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羟氯喹治疗手骨关节炎的疗效:一项随机临床试验的系统评价和荟萃分析方案。

Efficacy of hydroxychloroquine in hand osteoarthritis: A protocol for systematic review and meta-analysis of randomized clinical trial.

机构信息

The First Clinical Medical College of Lanzhou University.

Department of Orthopedics, The First Hospital of Lanzhou University, Lanzhou City, Gansu Province, China.

出版信息

Medicine (Baltimore). 2020 Dec 11;99(50):e23517. doi: 10.1097/MD.0000000000023517.

DOI:10.1097/MD.0000000000023517
PMID:33327296
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7738019/
Abstract

BACKGROUND

Symptoms of hand osteoarthritis result in activity limitations and lower quality of life. Hydroxychloroquine, which has been used successfully in the treatment of many autoimmune diseases, can suppress inflammation and might also be beneficial in hand osteoarthritis.

METHODS

We plan to perform a systematic review and meta-analysis of randomized clinical trial to determine the symptom-modifying effect of hydroxychloroquine in hand osteoarthritis. We will search PubMed, EMBASE, Cochrane Library, and Web of Science using a comprehensive strategy. The related conference proceedings and reference lists of the included studies will also be checked to identify additional studies. Two reviewers will screen retrieved records, extract information and assess the risk of bias independently. Stata v15.1 software will be used to conduct data synthesis.

RESULTS

This study will be submitted to a peer-reviewed journal for publication.

CONCLUSION

We hope it will provide a relatively comprehensive reference for clinical practice and future relevant clinical trials.

INPLASY REGISTRATION NUMBER

INPLASY2020110005.

摘要

背景

手部骨关节炎的症状会导致活动受限和生活质量下降。羟氯喹已成功用于治疗许多自身免疫性疾病,它具有抗炎作用,在手骨关节炎中可能也有益处。

方法

我们计划对随机临床试验进行系统评价和荟萃分析,以确定羟氯喹对手部骨关节炎症状的改善作用。我们将使用全面的策略在 PubMed、EMBASE、Cochrane 图书馆和 Web of Science 中进行搜索。还将检查相关会议记录和纳入研究的参考文献列表,以确定其他研究。两位审查员将独立筛选检索记录、提取信息和评估偏倚风险。Stata v15.1 软件将用于进行数据分析。

结果

本研究将提交给同行评议期刊发表。

结论

我们希望它能为临床实践和未来的相关临床试验提供一个相对全面的参考。

INPLASY 注册号:INPLASY2020110005。

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Hand osteoarthritis: clinical phenotypes, molecular mechanisms and disease management.手骨关节炎:临床表型、分子机制和疾病管理。
Nat Rev Rheumatol. 2018 Nov;14(11):641-656. doi: 10.1038/s41584-018-0095-4.
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Hydroxychloroquine Effectiveness in Reducing Symptoms of Hand Osteoarthritis: A Randomized Trial.羟氯喹对减轻手骨关节炎症状的有效性:一项随机试验。
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Efficacy of Hydroxychloroquine in Hand Osteoarthritis: A Randomized, Double-Blind, Placebo-Controlled Trial.羟氯喹治疗手骨关节炎的疗效:一项随机、双盲、安慰剂对照试验。
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Hand (N Y). 2015 Dec;10(4):583-92. doi: 10.1007/s11552-015-9778-3. Epub 2015 Jun 17.
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Meta-analysis in clinical trials revisited.再谈临床试验中的荟萃分析。
Contemp Clin Trials. 2015 Nov;45(Pt A):139-45. doi: 10.1016/j.cct.2015.09.002. Epub 2015 Sep 4.
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Effectiveness of Triamcinolone Hexacetonide Intraarticular Injection in Interphalangeal Joints: A 12-week Randomized Controlled Trial in Patients with Hand Osteoarthritis.曲安奈德六醋酸酯关节内注射治疗指间关节的有效性:一项针对手部骨关节炎患者的12周随机对照试验
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Res Synth Methods. 2014 Mar;5(1):79-85. doi: 10.1002/jrsm.1090. Epub 2013 Aug 1.
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Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation.系统评价和荟萃分析议定书的首选报告项目(PRISMA-P)2015:详细说明和解释。
BMJ. 2015 Jan 2;350:g7647. doi: 10.1136/bmj.g7647.
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BMJ. 2014 Sep 24;349:g5630. doi: 10.1136/bmj.g5630.