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颈动脉超声早期诊断颈动脉狭窄的影响:一项系统评价与荟萃分析方案

Impact of early diagnosis of carotid artery stenosis by carotid ultrasound: A protocol of systematic review and meta-analysis.

作者信息

Qin Li-Wei, Qin Li-Hong, Yu Yun, Hou Xin-Wei, Wang Chen, Weeks Christina

机构信息

Department of Physical Diagnosis.

First Ward of Neurology Department.

出版信息

Medicine (Baltimore). 2020 May 29;99(22):e19709. doi: 10.1097/MD.0000000000019709.

DOI:10.1097/MD.0000000000019709
PMID:32481359
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12245373/
Abstract

BACKGROUND

The purpose of this study is to explore the impact of carotid ultrasound (CU) for early diagnosis of carotid artery stenosis (CAS).

METHODS

Literatures will be sought from the following electronic databases: MEDLINE, EMBASE, Cochrane Library, PSYCINFO, Web of Science, Allied and Complementary Medicine Database, and China National Knowledge Infrastructure. The search will cover from the start of indexing to the present without any limitations of language and publication status. All study quality will be assessed by Quality Assessment of Diagnostic Accuracy Studies tool, and data will be analyzed by RevMan V.5.3 software and Stata V.12.0 software.

RESULTS

This study will investigate the impact of CU for early diagnosis of CAS through sensitivity, specificity, positive likelihood ratio, negative likelihood ratio, and diagnostic odds ratio.

CONCLUSION

The findings of this study may provide helpful evidence for the impact of CU for early diagnosis of CAS.

SYSTEMATIC REVIEW REGISTRATION

PROSPERO CRD42019153904.

摘要

背景

本研究旨在探讨颈动脉超声(CU)对颈动脉狭窄(CAS)早期诊断的影响。

方法

将从以下电子数据库检索文献:MEDLINE、EMBASE、Cochrane图书馆、PSYCINFO、科学引文索引、补充与替代医学数据库以及中国知网。检索范围涵盖从索引开始至当前,无语言及出版状态限制。所有研究质量将通过诊断准确性研究质量评估工具进行评估,数据将使用RevMan V.5.3软件和Stata V.12.0软件进行分析。

结果

本研究将通过灵敏度、特异度、阳性似然比、阴性似然比和诊断比值比来研究CU对CAS早期诊断的影响。

结论

本研究结果可能为CU对CAS早期诊断的影响提供有用证据。

系统评价注册

PROSPERO CRD42019153904。

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本文引用的文献

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Imaging modalities to diagnose carotid artery stenosis: progress and prospect.用于诊断颈动脉狭窄的影像学方法:进展与展望。
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Carotid Revascularization in Older Adults: A Systematic Review and Meta-Analysis.老年人颈动脉血运重建术:系统评价和荟萃分析。
World Neurosurg. 2019 Jun;126:656-663.e1. doi: 10.1016/j.wneu.2019.02.030. Epub 2019 Feb 22.
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Surgical Results of Carotid Endarterectomy for Twisted Carotid Bifurcation.颈动脉分叉扭曲患者颈动脉内膜切除术的手术结果。
World Neurosurg. 2019 Jun;126:e153-e156. doi: 10.1016/j.wneu.2019.01.282. Epub 2019 Feb 19.
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Management of De Novo Carotid Stenosis and Postintervention Restenosis-Carotid Endarterectomy Versus Carotid Artery Stenting-a Review of Literature.颈动脉内膜切除术与颈动脉支架置入术治疗新发颈动脉狭窄和介入治疗后再狭窄的管理:文献复习。
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Carotid artery stenosis screening: where are we now?颈动脉狭窄筛查:我们目前处于什么状况?
Br J Radiol. 2018 Oct;91(1090):20170380. doi: 10.1259/bjr.20170380. Epub 2018 Jun 11.
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Interventions for Extracranial Carotid Artery Stenosis: An Update.颅外颈动脉狭窄的干预措施:最新进展
Curr Treat Options Cardiovasc Med. 2016 May;18(5):34. doi: 10.1007/s11936-016-0455-9.
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Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement.系统评价与Meta分析方案的首选报告项目(PRISMA-P)2015声明。
Syst Rev. 2015 Jan 1;4(1):1. doi: 10.1186/2046-4053-4-1.
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Ann Intern Med. 2011 Oct 18;155(8):529-36. doi: 10.7326/0003-4819-155-8-201110180-00009.
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What should we do with asymptomatic carotid stenosis?对于无症状性颈动脉狭窄我们该如何应对?
Int J Stroke. 2007 Feb;2(1):27-39. doi: 10.1111/j.1747-4949.2007.00096.x.