文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

非药物干预在纤维肌痛中的疗效和可接受性比较:网络荟萃分析方案。

Comparative efficacy and acceptability of non-pharmacological interventions in fibromyalgia: Protocol for a network meta-analysis.

机构信息

Postgraduate Program in Rehabilitation and Functional Performance, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Brazil.

Department of Physiotherapy, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Brazil.

出版信息

PLoS One. 2022 Oct 3;17(10):e0274406. doi: 10.1371/journal.pone.0274406. eCollection 2022.


DOI:10.1371/journal.pone.0274406
PMID:36191010
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9529083/
Abstract

INTRODUCTION: Although several non-pharmacological interventions have been tested in the management of Fibromyalgia (FM), there is little consensus regarding the best options for the treatment of this health condition. The purpose of this network meta-analysis (NMA) is to investigate the comparative efficacy and acceptability of non-pharmacological interventions for FM, in order to assist clinical decision making through a ranking of interventions in relation to the most important clinical outcomes in these patients. METHODS AND ANALYSIS: We will perform a systematic search to identify randomised controlled trials of non-pharmacological interventions endorsed in guidelines and systematic reviews. Information sources searched will include major bibliographic databases without language or date restrictions (MEDLINE, Cochrane Library, EMBASE, AMED, PsycINFO and PEDro). Our primary outcomes will be pain intensity, patient-reported quality of life (QoL), and acceptability of treatment will be our secondary outcome. Risk of bias of the included trials will be assessed using the Cochrane risk of bias tool (RoB2). For each pairwise comparison between the different interventions, we will present mean differences (MDs) for pain intensity and QoL outcomes and Relative Risks (RRs) for acceptability, both with respective 95% confidence intervals (CIs). Initially, standard pairwise meta-analyses will be performed using a DerSimonian-Laird random effects model for all comparisons with at least two trials and then we will perform a frequentist NMA using the methodology of multivariate meta-analysis assuming a common heterogeneity parameter, using the mvmeta command and network suite in STATA. In the NMA, two different types of control group, such as placebo/sham and no intervention/waiting list will be combined as one node called "Control". The competing interventions will be ranked using the P-score, which is the frequentist analogue of surface under the cumulative ranking curve (SUCRA) for the outcomes of interest at immediate- (intervention duration of up to 2 weeks), short- (over 2 weeks up to 12 weeks) and long-terms (over 12 weeks). The confidence in the results from NMA will be assessed using the Confidence in Network Meta-analysis (CINeMA) framework. ETHICS AND DISSEMINATION: This work synthesises evidence from previously published studies and does not require ethics review or approval. A manuscript describing the findings will be submitted for publication in a peer-reviewed scientific journal. REGISTRATION: OSF (DOI: 10.17605/OSF.IO/7MS25) and registered in the PROSPERO database (CRD42020216374).

摘要

简介:尽管已经测试了几种非药物干预措施来治疗纤维肌痛(FM),但对于这种健康状况的最佳治疗方法仍存在共识。本网络荟萃分析(NMA)的目的是调查非药物干预措施治疗 FM 的相对疗效和可接受性,以便通过对这些患者最重要的临床结局的干预措施进行排名,为临床决策提供帮助。

方法和分析:我们将进行系统搜索,以确定指南和系统评价中推荐的非药物干预措施的随机对照试验。搜索的信息来源将包括主要的书目数据库,没有语言或日期限制(MEDLINE、Cochrane 图书馆、EMBASE、AMED、PsycINFO 和 PEDro)。我们的主要结局将是疼痛强度、患者报告的生活质量(QoL)和治疗的可接受性,我们的次要结局将是疼痛强度和 QoL 结局的平均差异(MDs)和可接受性的相对风险(RRs)。将使用 Cochrane 偏倚风险工具(RoB2)评估纳入试验的偏倚风险。对于不同干预措施之间的每一对比较,我们将呈现疼痛强度和 QoL 结局的均值差异(MDs)和可接受性的相对风险(RRs),并分别给出各自的 95%置信区间(CI)。最初,对于至少有两项试验的所有比较,将使用 DerSimonian-Laird 随机效应模型进行标准成对荟萃分析,然后我们将使用假设共同异质性参数的多变量荟萃分析方法进行概率 NMA,使用 mvmeta 命令和 STATA 中的网络套件。在 NMA 中,将把两种不同类型的对照组(安慰剂/假治疗和无干预/等待名单)合并为一个称为“对照组”的节点。将使用 P 分数对竞争干预措施进行排名,P 分数是感兴趣结局的即时(干预持续时间不超过 2 周)、短期(超过 2 周至 12 周)和长期(超过 12 周)的累积排序曲线下面积(SUCRA)的概率学类似物。使用置信网络荟萃分析(CINeMA)框架评估 NMA 结果的可信度。

