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ACL 损伤后新半月板撕裂:风险有多大?一项系统评价方案。

New meniscal tears after ACL injury: what is the risk? A systematic review protocol.

机构信息

Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway.

Oslo Sports Trauma Research Centre (OSTRC), Norwegian School of Sport Sciences, Oslo, Norway.

出版信息

Br J Sports Med. 2018 Mar;52(6):386. doi: 10.1136/bjsports-2017-097728. Epub 2017 Jun 24.

DOI:10.1136/bjsports-2017-097728
PMID:28647718
Abstract

BACKGROUND

Secondary meniscal tears after ACL injuries increase the risk of knee osteoarthritis. The current literature on secondary meniscal injuries after ACL injury is not consistent and may have methodological shortcomings. This protocol describes the methods of a systematic review investigating the rate of secondary meniscal injuries in children and adults after treatment (operative or non-operative) for ACL injury.

METHODS

We will search electronic databases (Embase, Ovid Medline, Cochrane, CINAHL (Cumulative Index to Nursing and Allied Health Literature), SPORTDiscus, PEDro and Google Scholar) from database inception. Extracted data will include demographic data, methodology, intervention details and patient outcomes. Risk of bias will be assessed using the Newcastle Ottawa checklist for cohort studies. Article screening, eligibility assessment, risk of bias assessment and data extraction will be performed in duplicate by independent reviewers. A proportion meta-analysis will be performed if studies are homogeneous (I<75%). If meta-analysis is precluded, data will be synthesised descriptively using best-evidence synthesis. The strength of recommendations and quality of evidence will be assessed using the Grading of Recommendations Assessment Development and Evaluation working group methodology.

ETHICS AND DISSEMINATION

This protocol is written according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses, and was registered in the International Prospective Register of Systematic Reviews on 22 March 2016.

TRIAL REGISTRATION NUMBER

CRD42016036788.

摘要

背景

ACL 损伤后发生的半月板二次撕裂会增加膝关节骨关节炎的风险。目前关于 ACL 损伤后半月板二次撕裂的文献并不一致,可能存在方法学上的缺陷。本方案描述了一项系统评价的方法,旨在调查儿童和成人 ACL 损伤治疗(手术或非手术)后半月板二次撕裂的发生率。

方法

我们将从数据库建立开始搜索电子数据库(Embase、Ovid Medline、Cochrane、CINAHL(护理与联合健康文献累积索引)、SPORTDiscus、PEDro 和 Google Scholar)。提取的数据将包括人口统计学数据、方法学、干预措施细节和患者结局。使用 Newcastle-Ottawa 清单对队列研究进行偏倚风险评估。文章筛选、合格性评估、偏倚风险评估和数据提取将由两名独立评审员进行重复操作。如果研究具有同质性(I<75%),则将进行比例荟萃分析。如果排除荟萃分析,则将使用最佳证据综合法对数据进行描述性综合。使用 Grading of Recommendations Assessment, Development and Evaluation 工作小组的方法评估推荐意见的强度和证据质量。

伦理与传播

本方案按照系统评价和荟萃分析的 Preferred Reporting Items 编写,并于 2016 年 3 月 22 日在国际前瞻性系统评价注册库中进行了注册。

注册号

CRD42016036788。

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