Educational attainment in patients with congenital heart disease: A comprehensive systematic review and meta-analysis
| Autor: | Massimo Caputo, Arnaldo Dimagli, Giovanni Biglino, Lucia Cocomello, Debbie A Lawlor, Rosie Cornish |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Heart Defects Congenital Male Gerontology Adolescent Population Educational attainment Odds Young Adult Education Professional Humans Diseases of the circulatory (Cardiovascular) system Medicine Survivors cardiovascular diseases education Aged Congenital heart disease Vocational Education education.field_of_study business.industry Research Confounding Middle Aged Study heterogeneity RC666-701 Meta-analysis Vocational education Systematic review Educational Status Female Cardiology and Cardiovascular Medicine business Inclusion (education) |
| Zdroj: | Cocomello, L, Dimagli, A, Biglino, G, Caputo, M, Cornish, R P & Lawlor, D A 2021, ' Educational attainment in patients with congenital heart disease: A comprehensive systematic review and meta-analysis ', BMC Cardiovascular Disorders, vol. 21, 549 . https://doi.org/10.1186/s12872-021-02349-z BMC Cardiovascular Disorders, Vol 21, Iss 1, Pp 1-20 (2021) BMC Cardiovascular Disorders |
| DOI: | 10.1186/s12872-021-02349-z |
| Popis: | Background Our aim was to comprehensively review published evidence on the association between having a congenital heart disease (CHD) compared with not, on educational attainment (i.e. not obtaining a university degree, completing secondary education, or completing any vocational training vs. obtaining/completing) in adults. Method Studies were eligible if they reported the rate, odds, or proportion of level of educational attainment in adults by whether or not they had a CHD. Result Out of 1537 articles screened, we identified 11 (N = 104,585 participants, 10,487 with CHD), 10 (N = 167,470 participants, 11,820 with CHD), and 8 (N = 150,813 participants, 9817 with CHD) studies reporting information on university education, secondary education, and vocational training, respectively in both CHD and non-CHD participants. Compared to their non-CHD peers, CHD patients were more likely not to obtain a university degree (OR = 1.38, 95% CI [1.16, 1.65]), complete secondary education (OR = 1.33, 95% CI [1.09, 1.61]) or vocational training (OR = 1.11, 95% CI [0.98, 1.26]). For all three outcomes there was evidence of between study heterogeneity, with geographical area contributing to this heterogeneity. Conclusion This systematic review identified all available published data on educational attainment in CHD patients. Despite broad inclusion criteria we identified relatively few studies that included a comparison group from the same population, and amongst those that did, few adjusted for key confounders. Pooled analyses suggest evidence of lower levels of educational attainment in patients with CHD when compared to non-CHD peers. The extent to which this may be explained by confounding factors, such as parental education, or mediated by treatments is not possible to discern from the current research literature. |
| Databáze: | OpenAIRE |
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