伦理与传播:本工作综合了先前发表研究的证据,不需要伦理审查或批准。描述研究结果的手稿将提交给同行评议的科学期刊发表。

注册:OSF(DOI:10.17605/OSF.IO/7MS25)和 PROSPERO 数据库(CRD42020216374)。

相似文献

[1]
Comparative efficacy and acceptability of non-pharmacological interventions in fibromyalgia: Protocol for a network meta-analysis.

PLoS One. 2022

[2]
Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis.

Cochrane Database Syst Rev. 2021-4-19

[3]
Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis.

Cochrane Database Syst Rev. 2017-12-22

[4]
Interventions for central serous chorioretinopathy: a network meta-analysis.

Cochrane Database Syst Rev. 2025-6-16

[5]
Antidepressants for pain management in adults with chronic pain: a network meta-analysis.

Health Technol Assess. 2024-10

[6]
Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis.

Cochrane Database Syst Rev. 2022-5-23

[7]
Dressings and topical agents for treating pressure ulcers.

Cochrane Database Syst Rev. 2017-6-22

[8]
Surgical interventions for treating extracapsular hip fractures in older adults: a network meta-analysis.

Cochrane Database Syst Rev. 2022-2-10

[9]
Pharmacological interventions for the prevention of bleeding in people undergoing elective hip or knee surgery: a systematic review and network meta-analysis.

Cochrane Database Syst Rev. 2024-1-16

[10]
Drugs for preventing postoperative nausea and vomiting in adults after general anaesthesia: a network meta-analysis.

Cochrane Database Syst Rev. 2020-10-19

引用本文的文献

[1]
Evaluating the efficacy and acceptability of vagus nerve stimulation for fibromyalgia: a PRISMA-compliant protocol for a systematic review and meta-analysis.

Front Neurol. 2024-2-21

本文引用的文献

[1]
Association of Therapies With Reduced Pain and Improved Quality of Life in Patients With Fibromyalgia: A Systematic Review and Meta-analysis.

JAMA Intern Med. 2021-1-1

[2]
Efficacy of Manual Therapy on Pain, Impact of Disease, and Quality of Life in the Treatment of Fibromyalgia: A Systematic Review.

Pain Physician. 2020-9

[3]
"No one wants to look after the fibro patient". Understanding models, and patient perspectives, of care for fibromyalgia: reviews of current evidence.

Pain. 2020-8

[4]
CINeMA: An approach for assessing confidence in the results of a network meta-analysis.

PLoS Med. 2020-4-3

[5]
Is Transcranial Direct Current Stimulation (tDCS) Effective for the Treatment of Pain in Fibromyalgia? A Systematic Review and Meta-Analysis.

J Pain. 2020

[6]
Flexibility exercise training for adults with fibromyalgia.

Cochrane Database Syst Rev. 2019-9-2

[7]
RoB 2: a revised tool for assessing risk of bias in randomised trials.

BMJ. 2019-8-28

[8]
Low-Level Laser Therapy for Fibromyalgia: A Systematic Review and Meta-Analysis.

Pain Physician. 2019-5

[9]
Mixed exercise training for adults with fibromyalgia.

Cochrane Database Syst Rev. 2019-5-24

[10]
Control Groups: Linking Evidence to Practice.

J Orthop Sports Phys Ther. 2018-11

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索