of molecular testing in grading and risk stratification, noting that morphologically WHO grade 1 tumors with concurrent 1p and 22q losses demonstrate clinical behavior comparable to WHO grade 2 meningiomas. This study aimed to assess the concordance of fluorescence in situ hybridization (FISH), chromosomal microarray analysis (CMA), and whole-exome sequencing (WES) in defining the molecular risk profile of meningiomas.

METHODS: A total of 113 meningiomas were analyzed by WHO grade to assess the …

Aspiring Athletes Managing Sport, Education, Social, And Family Life: A Scoping Review, Donna Howard, Ivan Jeftic, Paul Goods, Ben Jackson, Caitlin Fox-Harding, Michael Rosenberg

Research outputs 2022 to 2026

Objectives: This scoping review considers the experiences of aspiring high school-aged athletes as they navigate the complexities of managing sport, education, social, and family life. The review synthesises existing literature on the decisions, barriers, facilitators, and support systems that influence aspiring athletes' pathways. Design: Systematic scoping review. Methods: Following the PRISMA-ScR framework, four databases were searched (SCOPUS, SPORTDiscus, PsycInfo, CINAHL), and studies involving aspiring high school aged athletes were uploaded to Covidence. Results: Across the four databases 1781 studies were identified through abstract screening and 61 of these studies were used for the final review. Despite the significant commitment that …

Beta-Band Modulation Reveals The Cortical Dynamics Of Auditory Statistical Learning In Children, Jarrad A.G Lum, Christine N. Moreau, Li Ann Leow, Welber Marinovic, Sarah J. Lum, Marc F. Joanisse, Laura J. Batterink

Research outputs 2022 to 2026

Children's ability to extract statistical regularities from speech is considered fundamental to lexical, syntactic, and grammatical development. However, the neural oscillatory mechanisms supporting this process in childhood remains poorly understood. While beta-band oscillations have been linked to statistical learning in visual and motor domains, it is unclear whether similar dynamics support auditory statistical learning in children. In this study, we recorded electroencephalography (EEG) from children aged 8–12 years as they listened to a continuous stream of trisyllabic nonwords (e.g., dapiku), where syllable order within each nonword was fixed (high predictability), but transitions between nonwords were variable (low predictability). Beta power …

Single Joint Posterior Chain Isometric Testing Using Force Plates: A Systematic Review Of The Methodologies And Reliability Of Testing Methods, Jack T. Fahey, Christopher Bramah, Richie Barber, James Williams, John J. Mcmahon, Paul Comfort, Nicholas J. Ripley

Research outputs 2022 to 2026

The posterior chain muscles (i.e. hamstring and gluteal) play an important role in performance and injury prevention. Posterior chain muscle injuries lead to time lost from training, competition and increased reinjury risk. Force plates enable valid and reliable assessment, current methods assessing isometric posterior chain (IPC) force production using force plates have yet to be reviewed. This review was designed to systematically review methods of single joint IPC force plate testing; establish existing reliability; and summarise descriptive data. A literature search was conducted using the following search terms: ‘force plat*’ AND ‘isometric’ AND (‘hamstring*’ OR ‘knee flex*’ OR ‘posterior chain’ …

Two Strategies To Improve Stability In A Precision-Based Task: Insights From The Badminton Short Serve, Yochi Iino, Jodie Cochrane Wilkie, Senshi Fukashiro, Shinsuke Yoshioka, Shayne Vial

Research outputs 2022 to 2026

The badminton short serve is a highly precise task requiring accurate control of racquet face orientation, which directly influences shuttlecock trajectory and limits an opponent's ability to attack. Previous studies on motor redundancy have emphasized covariation among elemental variables as the primary mechanism for stabilizing performance. However, when the sensitivities of elemental variables differ, performance can also be stabilized by unevenly distributing individual variances without altering correlation — an approach that has received limited attention. This study investigated whether elite players use both the correlation strategy and the uneven variance strategy to stabilize racquet face angles during the short serve. …

A Group Motivational Intervention To Support Motivation For Physical Activity Among Adults In Residential Treatment For Substance Use Disorders: A Series Of N-Of-1 Studies, Sascha Thal, Nikos Ntoumanis, Stephen Bright, Bronwyn Myers, Dominika Kwasnicka, Peter Verboon, James Clarke, Eleanor Quested

Research outputs 2022 to 2026

Objective: Physical activity (PA) may offer health benefits for individuals undergoing substance use disorder (SUD) treatment, yet relapse, comorbidities, and motivational challenges often hinder PA maintenance. This study assessed the impact of a motivational intervention aimed at increasing PA motivation and maintenance in a residential SUD treatment setting. Methods and Measures: This non-concurrent multiple-baseline N-of-1 study consisted of a six-week baseline and a ten-week intervention period. The study was conducted with 17 participants from a male-only residential SUD treatment facility in Perth, Australia. Seven participants provided sufficient data for statistical analysis. Participants received ten weekly sessions of a motivational face-to-face …

Tea And Coffee Intakes, Copd, Adult Asthma, And Lung Function In The Uk Biobank, Nicola P. Bondonno, Pratik Pokharel, Benjamin H. Parmenter, Alysha S. Thompson, Amy Jennings, Kevin Murray, Howraman Meteran, Jonathan Hodgson, Tilman Kühn, Aedín Cassidy

