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非洲癌症相关血栓形成的程度:一项系统评价和荟萃分析。

Magnitude of cancer-associated thrombosis in Africa: A systematic review and meta-analysis.

作者信息

Baye Astewle Andargie, Tigabu Agimasie, Abere Yirgalem, Tilaye Birara Ayichew, Kefale Demewoz, Bazezew Lakachew Yismaw, Munie Birhanu Mengist, Bantie Berihun, Delie Abebu Tegenaw, Haile Dessalegn

机构信息

Department of Adult Health Nursing, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.

Department of Pediatrics and Child Health Nursing, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.

出版信息

iScience. 2024 Dec 18;28(1):111607. doi: 10.1016/j.isci.2024.111607. eCollection 2025 Jan 17.

Abstract

Comprehensive data on the epidemiology of cancer-related thrombosis in Africa has been sparse until recently. Thus, this review was aimed to investigate the magnitude of cancer-related thrombosis in Africa. To obtain key articles, comprehensive search was conducted using various databases. A random-effects model was used to determine the pooled magnitude. Heterogeneity across the studies was checked, and publication bias was determined. The pooled magnitude of thrombosis among cancer patients in Africa is 11.65% (95% confidence interval [CI]: 9.02-14.28). Advanced age, comorbidity, and level of D-dimer were the factors associated with cancer-associated thrombosis. Cancer-related thrombosis has become a significant public health burden in Africa. About 3 out of 25 cancer patients are at increased risk of acquiring thrombosis. It is better to provide training and capacity-building programs for healthcare providers in Africa on the prevention, diagnosis, and management of cancer-related thrombosis and develop standardized evidence-based multidisciplinary approach care guidelines.

摘要

直到最近,非洲癌症相关血栓形成的流行病学综合数据一直很稀少。因此,本综述旨在调查非洲癌症相关血栓形成的程度。为获取关键文章,使用了各种数据库进行全面检索。采用随机效应模型确定合并效应量。检查了各研究之间的异质性,并确定了发表偏倚。非洲癌症患者中血栓形成的合并效应量为11.65%(95%置信区间[CI]:9.02 - 14.28)。高龄、合并症和D - 二聚体水平是与癌症相关血栓形成相关的因素。癌症相关血栓形成已成为非洲一项重大的公共卫生负担。每25名癌症患者中约有3人发生血栓形成的风险增加。最好为非洲的医疗保健提供者提供有关癌症相关血栓形成的预防、诊断和管理的培训及能力建设项目,并制定基于证据的标准化多学科护理指南。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/328f/11761916/3bab73fb4f6c/fx1.jpg

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