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基于紫杉烷的化疗与乳腺癌相关淋巴水肿的风险:系统评价与荟萃分析方案

Taxane-based chemotherapy and risk of breast cancer-related lymphedema: Protocol for a systematic review and meta-analysis.

作者信息

Zhang Zhenhua, Zhang Xiwen, Chen Shuntai, Jiang Juling, Qi Runzhi, Zhang Xing, Xi Yupeng, Li Meng, Zheng Honggang, Hua Baojin

机构信息

Beijing University of Chinese Medicine.

Department of Oncology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China.

出版信息

Medicine (Baltimore). 2019 Jul;98(30):e16563. doi: 10.1097/MD.0000000000016563.

Abstract

BACKGROUND

Many studies were performed to explore the correlation between taxane-based chemotherapy and the risk of breast cancer-related lymphedema (BCRL), however, with inconsistent results. Hence, the purpose of this study is to evaluate whether taxane-based chemotherapy is a risk factor for BCRL.

METHODS

A comprehensive systematic search of clinical trials published in the PubMed, Embase and the Cochrane Library databases will be conducted to identify eligible studies up to the date of December 31, 2018. We will employ risk ratios with 95% confidence intervals (95% CIs) to estimate the correlations between taxane-based chemotherapy and BCRL. Meta-analysis will be performed using Stata SE version 12.0 software.

RESULTS

The results of this systematic review and meta-analysis will provide a high-quality synthesis of existing evidence of the correlations between taxane-based chemotherapy and the risk of BCRL.

CONCLUSION

The protocol will provide updated evidence for the use of taxane-based chemotherapy in postoperative breast cancer patients.

ETHICS AND DISSEMINATION

It is not necessary for ethical approval because it is based on published studies. The protocol will be disseminated in a peer-reviewed journal or presented at a topic-related conference.

TRIAL REGISTRATION

This systematic review protocol has been registered with a number of CRD42019123989.

摘要

背景

许多研究旨在探讨紫杉烷类化疗与乳腺癌相关淋巴水肿(BCRL)风险之间的相关性,但结果并不一致。因此,本研究的目的是评估紫杉烷类化疗是否为BCRL的危险因素。

方法

将对PubMed、Embase和Cochrane图书馆数据库中发表的临床试验进行全面系统检索,以确定截至2018年12月31日的合格研究。我们将采用95%置信区间(95%CI)的风险比来估计紫杉烷类化疗与BCRL之间的相关性。将使用Stata SE 12.0版软件进行荟萃分析。

结果

本系统评价和荟萃分析的结果将对紫杉烷类化疗与BCRL风险之间相关性的现有证据进行高质量综合。

结论

该方案将为紫杉烷类化疗在乳腺癌术后患者中的应用提供最新证据。

伦理与传播

由于本研究基于已发表的研究,无需伦理批准。该方案将在同行评审期刊上发表或在相关主题会议上展示。

试验注册

本系统评价方案已在多个数据库注册,注册号为CRD42019123989。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c522/6708704/22fac5a3aca6/medi-98-e16563-g002.jpg

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