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姜黄素治疗糖尿病视网膜病变的疗效和安全性:系统评价和荟萃分析方案。

Efficacy and safety of curcumin in diabetic retinopathy: A protocol for systematic review and meta-analysis.

机构信息

Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang, China.

Heilongjiang Academy of Sciences of Traditional Chinese Medicine, Harbin, Heilongjiang, China.

出版信息

PLoS One. 2023 Apr 20;18(4):e0282866. doi: 10.1371/journal.pone.0282866. eCollection 2023.

Abstract

BACKGROUND

Diabetic retinopathy (DR) is one of the most common complications of diabetes and has become a major global cause of blindness. Curcumin, an extract of Curcuma longa (turmeric), is effective in preventing and treating diabetes. Recent studies have shown that curcumin can delay DR development. However, there has been no systematic review of its treatment of DR. This study will conduct a systematic review and meta-analysis of currently published randomized controlled trials (RCT) of curcumin for treating DR patients to evaluate its efficacy and safety.

METHODS

We will search the relevant studies of curcumin in the treatment of DR in PubMed, Medline, EMBASE, Cochrane Library, China National Knowledge Infrastructure (CNKI), VIP, and Wanfang databases from their respective inception dates to May 2022. A meta-analysis of the data extracted from qualified RCTs will be conducted, including the progression of DR, visual acuity, visual field, macular edema, quality of life, and adverse events. The meta-analysis will be performed using Review Manager 5.4.1 software, and the results will be based on either random-effects or fixed-effects models, depending on the heterogeneity. The Grading of Recommendations, Development, and Evaluation (GRADE) system will be used to evaluate the reliability and quality of evidence.

RESULTS

The results of this study will provide sound and high-quality evidence for the efficacy and safety of curcumin in the treatment of DR.

CONCLUSION

This study will be the first meta-analysis to comprehensively assess the efficacy and safety of curcumin in the treatment of DR and will provide helpful evidence for the clinical management of this disease.

SYSTEMATIC REVIEW REGISTRATION

INPLASY202250002.

摘要

背景

糖尿病视网膜病变(DR)是糖尿病最常见的并发症之一,已成为全球主要的失明原因。姜黄素是姜黄( turmeric)的提取物,在预防和治疗糖尿病方面有效。最近的研究表明,姜黄素可以延缓 DR 的发展。然而,目前还没有对其治疗 DR 的系统评价。本研究将对目前已发表的姜黄素治疗 DR 患者的随机对照试验(RCT)进行系统评价和荟萃分析,以评估其疗效和安全性。

方法

我们将检索从各自建库日期到 2022 年 5 月在 PubMed、Medline、EMBASE、Cochrane 图书馆、中国知网(CNKI)、维普、万方数据库中有关姜黄素治疗 DR 的相关研究。对合格 RCT 中提取的数据进行荟萃分析,包括 DR 的进展、视力、视野、黄斑水肿、生活质量和不良事件。Meta 分析将使用 Review Manager 5.4.1 软件进行,结果将基于随机效应或固定效应模型,具体取决于异质性。将使用推荐分级、制定与评估(GRADE)系统评估证据的可靠性和质量。

结果

本研究的结果将为姜黄素治疗 DR 的疗效和安全性提供可靠的高质量证据。

结论

这将是第一项全面评估姜黄素治疗 DR 疗效和安全性的荟萃分析,为该疾病的临床管理提供有帮助的证据。

系统评价注册

INPLASY202250002.

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2565/10118132/616b64d23628/pone.0282866.g001.jpg

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