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全视网膜光凝联合康柏西普治疗增生型糖尿病视网膜病变的临床疗效及可接受性:系统评价和荟萃分析方案。

Clinical efficacy and acceptability of panretinal photocoagulation combined with conbercept for patients with proliferative diabetic retinopathy: A protocol for systematic review and meta-analysis.

机构信息

Department of Ophthalmology, Qingdao Municipal Hospital (Group).

Department of Ophthalmology, Qingdao Aier Eye Hospital, Shandong, China.

出版信息

Medicine (Baltimore). 2021 Apr 30;100(17):e25611. doi: 10.1097/MD.0000000000025611.

DOI:10.1097/MD.0000000000025611
PMID:33907112
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8084045/
Abstract

BACKGROUND

Although conbercept has been used for other diseases associated with new vascular formation, the effect of single-dose conbercept in combination with proliferative diabetic retinopathy (PDR) have not been established. We thus conducted this protocol for systematic review and meta-analysis to compare the efficacy and acceptability of panretinal photocoagulation (PRP) associated with intravitreal conbercept injections versus PRP alone in the treatment of patients with PDR.

METHODS

The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols reporting guidelines and the recommendations of the Cochrane Collaboration were followed to conduct this study. Reviewers will search the PubMed, Cochrane Library, Web of Science, and EMBASE online databases using the key phrases "panretinal photocoagulation," "conbercept," and "proliferative diabetic retinopathy" for all cohort studies published up to May 2021. The studies on cohort study focusing on PRP + conbercept and PRP alone for PDR patients will be included in our meta-analysis. At least one of the following outcomes should have been measured: PRP completion rate, proportion of eyes with visual gain/loss, central macular thickness, and incidence of complication. Review Manager software (v 5.4; Cochrane Collaboration) is used for the meta-analysis.

RESULTS

It was hypothesized that intravitreal conbercept plus PRP was more effective than PRP alone.

OSF REGISTRATION NUMBER

10.17605/OSF.IO/HCQ2S.

摘要

背景

尽管康柏西普已被用于治疗其他与新血管形成相关的疾病,但单次剂量的康柏西普联合增生型糖尿病视网膜病变(PDR)的疗效尚未确定。因此,我们开展了这项方案,以进行系统评价和荟萃分析,比较全视网膜光凝(PRP)联合玻璃体内注射康柏西普与单纯 PRP 治疗 PDR 患者的疗效和可接受性。

方法

本研究遵循系统评价和荟萃分析报告规范的首选报告项目以及 Cochrane 协作组织的建议。检索员将使用“全视网膜光凝”、“康柏西普”和“增生型糖尿病视网膜病变”等关键词,检索至 2021 年 5 月发表的所有队列研究的 PubMed、Cochrane 图书馆、Web of Science 和 EMBASE 在线数据库。本荟萃分析纳入了关于 PDR 患者接受 PRP+康柏西普和 PRP 单独治疗的队列研究。至少应测量以下一个结局:PRP 完成率、视力改善/丧失眼的比例、黄斑中心厚度和并发症发生率。使用 Review Manager 软件(v5.4;Cochrane 协作组织)进行荟萃分析。

结果

研究假设玻璃体内注射康柏西普联合 PRP 比单纯 PRP 更有效。

OSF 注册号:10.17605/OSF.IO/HCQ2S。

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