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糖尿病前期对接受经皮冠状动脉介入治疗患者长期全因死亡率的影响:一项系统评价和荟萃分析方案

Effect of prediabetes on the long-term all-cause mortality of patients undergoing percutaneous coronary intervention: A protocol for systematic review and meta analysis.

作者信息

Shi Rui, Diao Kai-Yue, Shi Ke, Gao Yue, Huang Shan, Guo Ying-Kun, Yang Zhi-Gang

机构信息

Department of Radiology, West China Hospital, Sichuan University, Chengdu, Sichuan.

Department of Radiology, Key Laboratory of Birth Defects and Related Diseases of Women and Children of Ministry of Education, West China Second University Hospital, Sichuan University, China.

出版信息

Medicine (Baltimore). 2020 Aug 14;99(33):e21623. doi: 10.1097/MD.0000000000021623.

Abstract

BACKGROUND

Prediabetes is an abnormal metabolic state that develops prior to the onset of diabetes with proven to common comorbid states of coronary artery disease. However, whether prediabetes worsens prognosis after percutaneous coronary intervention remains controversial. The aim of this study is to summarize previous cohort studies and to specify the impact of prediabetes on the long-term outcomes after percutaneous coronary intervention.

METHODS

This meta-analysis will be performed according to the Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines for conducting and reporting meta-analysis data. Pubmed, Embase and Google scholar will be systematically searched, and supplemented with manual searches of the included reference lists to identify cohort studies. Pooled effects on the discontinuous variables will be expressed by adjusted hazard ratios with 95% confidence intervals. All analyses will be performed with Stata 15.0 (StataCorp LP, College Station, TX).

RESULTS

The results of this study will be published in a peer-reviewed journal.

CONCLUSION

This systematic review will provide new information and help enhance clinical decision-making on management of these patients.

REGISTRATION NUMBER

INPLASY202060079.

摘要

背景

糖尿病前期是一种在糖尿病发病之前出现的异常代谢状态,已被证实与冠状动脉疾病的常见合并症相关。然而,糖尿病前期在经皮冠状动脉介入治疗后是否会恶化预后仍存在争议。本研究的目的是总结既往队列研究,并明确糖尿病前期对经皮冠状动脉介入治疗后长期结局的影响。

方法

本荟萃分析将根据系统评价和荟萃分析的首选报告项目指南进行,以开展和报告荟萃分析数据。将系统检索PubMed、Embase和谷歌学术,并辅以对纳入参考文献列表的手动检索,以识别队列研究。对间断变量的合并效应将用调整后的风险比及95%置信区间表示。所有分析将使用Stata 15.0(StataCorp LP,美国德克萨斯州大学城)进行。

结果

本研究结果将发表在同行评审期刊上。

结论

本系统评价将提供新信息,并有助于加强对这些患者管理的临床决策。

注册号

INPLASY202060079。

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