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[Application of evidence-based rapid review in studying nephrotoxicity of Tripterygium wilfordii preparation]
Xue Feng1, Sai-Nan Fang1, Yu-Xin Gao2
1Centre for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing 100029, China.
Abstract:
To investigate the feasibility of applying the evidence-based rapid review in studying the nephrotoxicity of Tripterygium wilfordii preparation. We used four methods in relevant studies on the nephrotoxicity of T. wilfordii preparation. The first method had no limitation on any search terms, which was a traditional approach to retrieve systematic reviews. The second method limited the relevant search terms of T. wilfordii preparation to "all of CHMs containing T. wilfordii preparation approved by CFDA". The third method was to limit the relevant retrieval terms of nephrotoxicity as the "most frequently reported terms related to nephrotoxicity found in the study literature screening process in the early stage of systematic review". The fourth method was to limit the search terms relating to both T. wilfordii preparation and nephrotoxicity. Finally, the results of the last three search methods were compared with those of the first search method, and the feasibility of the rapid review method in the study for the nephrotoxicity of CHM was discussed. For the total number of literatures searched, the fourth method had the smallest number of literatures. For the number of articles in line with the inclusion criteria, the second method had the largest number of eligible literatures. For the type of literatures included, the forth method had a higher coincidence degree. The forth method was the best one, because it was not only consistent with the results, but also could minimize the workload. Rapid review is feasible in the study of nephrotoxicity of T. wilfordii.
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