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网络荟萃分析数据可为糖尿病管理的临床实践指南和决策提供信息:指南工作组专题组的观点。

Data from network meta-analyses can inform clinical practice guidelines and decision-making in diabetes management: perspectives of the taskforce of the guideline workshop.

机构信息

IRCCS MultiMedica, Via Milanese 300, 20099, Sesto San Giovanni, MI, Italy.

Endocrine and Metabolic Consultants, 3200 Tower Oaks Blvd., Suite 250, Rockville, MD, 20852, USA.

出版信息

Cardiovasc Diabetol. 2023 Oct 13;22(1):277. doi: 10.1186/s12933-023-01993-3.

Abstract

In recent years, several novel agents have become available to treat individuals with type 2 diabetes (T2D), such as sodium-glucose cotransporter-2 inhibitors (SGLT-2i), tirzepatide, which is a dual glucose-dependent insulinotropic polypeptide receptor agonist (GIP RA)/glucagon-like peptide-1 receptor agonist (GLP-1 RA), and finerenone, a non-steroidal mineralocorticoid receptor antagonist (MRA) that confers significant renal and cardiovascular benefits in individuals with (CKD). New medications have the potential to improve the lives of individuals with diabetes. However, clinicians are challenged to understand the benefits and potential risks associated with these new and emerging treatment options. In this article, we discuss how use of network meta-analyses (NMA) can fill this need.

摘要

近年来,一些新型药物已可用于治疗 2 型糖尿病(T2D)患者,如钠-葡萄糖共转运蛋白 2 抑制剂(SGLT-2i)、替西帕肽,它是一种双重葡萄糖依赖性肠促胰岛素多肽受体激动剂(GIPRA)/胰高血糖素样肽-1 受体激动剂(GLP-1RA),以及非甾体类盐皮质激素受体拮抗剂(MRA)费来尼酮,它可为患有(CKD)的患者带来显著的肾脏和心血管获益。新的药物有可能改善糖尿病患者的生活。然而,临床医生面临着理解这些新的和新兴治疗选择的益处和潜在风险的挑战。在本文中,我们讨论了如何使用网络荟萃分析(NMA)来满足这一需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bd5/10576408/f1f30e94e592/12933_2023_1993_Fig1_HTML.jpg

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