Research outputs 2022 to 2026

Introduction: Previous studies suggest non-linear associations between tea and coffee intake and respiratory health, with lower risks at low-to-moderate intakes but higher, unexplored risks at high intakes. This study aims to investigate associations between tea and coffee intake and the risk of chronic obstructive pulmonary disease (COPD) and adult-onset asthma. Methods: Among 366 869 participants of the UK Biobank, intakes of tea and coffee were derived from both a food frequency questionnaire and from repeated 24 hour diet assessments. Cross-sectional associations with measures of lung function [forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), and FEV1/FVC] and …

Functional Data Analysis Of Vertical Barbell Acceleration During The Pull Of The Power Clean, Tsuyoshi Nagatani, Shayne Vial, Kristina L. Kendall, Paul Comfort, G. Gregory Haff

Research outputs 2022 to 2026

The purpose of this study was to examine the relationship between vertical barbell acceleration patterns and power clean performance. Thirty strength-power athletes performed a one repetition maximum (1RM) power clean test, recording vertical barbell acceleration data from their heaviest successful lifts. This data was then analysed using functional principal component (fPC) analysis methods. Three vertical barbell acceleration patterns were extracted, with each primarily reflecting variations in the magnitude of vertical barbell acceleration during the second pull (fPC1), the transition (fPC2), and the first pull (fPC3). Additionally, two fPCs were extracted from displacement fields, which explain timing variations in barbell acceleration …

Gut Microbial Composition And Short-Chain Fatty Acid Metabolism In Cognitively Unimpaired Adults Stratified By Amyloid-Β Status, D. M.Sithara Dissanayaka, Thilini N. Jayasinghe, Hamid R. Sohrabi, Stephanie R. Rainey-Smith, Kevin Taddei, Colin L. Masters, Ralph N. Martins, W. M.A.D.Binosha Fernando

Research outputs 2022 to 2026

Short-chain fatty acids (SCFAs) produced by gut microbial fermentation influence host metabolism and neuroinflammatory processes implicated in Alzheimer’s disease (AD). However, the relationship between fecal SCFAs, microbial taxa, and cerebral amyloid-β (Aβ) burden in cognitively unimpaired individuals remains unclear. Fecal SCFAs were quantified using GC-MS, and microbial species were profiled by shotgun metagenomics in 87 participants. Associations between SCFAs, demographics, APOE ε4 status, and Aβ burden were tested using nonparametric statistics and multivariable regression. Microbial–SCFA links were evaluated using Spearman correlations and multivariate ordinations, with mediation analysis exploring potential indirect pathways. Acetate was the predominant SCFA and demonstrated the most …

Optimising Vaginal Microbiome Profiling For Clinical Translation: A Comparative Assessment Of Sample Storage Methods And A Vagina-Specific 16s Rrna Gene Database, Alishum Ali, Jeffrey A. Keelan, Blagica Penova-Veselinovic, Morten E. Allentoft, Michael Bunce, Claus T. Christophersen

Research outputs 2022 to 2026

Vaginal microbiome composition has been linked to risk of preterm birth (PTB), a persistent global health challenge. 16S rRNA microbial profiling has identified specific vaginal community state types (CSTs) that have been associated with PTB risk. Diagnostic profiling requires standardised pre-analytical protocols. We evaluated two storage methods and validated a curated, vagina-specific 16S rRNA gene database (VagDB) to enhance annotation. Paired Copan FLOQ swabs from 22 women at high PTB risk were processed for either (a) dry/immediate freezing or (b) Amies-stabilisation/refrigeration. Amplicon sequence variants were generated via 16S rRNA gene (V4) PCR and Illumina sequencing. We assessed diversity, composition, and …

Feasibility And Preliminary Efficacy Of Integrative Neuromuscular Training For Childhood Cancer Survivors: A Pilot Study, Anna Maria Markarian, U. Newton, Dennis Taaffe, Nicholas G. Gottardo, Santosh Valvi, Carolyn J. Peddle-Mcintyre, Jodie Cochrane Wilkie, Daniel A. Galvão

Research outputs 2022 to 2026

Background: Survivors of childhood acute lymphoblastic leukemia (ALL) often exhibit early deficits in muscle and movement competence, which can compromise long-term health. Integrative neuromuscular training (INT), a multifaceted approach combining fundamental movement activities with strength exercises, may help address these deficits during critical developmental periods. Methods: Eight children treated for ALL (aged 6–12 years) completed a supervised INT intervention (2 sessions/week for 8 weeks). Primary outcomes were feasibility (recruitment, retention, adherence, compliance, and tolerance) and program acceptability. Secondary outcomes included muscle function (isometric midthigh pull [IMTP], countermovement jump, and handgrip strength), dual-energy x-ray absorptiometry (DXA)-derived body composition, peripheral quantitative computed …

Nurses' Experiences Of Pain Management For Patients With Diagnosed Mental Health Conditions: A Systematic Review, Aaron Lapuz Alejandro, Middlewick, Seng Giap Marcus Ang, Rosemary Saunders, Irene Ngune

Research outputs 2022 to 2026

Aim: To synthesise the available evidence related to nurses' pain assessment and management practices for patients with diagnosed mental health conditions. Design: Mixed-methods systematic review. Data Sources: Medline, CINAHL, PsycINFO, SPORTDiscus and Psychology and Behavioural Sciences Collection. Methods: Databases search was conducted in March 2024 and updated in June 2025. Methodological quality was assessed using the Mixed Methods Appraisal Tool. Data synthesis followed the Joanna Briggs Institute (JBI) Manual for Evidence Synthesis. Results: Of the 1318 eligible studies identified, 12 met the inclusion criteria. The included studies were methodologically robust overall but frequently neglected nonresponse bias and were predominantly conducted …