Department of Nephrology, The Second Hospital of Dalian Medical University, Dalian, China.
Int Wound J. 2023 Nov;20(9):3786-3793. doi: 10.1111/iwj.14278. Epub 2023 Jun 19.
Research assessing the outcome of brachiobasilic arteriovenous fistulas (BB-AVF) after a one- and two-stage technique was conducted. A strict review of the comprehensive literature up to May 2023 was carried out using four databases-PubMed，Embase, Cochrane Library and web of science. Inclusion and exclusion criteria developed for the study were then applied to assess the quality of the literature, it was decided to review 12 interrelated studies.95% confidence intervals (Cl) and odds ratios (OR) were calculated using fixed effects models. The data were meta-analysed using RevMan 5.3 software. The results showed that two-stage technique with BB-AVF reduced surgical site haematoma (SSH) formation, (OR, 2.28; 95% CI, 1.24-4.17, p = 0.008), and also reduced surgical site wound infection (SSWI) (OR, 1.86; 95% CI, 1.17-2.94, p = 0.008). There are, however, several small sample sizes in the selected studies for this meta-analysis, so caution should be used when processing their values. There are more high-quality studies with large sample sizes that should be considered for future meta-analyses.
研究评估了单阶段和双阶段技术后肱动脉-贵要静脉动静脉瘘（BB-AVF）的结果。使用四个数据库 - PubMed、Embase、Cochrane Library 和 web of science 对截至 2023 年 5 月的全面文献进行了严格审查。然后应用为该研究制定的纳入和排除标准来评估文献质量，决定审查 12 项相互关联的研究。使用固定效应模型计算 95%置信区间 (Cl) 和优势比 (OR)。使用 RevMan 5.3 软件对数据进行荟萃分析。结果表明，双阶段技术可减少 BB-AVF 术后手术部位血肿（SSH）形成（OR，2.28；95%CI，1.24-4.17，p=0.008），还可减少手术部位伤口感染（SSWI）（OR，1.86；95%CI，1.17-2.94，p=0.008）。然而，这项荟萃分析中选择的研究有几个样本量较小，因此在处理这些值时应谨慎。应该考虑未来的荟萃分析，纳入更多高质量、大样本量的研究。
