Evidence Supporting the Management of Medical Conditions During Long-Duration Spaceflight: Protocol for a Scoping Review
BackgroundFuture long-duration space exploration missions, such as traveling to Mars, will create an increase in communication time delays and disruptions and remove the viability of emergency returns to Earth for timely medical treatment. Thus, higher levels of medical autonomy are necessary. Crew...
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| Format: | Article |
| Language: | English |
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JMIR Publications
2021-03-01
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| Series: | JMIR Research Protocols |
| Online Access: | https://www.researchprotocols.org/2021/3/e24323 |
| _version_ | 1818878112903987200 |
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| author | Tran, Kim-Anh Pollock, Neal William Rhéaume, Caroline Razdan, Payal Sonya Fortier, Félix-Antoine Dutil-Fafard, Lara Morin, Camille Monnot, David Pierre-Marie Huot-Lavoie, Maxime Simard-Sauriol, Philippe Chandavong, Sam Le Pabic, Geneviève LeBlanc, Jean-Philippe Lafond, Daniel Marion, Andréanne Archambault, Patrick Michel |
| author_facet | Tran, Kim-Anh Pollock, Neal William Rhéaume, Caroline Razdan, Payal Sonya Fortier, Félix-Antoine Dutil-Fafard, Lara Morin, Camille Monnot, David Pierre-Marie Huot-Lavoie, Maxime Simard-Sauriol, Philippe Chandavong, Sam Le Pabic, Geneviève LeBlanc, Jean-Philippe Lafond, Daniel Marion, Andréanne Archambault, Patrick Michel |
| author_sort | Tran, Kim-Anh |
| collection | DOAJ |
| description | BackgroundFuture long-duration space exploration missions, such as traveling to Mars, will create an increase in communication time delays and disruptions and remove the viability of emergency returns to Earth for timely medical treatment. Thus, higher levels of medical autonomy are necessary. Crew selection is proposed as the first line of defense to minimize medical risk for future missions; however, the second proposed line of defense is medical preparedness and crew member autonomy. In an effort to develop a decision support system, the Canadian Space Agency mandated a team of scientists from Thales Research and Technology Canada (Québec, QC) and Université Laval (Québec, QC) to create an evidence-based medical condition database linking mission-critical human conditions with key causal factors, diagnostic and treatment information, and probable outcomes.
ObjectiveTo complement this database, we are currently conducting a scoping review to better understand the depth and breadth of evidence about managing medical conditions in space.
MethodsThis scoping review will adhere to quality standards for scoping reviews, employing Levac, Colquhoun, and O’Brien's 6-stage methodology; the reported results will follow the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) extension for scoping reviews. In stage 1, we identified the research question in collaboration with the Canadian Space Agency (CSA), the main knowledge user. We prioritized 10 medical conditions: (1) acute coronary syndrome, (2) atrial fibrillation, (3) eye penetration, (4) herniated disk, (5) nephrolithiasis, (6) pulmonary embolism, (7) retinal detachment, (8) sepsis, (9) stroke, and (10) spaceflight associated neuro-ocular syndrome. In stage 2, with the help of an information specialist from Cochrane Canada Francophone, papers were identified through searches of the following databases: ARC, Embase, IeeeXplore, Medline Ovid, PsychINFO, and Web of Science. In stage 3, studies will be selected and assessed using a 3-step process and emerging, refined exclusion criteria. In stage 4, the data will be charted in a table based on parameters required by the CSA and developed using Google spreadsheets for shared access. In stage 5, evidence-based descriptive summaries will be produced for each condition, as well as descriptive analyses of collected data. Finally, in stage 6, the findings will be shared with the CSA to guide the completion of this project.
ResultsThis study was planned in December 2018. Stage 1 has been completed. The initial database search strategy with all target conditions combined identified a total of 10,403 citations to review through title and abstract screening and after duplicate removal. We plan to complete stages 2-6 by the beginning of 2021.
ConclusionsThis scoping review will map the literature on the management of 10 priority medical conditions in space. It will also enable us to identify knowledge gaps that must be addressed in future research, ensuring successful and medically safe future missions as humankind embarks upon new frontiers of space exploration.
