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炎症性关节病中葡萄膜炎的B超评估:系统评价

B-Scan Ultrasound Evaluation for Uveitis in Inflammatory Arthropathies: Systematic Review.

作者信息

Mendonça José Alexandre, de Figueiredo Torres Caivano Rafael, Casani Rech Isabella, Siste de Almeida Aoki Isabella, Chagas Cavuto Caique

机构信息

Postgraduate Program in Health Sciences/Rheumatology Service, Puc-Campinas, São Paulo, Brazil.

Pontifical Catholic University of Campinas, Puc-Campinas-SP-Brazil.

出版信息

Eur J Rheumatol. 2023 Apr;10(2):71-83. doi: 10.5152/eurjrheum.2023.22054.

Abstract

The ocular inflammatory process may be associated with autoimmune inflammatory joint damage and can be better recovered by B-mode ultrasound, being little explored in the absent eye evaluation. This study aimed to conduct a systematic review using the Patients or Problem, Intervention, Control or Comparison, Outcomes strategy: uveitis; ultrasound, arthritis, and diagnosis. Clinical trials, meta-analysis, and randomized controlled trials that specifically address the scope of this study will be evaluated. For the search in the database, a choice of controlled vocabulary will be used with the MEDLINE MeSH platform (Medical Subject Headings). The articles must be dated from the year 2010 until the year 2020. To charting methods will be used Preferred Reporting Items for Systematic Reviews and Meta-Analyses Flow Diagram and risk of bias: the Cochrane risk of bias tool. Grade of recommendation assessment: Grading of Recommendations Assessment, Development, and Evaluation Group guidelines. Of 2909 studies, only 13 studies were included, which evaluated the use of B-mode ultrasound to assess anterior and intermediate uveitis and complications, and 5 cases showed an association of vitreitis. B-mode ultrasound can be an important benefit of complementing clinical evaluation in patients with the uveal inflammatory process associated with several autoimmune arthropathies, but more studies with better-elaborated methodology design will be necessary.

摘要

眼部炎症过程可能与自身免疫性炎性关节损伤有关,通过B超检查可更好地恢复,在无眼评估中对此研究较少。本研究旨在采用患者或问题、干预措施、对照或比较、结局策略进行系统评价:葡萄膜炎;超声、关节炎及诊断。将评估专门针对本研究范围的临床试验、荟萃分析和随机对照试验。在数据库检索时,将使用MEDLINE医学主题词表平台的受控词汇进行选择。文章必须发表于2010年至2020年。将使用系统评价和荟萃分析的首选报告项目流程图及偏倚风险:Cochrane偏倚风险工具。推荐等级评估:推荐评估、制定和评价小组指南。在2909项研究中,仅纳入了13项研究,这些研究评估了B超用于评估前葡萄膜炎和中间葡萄膜炎及其并发症,5例显示有玻璃体炎关联。B超对于补充患有与多种自身免疫性关节病相关的葡萄膜炎症过程患者的临床评估可能具有重要益处,但需要更多方法设计更精细的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea60/10544347/943a917de743/ejr-10-2-71_f001.jpg

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