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孟鲁司特治疗血液透析患者尿毒症瘙痒的有效性:系统评价和荟萃分析方案

Effectiveness of montelukast for uremic pruritus in hemodialysis patients: A protocol for systematic review and meta-analysis.

作者信息

Gao Chao-Qing, Zhou Jia-Jun, Tan Ya-Yin, Tong Chang-Jun

机构信息

Hemopurification Center, Yijishan Hospital of Wannan Medical College, Wuhu, China.

出版信息

Medicine (Baltimore). 2020 Nov 13;99(46):e23229. doi: 10.1097/MD.0000000000023229.

DOI:10.1097/MD.0000000000023229
PMID:33181709
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7668522/
Abstract

BACKGROUND

Uremic pruritus (UP) is a common and tormenting symptom in end-stage renal disease patients undergoing maintenance hemodialysis. An increasing number of studies have been published in recent years to support the effectiveness of montelukast for UP. We will conduct a comprehensive systematic review and meta-analysis to evaluate effectiveness of montelukast for UP in hemodialysis patients.

METHODS

The following electronic databases were searched: Pubmed, Embase, Web of Science, Cochrane Library, the China National Knowledge Infrastructure, Chinese Biomedical Literature Database, and China Science and Technology Journal Database. The range of publication time was from the inception of the database to December 2020. Two reviewers will independently conduct article selection, data collection, and assessment of risk of bias. Any disagreement will be resolved by discussion with the third reviewer. Meta-analysis will be performed by Review Manager 5.3. The Cochrane Collaboration tool will be used to assess the risk of bias.

RESULTS

This study will provide a systematic synthesis of current published data to explore the effectiveness of montelukast for UP in hemodialysis patients.

CONCLUSIONS

This systematic review and meta-analysis will provide clinical evidence for the effectiveness of montelukast for UP in hemodialysis patients and inform our understanding of the value of montelukast in improving pruritus symptoms. This study will help clinicians, patients, and policy makers to make better decisions regarding the appropriate role of montelukast as a part of patient management routines.

STUDY REGISTRATION NUMBER

INPLASY2020100043.

摘要

背景

尿毒症瘙痒(UP)是维持性血液透析的终末期肾病患者常见且折磨人的症状。近年来发表了越来越多的研究来支持孟鲁司特治疗UP的有效性。我们将进行一项全面的系统评价和荟萃分析,以评估孟鲁司特对血液透析患者UP的有效性。

方法

检索了以下电子数据库:PubMed、Embase、Web of Science、Cochrane图书馆、中国知网、中国生物医学文献数据库和中国科技期刊数据库。发表时间范围为数据库建立至2020年12月。两名评价者将独立进行文献筛选、数据收集和偏倚风险评估。任何分歧将通过与第三位评价者讨论解决。将使用Review Manager 5.3进行荟萃分析。将使用Cochrane协作工具评估偏倚风险。

结果

本研究将对当前已发表的数据进行系统综合,以探讨孟鲁司特对血液透析患者UP的有效性。

结论

这项系统评价和荟萃分析将为孟鲁司特对血液透析患者UP的有效性提供临床证据,并增进我们对孟鲁司特在改善瘙痒症状方面价值的理解。本研究将帮助临床医生、患者和政策制定者就是否将孟鲁司特作为患者管理常规的一部分做出更好的决策。

研究注册号

INPLASY2020100043。

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本文引用的文献

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Gabapentin for uremic pruritus: a systematic review of randomized controlled trials.加巴喷丁治疗尿毒症瘙痒症:随机对照试验的系统评价。
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Uremic Pruritus is Associated with Two-Year Cardiovascular Mortality in Long Term Hemodialysis Patients.尿毒症瘙痒与长期血液透析患者的两年心血管死亡率相关。
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A systematic review on the off-label use of montelukast in atopic dermatitis treatment.孟鲁司特钠在特应性皮炎治疗中的超说明书用药的系统评价
Int J Clin Pharm. 2018 Oct;40(5):963-976. doi: 10.1007/s11096-018-0655-3. Epub 2018 May 18.
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Therapeutic Effect of Montelukast for Treatment of Uremic Pruritus in Hemodialysis Patients.孟鲁司特治疗血液透析患者尿毒症瘙痒的疗效
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Pruritus in Kidney Disease.肾脏疾病中的瘙痒
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