International Registered Report Identifier (IRRID)DERR1-10.2196/24323 |
| first_indexed | 2024-12-19T14:09:00Z |
| format | Article |
| id | doaj.art-f58c6421c9164580bccd4b72d97c507f |
| institution | Directory Open Access Journal |
| issn | 1929-0748 |
| language | English |
| last_indexed | 2024-12-19T14:09:00Z |
| publishDate | 2021-03-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Research Protocols |
| spelling | doaj.art-f58c6421c9164580bccd4b72d97c507f2022-12-21T20:18:12ZengJMIR PublicationsJMIR Research Protocols1929-07482021-03-01103e2432310.2196/24323Evidence Supporting the Management of Medical Conditions During Long-Duration Spaceflight: Protocol for a Scoping ReviewTran, Kim-AnhPollock, Neal WilliamRhéaume, CarolineRazdan, Payal SonyaFortier, Félix-AntoineDutil-Fafard, LaraMorin, CamilleMonnot, David Pierre-MarieHuot-Lavoie, MaximeSimard-Sauriol, PhilippeChandavong, SamLe Pabic, GenevièveLeBlanc, Jean-PhilippeLafond, DanielMarion, AndréanneArchambault, Patrick MichelBackgroundFuture long-duration space exploration missions, such as traveling to Mars, will create an increase in communication time delays and disruptions and remove the viability of emergency returns to Earth for timely medical treatment. Thus, higher levels of medical autonomy are necessary. Crew selection is proposed as the first line of defense to minimize medical risk for future missions; however, the second proposed line of defense is medical preparedness and crew member autonomy. In an effort to develop a decision support system, the Canadian Space Agency mandated a team of scientists from Thales Research and Technology Canada (Québec, QC) and Université Laval (Québec, QC) to create an evidence-based medical condition database linking mission-critical human conditions with key causal factors, diagnostic and treatment information, and probable outcomes. ObjectiveTo complement this database, we are currently conducting a scoping review to better understand the depth and breadth of evidence about managing medical conditions in space. MethodsThis scoping review will adhere to quality standards for scoping reviews, employing Levac, Colquhoun, and O’Brien's 6-stage methodology; the reported results will follow the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) extension for scoping reviews. In stage 1, we identified the research question in collaboration with the Canadian Space Agency (CSA), the main knowledge user. We prioritized 10 medical conditions: (1) acute coronary syndrome, (2) atrial fibrillation, (3) eye penetration, (4) herniated disk, (5) nephrolithiasis, (6) pulmonary embolism, (7) retinal detachment, (8) sepsis, (9) stroke, and (10) spaceflight associated neuro-ocular syndrome. In stage 2, with the help of an information specialist from Cochrane Canada Francophone, papers were identified through searches of the following databases: ARC, Embase, IeeeXplore, Medline Ovid, PsychINFO, and Web of Science. In stage 3, studies will be selected and assessed using a 3-step process and emerging, refined exclusion criteria. In stage 4, the data will be charted in a table based on parameters required by the CSA and developed using Google spreadsheets for shared access. In stage 5, evidence-based descriptive summaries will be produced for each condition, as well as descriptive analyses of collected data. Finally, in stage 6, the findings will be shared with the CSA to guide the completion of this project. ResultsThis study was planned in December 2018. Stage 1 has been completed. The initial database search strategy with all target conditions combined identified a total of 10,403 citations to review through title and abstract screening and after duplicate removal. We plan to complete stages 2-6 by the beginning of 2021. ConclusionsThis scoping review will map the literature on the management of 10 priority medical conditions in space. It will also enable us to identify knowledge gaps that must be addressed in future research, ensuring successful and medically safe future missions as humankind embarks upon new frontiers of space exploration. International Registered Report Identifier (IRRID)DERR1-10.2196/24323https://www.researchprotocols.org/2021/3/e24323 |
| spellingShingle | Tran, Kim-Anh Pollock, Neal William Rhéaume, Caroline Razdan, Payal Sonya Fortier, Félix-Antoine Dutil-Fafard, Lara Morin, Camille Monnot, David Pierre-Marie Huot-Lavoie, Maxime Simard-Sauriol, Philippe Chandavong, Sam Le Pabic, Geneviève LeBlanc, Jean-Philippe Lafond, Daniel Marion, Andréanne Archambault, Patrick Michel Evidence Supporting the Management of Medical Conditions During Long-Duration Spaceflight: Protocol for a Scoping Review JMIR Research Protocols |
| title | Evidence Supporting the Management of Medical Conditions During Long-Duration Spaceflight: Protocol for a Scoping Review |
| title_full | Evidence Supporting the Management of Medical Conditions During Long-Duration Spaceflight: Protocol for a Scoping Review |
| title_fullStr | Evidence Supporting the Management of Medical Conditions During Long-Duration Spaceflight: Protocol for a Scoping Review |
| title_full_unstemmed | Evidence Supporting the Management of Medical Conditions During Long-Duration Spaceflight: Protocol for a Scoping Review |
| title_short | Evidence Supporting the Management of Medical Conditions During Long-Duration Spaceflight: Protocol for a Scoping Review |
| title_sort | evidence supporting the management of medical conditions during long duration spaceflight protocol for a scoping review |
| url | https://www.researchprotocols.org/2021/3/e24323 |
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