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对比剂应用后急性肾损伤的倾向评分匹配替代随机对照试验的系统评价。

Propensity Score Matching as a Substitute for Randomized Controlled Trials on Acute Kidney Injury After Contrast Media Administration: A Systematic Review.

机构信息

1 Department of Radiology, C2-S, Leiden University Medical Center, Albinusdreef 2, Leiden NL-2333 ZA, The Netherlands.

出版信息

AJR Am J Roentgenol. 2018 Oct;211(4):822-826. doi: 10.2214/AJR.17.19499. Epub 2018 Aug 7.

Abstract

OBJECTIVE

Controversy exists regarding the causal relationship between contrast media administration and the development of acute kidney injury because prospective randomized controlled trials (RCTs) confirming this relationship are lacking. In this systematic review we address studies using propensity score matching with regard to contrast-induced acute kidney injury and possible implications for future practice guideline development.

CONCLUSION

Propensity score matching can overcome the main limitations of conventional observational studies and could serve as an alternative in the absence of RCTs.

摘要

目的

由于缺乏前瞻性随机对照试验(RCT)证实造影剂的使用与急性肾损伤的发生之间存在因果关系,因此对于二者之间的因果关系存在争议。在本系统评价中,我们针对使用倾向评分匹配研究造影剂引起的急性肾损伤的研究进行了评估,并对未来的临床实践指南的制定提出了可能的建议。

结论

倾向评分匹配可以克服传统观察性研究的主要局限性,并且在缺乏 RCT 的情况下可以作为替代方法。

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