Alwafi Hassan, Khayat Rayan, Banjabi Alaa, Salawati Emad, Alotaibi Basil J, Nassir Rami, Aldhahir Abdulelah, Ekram Rakan, Alghamdi Saeed M, Naser Abdallah Y
Pharmacology and Toxicology, Faculty of Medicine, Umm Al-Qura University, Mecca, SAU.
Toxicology Center, Ministry of Health, Medina, SAU.
Cureus. 2023 Mar 19;15(3):e36369. doi: 10.7759/cureus.36369. eCollection 2023 Mar.
This study aimed to conduct a methodological review of drug-related toxicological studies in Saudi Arabia. A systematic review and a methodological analysis were conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Medline and Embase were searched for all types of studies reporting toxicological studies in the English language published until January 10, 2022. The search was conducted using both keywords and Medical Subject Headings (MeSH) terms. The methodological analysis of included studies was assessed using the Newcastle-Ottawa Scale. A total of 3,750 studies were extracted and screened. Of these, 30 observational studies (seven cohort studies and 23 cross-sectional studies) met the inclusion criteria. The methodological scores ranged from five to seven out of 10 possible points. Twelve studies had high quality, and 18 studies had moderate quality. Eight studies focused on adverse drug reactions, eight explored poisoning, four explored drug-related hospitalizations, nine explored drug-induced toxicity, and one explored drug overdose. This research project revealed that most of the drug-related toxicological studies conducted in Saudi Arabia were observational studies of moderate quality. Future studies should focus on the quality of the design and reporting.
本研究旨在对沙特阿拉伯与药物相关的毒理学研究进行方法学综述。根据系统评价和Meta分析的首选报告项目(PRISMA)指南进行了系统评价和方法学分析。检索了Medline和Embase数据库,查找截至2022年1月10日发表的所有以英文报道毒理学研究的各类研究。检索使用了关键词和医学主题词(MeSH)。采用纽卡斯尔-渥太华量表对纳入研究进行方法学分析。共提取并筛选了3750项研究。其中,30项观察性研究(7项队列研究和23项横断面研究)符合纳入标准。方法学得分在10分制中为5至7分。12项研究质量高,18项研究质量中等。8项研究关注药物不良反应,8项研究探讨中毒情况,4项研究探讨与药物相关的住院治疗,9项研究探讨药物诱导的毒性,1项研究探讨药物过量。该研究项目表明,沙特阿拉伯开展的大多数与药物相关的毒理学研究都是质量中等的观察性研究。未来的研究应关注设计和报告的质量。