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将批判性评价引入到研究脓毒症新疗法的动物模型研究中。

Introducing Critical Appraisal to studies of animal models investigating novel therapies in sepsis.

作者信息

Piper R D, Cook D J, Bone R C, Sibbald W J

机构信息

Department of Medicine, University of Western Ontario, London, Canada.

出版信息

Crit Care Med. 1996 Dec;24(12):2059-70. doi: 10.1097/00003246-199612000-00021.

DOI:10.1097/00003246-199612000-00021
PMID:8968277
Abstract

OBJECTIVES

To discuss theoretical and practical aspects relating to the design of animal studies investigating the efficacy of novel therapeutic agents for the treatment of sepsis, and to make explicit the process whereby these studies can be evaluated for the purpose of designing clinical trials in humans.

DATA SOURCES

Relevant articles from the pertinent literature were reviewed.

STUDY SELECTION

Studies relevant to an evidence-based assessment of clinical studies on therapeutic efficacy, and studies relevant to the design of animal models of sepsis were selected.

DATA EXTRACTION

Concepts relevant to an evidence-based assessment of the animal literature were extracted.

DATA SYNTHESIS

Articles were reviewed and an evidence-based framework for the assessment of animal studies was developed. In this process, we discuss the steps that are necessary to assess the internal validity of an individual study and review topics relevant to the application of animal data to the design of clinical trials.

CONCLUSIONS

The success of clinical trials of sepsis therapies is predicated on the generation and interpretation of sound preclinical data. In this review, we have attempted to outline an evidence-based approach to the assessment of preclinical animal studies evaluating novel therapeutic interventions in sepsis.

摘要

目的

探讨与设计动物研究相关的理论和实践问题,这些研究旨在调查新型治疗药物治疗脓毒症的疗效,并明确为设计人体临床试验而对这些研究进行评估的过程。

数据来源

查阅了相关文献中的相关文章。

研究选择

选择与基于证据评估治疗疗效的临床研究相关的研究,以及与脓毒症动物模型设计相关的研究。

数据提取

提取与基于证据评估动物文献相关的概念。

数据综合

对文章进行了综述,并建立了一个基于证据的动物研究评估框架。在此过程中,我们讨论了评估单个研究内部有效性所需的步骤,并回顾了与将动物数据应用于临床试验设计相关的主题。

结论

脓毒症治疗临床试验的成功取决于可靠的临床前数据的产生和解释。在本综述中,我们试图概述一种基于证据的方法,用于评估评估脓毒症新型治疗干预措施的临床前动物研究。

相似文献

1
Introducing Critical Appraisal to studies of animal models investigating novel therapies in sepsis.将批判性评价引入到研究脓毒症新疗法的动物模型研究中。
Crit Care Med. 1996 Dec;24(12):2059-70. doi: 10.1097/00003246-199612000-00021.
2
Systematic review of reviews including animal studies addressing therapeutic interventions for sepsis.系统评价综述,包括针对脓毒症治疗干预的动物研究。
Crit Care Med. 2010 Dec;38(12):2401-8. doi: 10.1097/CCM.0b013e3181fa0468.
3
Preclinical sepsis models.临床前脓毒症模型。
Surg Infect (Larchmt). 2012 Oct;13(5):287-92. doi: 10.1089/sur.2012.105. Epub 2012 Oct 9.
4
Current prospects for the treatment of clinical sepsis.临床脓毒症治疗的当前前景。
Crit Care Med. 1994 Jul;22(7):S12-8.
5
New strategies for clinical trials in patients with sepsis and septic shock.脓毒症和脓毒性休克患者临床试验的新策略。
Crit Care Med. 2001 Apr;29(4):880-6. doi: 10.1097/00003246-200104000-00039.
6
Animal models of sepsis: why does preclinical efficacy fail to translate to the clinical setting?脓毒症动物模型:为何临床前疗效无法转化至临床实践?
Crit Care Med. 2009 Jan;37(1 Suppl):S30-7. doi: 10.1097/CCM.0b013e3181922bd3.
7
Translational Sepsis Research: Spanning the Divide.转化性脓毒症研究:跨越鸿沟。
Crit Care Med. 2018 Sep;46(9):1497-1505. doi: 10.1097/CCM.0000000000003271.
8
Animal models of sepsis.脓毒症的动物模型。
Crit Care Clin. 2009 Oct;25(4):703-19, vii-viii. doi: 10.1016/j.ccc.2009.08.005.
9
Randomized, controlled clinical trials in sepsis: has methodological quality improved over time?脓毒症的随机对照临床试验:随着时间推移,方法学质量是否有所提高?
Crit Care Med. 2002 Feb;30(2):461-72. doi: 10.1097/00003246-200202000-00032.
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Alternative outcome measures for pediatric clinical sepsis trials.儿科临床脓毒症试验的替代结局指标。
Pediatr Crit Care Med. 2005 May;6(3 Suppl):S150-6. doi: 10.1097/01.PCC.0000161582.63265.B6.

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