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基于荟萃分析验证 SARC-F 问卷对死亡率的预测效度。

Verification of the predictive validity for mortality of the SARC-F questionnaire based on a meta-analysis.

机构信息

Department of Diabetes and Metabolism, Ise Red Cross Hospital, 1-471-21-chome, Ise-shi, FunaeMie, 516-8512, Japan.

出版信息

Aging Clin Exp Res. 2021 Apr;33(4):835-842. doi: 10.1007/s40520-020-01585-1. Epub 2020 May 25.

DOI:10.1007/s40520-020-01585-1
PMID:32451963
Abstract

BACKGROUND

Although the association between SARC-F questionnaire positivity and mortality has previously been studied, the results are inconsistent. Testing the predictive validity of the SARC-F questionnaire for clinically relevant outcomes of vital prognoses is important.

AIM

The objective of this study was to test the predictive validity of SARC-F by conducting a meta-analysis on the association between SARC-F, a screening tool for sarcopenia, and mortality.

METHODS

This meta-analysis used the MEDLINE, Cochrane Central Register of Controlled Trials, ClinicalTrials.gov, and Google Scholar databases for literature searches. Studies that examined the relationship between SARC-F questionnaire positivity and mortality and reported hazard ratios or odds ratios and 95% confidence intervals were included. A random-effects model was used for statistical analyses, and pooled hazard ratios, pooled odds ratios, and 95% confidence intervals were calculated.

RESULTS

Through the literature search, we found five studies (7501 individuals) that met the eligibility criteria for this study. The pooled hazard ratio for SARC-F questionnaire positivity and mortality was 1.87 (95% confidence interval 1.41-2.46; P < 0.001), indicating a significant association. The pooled odds ratio for SARC-F questionnaire positivity and mortality was 1.97 (95% confidence intervals 1.10-3.53; P = 0.02), showing a significant association.

CONCLUSIONS

There was a significant association between SARC-F positivity and future mortality, indicating the predictive validity of the SARC-F questionnaire.

TRIAL REGISTRATION

Not applicable.

摘要

背景

尽管 SARC-F 问卷阳性与死亡率之间的关联此前已有研究,但结果并不一致。测试 SARC-F 问卷对重要预后的临床相关结局的预测有效性很重要。

目的

本研究旨在通过对 SARC-F(肌少症筛查工具)与死亡率之间的关联进行荟萃分析,测试 SARC-F 的预测有效性。

方法

本荟萃分析使用 MEDLINE、Cochrane 对照试验中心注册、ClinicalTrials.gov 和 Google Scholar 数据库进行文献检索。纳入研究 SARC-F 问卷阳性与死亡率之间的关系,并报告风险比或优势比及其 95%置信区间。采用随机效应模型进行统计学分析,并计算合并风险比、合并优势比及其 95%置信区间。

结果

通过文献检索,我们找到了符合本研究纳入标准的五项研究(7501 人)。SARC-F 问卷阳性与死亡率之间的合并风险比为 1.87(95%置信区间 1.41-2.46;P<0.001),表明存在显著关联。SARC-F 问卷阳性与死亡率之间的合并优势比为 1.97(95%置信区间 1.10-3.53;P=0.02),表明存在显著关联。

结论

SARC-F 阳性与未来死亡率之间存在显著关联,表明 SARC-F 问卷具有预测有效性。

试验注册

不适用。

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