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阿利吉仑联合治疗的疗效和安全性:伞式评价方案。

Efficacy and safety of aliskiren combination therapy: a protocol for an umbrella review.

机构信息

School of Medicine, Huzhou University; Huzhou Central Hospital, Huzhou, China

The First Affiliated Hospital of Huzhou University, Huzhou University, Huzhou, China.

出版信息

BMJ Open. 2021 Mar 9;11(3):e043807. doi: 10.1136/bmjopen-2020-043807.

DOI:10.1136/bmjopen-2020-043807
PMID:33687953
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7944987/
Abstract

INTRODUCTION

Efficacy of aliskiren combination therapy with other antihypertensive has been evaluated in the treatment of patients with hypertension in recent systematic reviews. However, most previous reviews only focused on one single health outcome or one setting, none of them made a full summary that assessed the impact of aliskiren combination treatment comprehensively. As such, this umbrella review based on systematic reviews and meta-analyses is aimed to synthesise the evidences on efficacy, safety and tolerability of aliskiren-based therapy for hypertension and related comorbid patients.

METHODS AND ANALYSIS

A comprehensive search of PubMed, EMBASE, Cochrane Library, CNKI published from inception to August 2020 will be conducted. The selected articles are systematic reviews which evaluated efficacy, safety and tolerability of aliskiren combination therapy. Two reviewers will screen eligible articles, extract data and evaluate quality independently. Any disputes will be resolved by discussion or the arbitration of a third person. The quality of reporting evidence will be assessed using the Assessment of Multiple Systematic Reviews V.2 tool tool. We will take a mixed-methods approach to synthesising the review literatures, reporting summary of findings tables and iteratively mapping the results.

ETHICS AND DISSEMINATION

Ethical approval is not required for the study, as we would only collect data from available published materials. This umbrella review will be also submitted to a peer-reviewed journal for publication after completion.

PROSPERO REGISTRATION NUMBER

CRD42020192131.

摘要

简介

最近的系统评价评估了阿利吉仑联合其他降压药治疗高血压患者的疗效。然而,大多数先前的综述仅关注单一的健康结局或单一的研究环境,没有一个综述全面评估了阿利吉仑联合治疗的综合影响。因此,这项基于系统评价和荟萃分析的伞式综述旨在综合评估阿利吉仑为基础的治疗方案在高血压及相关合并症患者中的疗效、安全性和耐受性。

方法和分析

我们将全面检索从建库至 2020 年 8 月发表在 PubMed、EMBASE、Cochrane Library、CNKI 上的文献。纳入评估阿利吉仑联合治疗疗效、安全性和耐受性的系统评价。两名评审员将独立筛选合格文献、提取数据和评估质量。任何争议将通过讨论或第三方仲裁解决。使用评估多个系统评价工具(AMSTAR 2)评估报告证据的质量。我们将采用混合方法综合评价文献,报告结果总结表,并迭代映射结果。

伦理和传播

本研究不需要伦理批准,因为我们仅从现有发表的资料中收集数据。研究完成后,该伞式综述也将提交给同行评议期刊发表。

PROSPERO 注册号:CRD42020192131。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c5a/7944987/dcf94ffac743/bmjopen-2020-043807f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c5a/7944987/dcf94ffac743/bmjopen-2020-043807f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c5a/7944987/dcf94ffac743/bmjopen-2020-043807f01.jpg

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本文引用的文献

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BMC Cardiovasc Disord. 2020 Apr 17;20(1):179. doi: 10.1186/s12872-020-01442-z.
2
Aliskiren and valsartan in combination is a promising therapy for hypertensive renal injury in rats.阿利吉仑和缬沙坦联合治疗可改善高血压肾损伤大鼠的病情。
Clin Exp Hypertens. 2018;40(6):560-568. doi: 10.1080/10641963.2017.1407333. Epub 2017 Nov 27.
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Coffee consumption and health: umbrella review of meta-analyses of multiple health outcomes.
咖啡消费与健康:多种健康结局的荟萃分析的综合评价
BMJ. 2017 Nov 22;359:j5024. doi: 10.1136/bmj.j5024.
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AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both.AMSTAR 2:一种用于系统评价的关键评估工具,该系统评价包括医疗保健干预措施的随机或非随机研究,或两者皆有。
BMJ. 2017 Sep 21;358:j4008. doi: 10.1136/bmj.j4008.
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Comparable effect of aliskiren or a diuretic added on an angiotensin II receptor blocker on augmentation index in hypertension: a multicentre, prospective, randomised study.阿利吉仑或利尿剂加用在血管紧张素II受体阻滞剂上对高血压患者增强指数的类似作用:一项多中心、前瞻性、随机研究。
Open Heart. 2017 Mar 11;4(1):e000591. doi: 10.1136/openhrt-2017-000591. eCollection 2017.
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Cochrane Database Syst Rev. 2017 Apr 5;4(4):CD007066. doi: 10.1002/14651858.CD007066.pub3.
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Next-generation systematic reviews: prospective meta-analysis, individual-level data, networks and umbrella reviews.下一代系统评价:前瞻性荟萃分析、个体水平数据、网络分析和综合性述评。
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Int J Evid Based Healthc. 2015 Sep;13(3):132-40. doi: 10.1097/XEB.0000000000000055.
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Effect of aliskiren on cardiovascular outcomes in patients with prehypertension: a meta-analysis of randomized controlled trials.阿利吉仑对高血压前期患者心血管结局的影响:一项随机对照试验的荟萃分析。
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