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帕金森病:胎儿细胞或干细胞衍生疗法。

Parkinson's disease: fetal cell or stem cell-derived treatments.

作者信息

Astradsson Arnar, Aziz Tipu Z

机构信息

Department of Neurorehabilitation, Traumatic Brain Injury Unit, Copenhagen University Hospital of Glostrup, Copenhagen, Denmark.

出版信息

BMJ Clin Evid. 2015 Apr 21;2015:1203.

Abstract

INTRODUCTION

The mean age of onset of Parkinson's disease is about 65 years, with a median time of 9 years between diagnosis and death.

METHODS AND OUTCOMES

We conducted a systematic review and aimed to answer the following clinical question: What are the effects of fetal cell or stem cell-derived therapy in people with Parkinson's disease? We searched: Medline, Embase, The Cochrane Library and other important databases up to September 2014 (Clinical Evidence reviews are updated periodically; please check our website for the most up-to-date version of this review). We included harms alerts from relevant organisations such as the US Food and Drug Administration (FDA) and the UK Medicines and Healthcare products Regulatory Agency (MHRA).

RESULTS

We found two studies that met our inclusion criteria. We performed a GRADE evaluation of the quality of evidence for interventions.

CONCLUSIONS

In this systematic review we present information relating to the effectiveness and safety of the following interventions: fetal cell therapy versus deep brain stimulation; fetal cell therapy versus sham surgery; stem cell-derived therapy versus deep brain stimulation; stem cell-derived therapy versus sham surgery.

摘要

引言

帕金森病的平均发病年龄约为65岁,从诊断到死亡的中位时间为9年。

方法与结果

我们进行了一项系统评价,旨在回答以下临床问题:胎儿细胞或干细胞衍生疗法对帕金森病患者有何影响?我们检索了截至2014年9月的以下数据库:医学期刊数据库(Medline)、荷兰医学文摘数据库(Embase)、考克兰图书馆及其他重要数据库(临床证据综述会定期更新;请查阅我们的网站获取本综述的最新版本)。我们纳入了来自美国食品药品监督管理局(FDA)和英国药品和医疗产品监管局(MHRA)等相关组织的危害警示。

结果

我们发现两项符合纳入标准的研究。我们对干预措施的证据质量进行了GRADE评估。

结论

在本系统评价中,我们呈现了以下干预措施的有效性和安全性相关信息:胎儿细胞疗法与深部脑刺激;胎儿细胞疗法与假手术;干细胞衍生疗法与深部脑刺激;干细胞衍生疗法与假手术。

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本文引用的文献

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Timely levodopa (LD) administration prolongs survival in Parkinson's disease.
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Clinical genetics of Parkinson's disease and related disorders.帕金森病及相关疾病的临床遗传学
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