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仙灵骨葆胶囊治疗肌少骨质疏松症的疗效:系统评价与Meta分析方案

Efficacy of Xianling Gubao capsule in treating sarco-osteopenia: Protocol for a systematic review and meta-analysis.

作者信息

Chen Qunqun, Zeng Junxiang, Chen Yi, Yang Yalan, Zhang Tian, Luo Tao, Huang Hongxing

机构信息

The Third Affiliated Hospital of Guangzhou University of Chinese Medicine.

Guangzhou University of Chinese Medicine, Guangzhou.

出版信息

Medicine (Baltimore). 2019 May;98(20):e15672. doi: 10.1097/MD.0000000000015672.

Abstract

BACKGROUND

Sarco-osteopenia (SOP) is a new type of geriatric syndrome, resulting from the combination of sarcopenia (SP) and osteoporosis (OP). Xianling Gubao capsule (XLGBC), made from several traditional Chinese medicine, is reported to have a therapeutic effect on diseases of bones and joints. This protocol will be designed to assess the efficacy of XLGBC in the treatment of SOP.

METHODS

Relevant randomized controlled trial literatures evaluating the effect of XLGBC on patients with SOP will be obtained by searching the following 7 electronic databases: Cochrane Library, PubMed, Embase, Chinese National Knowledge Infrastructure (CNKI), Chinese Scientific Journal Database (VIP), Chinese Biomedical and Medical Database (CBM), and Wanfang Database, from inception to March 2019. The primary outcomes will be bone mineral density, skeletal muscle mass index, handgrip strength, and gait speed. Stata V.13.0 software will be used for data synthesis and analysis, sensitivity analysis, subgroup analysis, and risk of bias assessment. Reporting bias will be evaluated utilizing a funnel, with Egger tests assessing funnel plot symmetries. Quality of evidence will be evaluated according to guidance of the Recommendations Assessment, Development, and Evaluation guideline.

RESULT

This study will provide a rational synthesis of current evidences for XLGBC on SOP.

CONCLUSION

The conclusion of this study will provide evidence to judge the effectiveness and safety of XLGBC on SOP.

ETHICS AND DISSEMINATION

This systematic review will be contributed to peer-reviewed publications, aiming to provide evidence about efficacy of XLGBC on SOP.

TRIAL REGISTRATION NUMBER

CRD42019128223.

摘要

背景

肌少-骨质疏松症(SOP)是一种新型老年综合征,由肌少症(SP)和骨质疏松症(OP)共同导致。仙灵骨葆胶囊(XLGBC)由多种中药制成,据报道对骨关节疾病有治疗作用。本方案旨在评估仙灵骨葆胶囊治疗肌少-骨质疏松症的疗效。

方法

通过检索以下7个电子数据库,获取从建库至2019年3月期间评估仙灵骨葆胶囊对肌少-骨质疏松症患者疗效的相关随机对照试验文献:考克兰图书馆、PubMed、Embase、中国知网(CNKI)、维普中文科技期刊数据库(VIP)、中国生物医学文献数据库(CBM)和万方数据库。主要结局指标将包括骨密度、骨骼肌质量指数、握力和步速。将使用Stata V.13.0软件进行数据合成与分析、敏感性分析、亚组分析以及偏倚风险评估。将利用漏斗图评估发表偏倚,采用Egger检验评估漏斗图的对称性。将根据《推荐意见评估、制定与评价指南》的指导评估证据质量。

结果

本研究将对当前有关仙灵骨葆胶囊治疗肌少-骨质疏松症的证据进行合理整合。

结论

本研究结论将为判断仙灵骨葆胶囊治疗肌少-骨质疏松症的有效性和安全性提供依据。

伦理与传播

本系统评价将投稿至同行评审期刊发表,旨在提供关于仙灵骨葆胶囊治疗肌少-骨质疏松症疗效的证据。

试验注册号

CRD42019128223。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82c5/6531215/d49a0bd7c1ff/medi-98-e15672-g001.jpg

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