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中药方剂对肾病综合征的影响:一项系统评价与Meta分析方案

Effect of Chinese medicine prescription on nephrotic syndrome: A protocol for systematic review and meta-analysis.

作者信息

Deng Yanli, Zhang Leixiao, Wen Aiwei, Xu Dongxian, Wang Wenping, Hou Yuhao, Liu Zhen, Yang Lin, Shen Tao, Luo Qin, Wu Wei, Ou Yuanshu

机构信息

Nephropathy Department, Sichuan Second Chinese Medicine Hospital.

Acupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.

出版信息

Medicine (Baltimore). 2020 Jun 5;99(23):e20622. doi: 10.1097/MD.0000000000020622.

DOI:10.1097/MD.0000000000020622
PMID:32502039
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7306324/
Abstract

BACKGROUND

Nephrotic syndrome (NS) is a common chronic recurrent kidney disease. Many trials have shown that Chinese medicine prescription (CMP) can effectively treat NS. The program aims to evaluate the efficacy and safety of CMP for NS.

METHODS

This systematic evaluation will entail an electronic and manual search of all CMP for NS from inception to February, 2020, regardless of the publication status or language. Databases include PubMed, Embase, Springer, Web of Science, the Cochrane Library, the World Health Organization International Clinical Trial Registration Platform, the Chinese Medicine Database, the China National Knowledge Infrastructure, the Chinese Biomedical Literature Database, the China Science Journal Database, and the Wanfang Database. Other sources of information, including bibliographies and meeting minutes for identified publications, will also be searched. A manual search for grey literature, including unpublished conference articles will be performed. Additionally, any clinical randomized controlled trials related to CMP for NS, regardless of the publication status and language limitations, will be included in the study. Study selection, data extraction, and research quality assessments will be conducted independently by 2 researchers. The main result was the total clinical efficacy rate or other validated scales after at least 2 weeks of treatment. Secondary outcomes included 24-hour urine protein quantification, blood urea nitrogen, serum creatinine, C-reactive protein, tumor necrosis factor-α, and interleukin 6, recurrence rates and adverse events during follow-up. Implement the Cochrane RevMan V5.3 bias assessment tool to assess bias risk, data integration risk, meta-analysis risk, and subgroup analysis risk (if conditions are met). Mean difference, standard mean deviation and binary data will be used to represent continuous results.

RESULTS

This study will provide a comprehensive review and evaluation of CMP for the treatment of NS.

CONCLUSION

This study will provide new evidence for evaluating the effectiveness and side effects of CMP on NS. Since the data is not personalized, formal ethical approval is not required.

INPLASY REGISTRATION NUMBER

INPLASY202040181.

摘要

背景

肾病综合征(NS)是一种常见的慢性复发性肾脏疾病。许多试验表明,中药方剂(CMP)可有效治疗NS。本项目旨在评估CMP治疗NS的疗效和安全性。

方法

本系统评价将对从开始到2020年2月所有治疗NS的CMP进行电子和人工检索,无论其发表状态或语言如何。数据库包括PubMed、Embase、Springer、Web of Science、Cochrane图书馆、世界卫生组织国际临床试验注册平台、中药数据库、中国知网、中国生物医学文献数据库、中国科学期刊数据库和万方数据库。还将检索其他信息来源,包括已识别出版物的参考文献和会议记录。将进行人工检索灰色文献,包括未发表的会议文章。此外,任何与治疗NS的CMP相关的临床随机对照试验,无论其发表状态和语言限制如何,都将纳入本研究。研究选择、数据提取和研究质量评估将由两名研究人员独立进行。主要结果是治疗至少2周后的总临床有效率或其他经过验证的量表。次要结果包括24小时尿蛋白定量、血尿素氮、血清肌酐、C反应蛋白、肿瘤坏死因子-α和白细胞介素6、随访期间的复发率和不良事件。采用Cochrane RevMan V5.3偏倚评估工具评估偏倚风险、数据整合风险、荟萃分析风险和亚组分析风险(如条件满足)。均值差、标准化均值差和二分类数据将用于表示连续结果。

结果

本研究将对CMP治疗NS进行全面的综述和评价。

结论

本研究将为评估CMP治疗NS的有效性和副作用提供新的证据。由于数据不涉及个人信息,无需正式伦理批准。

INPLASY注册号:INPLASY202040181。

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本文引用的文献

1
Biallelic variants/mutations of IL1RAP in patients with steroid-sensitive nephrotic syndrome.患者类固醇敏感性肾病综合征中 IL1RAP 的双等位基因突变/变异。
Int Immunol. 2020 Apr 12;32(4):283-292. doi: 10.1093/intimm/dxz081.
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Persons' Experiences of Suffering from Nephrotic Syndrome.肾病综合征患者的痛苦经历。
J Ren Care. 2020 Mar;46(1):45-51. doi: 10.1111/jorc.12307. Epub 2019 Nov 19.
3
Screening for Potential Active Components of Fangji Huangqi Tang on the Treatment of Nephrotic Syndrome by Using Integrated Metabolomics Based on "Correlations Between Chemical and Metabolic Profiles".
基于“化学与代谢谱之间的相关性”运用整合代谢组学筛选防己黄芪汤治疗肾病综合征的潜在活性成分
Front Pharmacol. 2019 Oct 22;10:1261. doi: 10.3389/fphar.2019.01261. eCollection 2019.
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Nephrotic syndrome: immunological mechanisms.肾病综合征:免疫机制。
J Biol Regul Homeost Agents. 2019 Sep-Oct;33(5 Suppl. 1):13-18. Special Issue: Focus on Pediatric Nephrology.
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The impact of steroids on the injured podocytes in nephrotic syndrome.类固醇对肾病综合征中受损的足细胞的影响。
J Steroid Biochem Mol Biol. 2020 Feb;196:105490. doi: 10.1016/j.jsbmb.2019.105490. Epub 2019 Oct 3.
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Improving the evidence for the management of childhood nephrotic syndrome.提高儿童肾病综合征管理的证据质量。
Kidney Int. 2017 Jul;92(1):21-23. doi: 10.1016/j.kint.2017.02.029.
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Membranous nephropathy: thinking through the therapeutic options.膜性肾病:治疗选择的思考。
Nephrol Dial Transplant. 2017 Jan 1;32(suppl_1):i22-i29. doi: 10.1093/ndt/gfw404.
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Evidence-based clinical practice guidelines for nephrotic syndrome 2014.2014年肾病综合征循证临床实践指南
Clin Exp Nephrol. 2016 Jun;20(3):342-70. doi: 10.1007/s10157-015-1216-x.
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Diagnosis and Management of Nephrotic Syndrome in Adults.成人肾病综合征的诊断与管理
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