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维生素K补充剂对2型糖尿病相关凝血障碍的预防作用:一项系统评价和荟萃分析方案

The prophylactic effects of vitamin K supplementation on coagulopathies associated with type 2 diabetes mellitus: A protocol for a systematic review and meta-analysis.

作者信息

Mokgalaboni Kabelo, Dludla Phiwayinkosi V, Nkambule Bongani B

机构信息

School of Laboratory Medicine and Medical Sciences (SLMMS), College of Health Sciences, University of KwaZulu-Natal, Durban.

Biomedical Research and Innovation Platform, South African Medical Research Council, Tygerberg, South Africa.

出版信息

Medicine (Baltimore). 2020 Aug 14;99(33):e21143. doi: 10.1097/MD.0000000000021143.

Abstract

BACKGROUND

The impact of vitamin K in ameliorating diabetes-associated complications, especially those linked with platelet activation and coagulation remains unclear. The current study aims to systematically explore and discuss the available evidence on the impact of vitamin K on the diabetes-cardiovascular disease (CVD)-associated complications.

METHODS

A systematic review of studies published on the MEDLINE (PubMed), EMBASE, and Google Scholar electronic database will be conducted. The review will include studies published from inception until May 25, 2020, reporting on the effect of vitamin K on CVD-related markers, especially coagulation factors and platelet activation in type 2 diabetes mellitus. Before the full-text screening, all studies will be screened by title, abstract, and keywords. The Downs and Black checklist will be used to assess the quality of the studies. Additionally, the Cochrane collaboration tool will also be used to evaluate the risk of bias across the included studies. Kappa Cohen's calculator will be used to assess the level of agreement between the authors.

DISCUSSIONS

This systematic review will not require ethical approval, and the results will be distributed through conference and peer-reviewed publications. Our results will assist current and future research scientists on the potential use of vitamin K as a protective therapy against CVD-related complications.

SYSTEMATIC REVIEW REGISTRATION

This protocol is registered on the International Prospective Register of Systematic Reviews (PROSPERO) registration number: CRD42020151667.

摘要

背景

维生素K在改善糖尿病相关并发症,尤其是与血小板活化和凝血相关的并发症方面的影响尚不清楚。本研究旨在系统地探索和讨论关于维生素K对糖尿病-心血管疾病(CVD)相关并发症影响的现有证据。

方法

将对MEDLINE(PubMed)、EMBASE和谷歌学术电子数据库上发表的研究进行系统综述。该综述将包括从开始到2020年5月25日发表的研究,报告维生素K对2型糖尿病中与CVD相关标志物的影响,特别是凝血因子和血小板活化。在进行全文筛选之前,所有研究将先通过标题、摘要和关键词进行筛选。将使用唐斯和布莱克清单来评估研究的质量。此外,Cochrane协作工具也将用于评估纳入研究的偏倚风险。科恩卡方计算器将用于评估作者之间的一致性水平。

讨论

本系统综述不需要伦理批准,研究结果将通过会议和同行评审出版物进行传播。我们的结果将有助于当前和未来的研究科学家了解维生素K作为预防CVD相关并发症的潜在治疗方法。

系统综述注册

本方案已在国际前瞻性系统综述注册库(PROSPERO)注册,注册号:CRD42020151667。

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