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Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
Thyroid dysfunction and cardiovascular events in patients with chronic kidney disease: A protocol of systematic
Tongtong Liu1, Yingjie Guan2, Juan Li1
1Guang'anmen Hospital, China Academy of Chinese Medical Sciences.
Insights
This systematic review investigates if hypothyroidism independently predicts cardiovascular risk in chronic kidney disease (CKD) patients. Findings will inform clinical management of CKD with hypothyroidism.
Area of Science:
- Nephrology
- Endocrinology
- Cardiology
Background:
- Cardiovascular disease (CVD) is the leading cause of mortality in chronic kidney disease (CKD) patients.
- Hypothyroidism is a common complication in CKD patients and is known to increase cardiovascular risk.
- The independent predictive role of hypothyroidism for cardiovascular risk in CKD patients requires further investigation.
Purpose of the Study:
- To systematically review and meta-analyze existing studies to determine if hypothyroidism is an independent predictor of cardiovascular risk in patients with CKD.
- To provide robust evidence on the association between hypothyroidism and cardiovascular outcomes in the CKD population.
Main Methods:
- A comprehensive literature search will be conducted across multiple databases including PubMed, Embase, Web of Science, CNKI, CBM, and Wanfang.
- Eligible study designs include cross-sectional, case-control, and cohort studies examining the link between hypothyroidism and cardiovascular risk in CKD patients.
- Data extraction and quality assessment will be performed independently by two researchers, with data synthesis using STATA and TSA software.
Main Results:
- The systematic review will evaluate the association by analyzing the incidence of cardiovascular events in CKD individuals with hypothyroidism.
- Quantification of the risk conferred by hypothyroidism on cardiovascular events in CKD patients will be performed.
Conclusions:
- This study aims to provide significant evidence regarding the correlation between hypothyroidism and cardiovascular risk in CKD patients.
- The findings are expected to contribute to improved clinical management and practice for the CKD population, particularly those with co-existing hypothyroidism.
Background:
Cardiovascular disease is the main cause of death in patients with chronic kidney disease (CKD). Studies have found that hypothyroidism can significantly increase cardiovascular risk. Meanwhile, hypothyroidism is a common complication of CKD, but the correlation between hypothyroidism and cardiovascular risk in CKD patients has not been verified and paid enough attention. We therefore plan to conduct a systematic review and meta-analysis to explore whether hypothyroidism was independently predictive for the cardiovascular risk in patients with CKD.
Methods:
We will search in PubMed, Embase Database, Web of Science, China National Knowledge Infrastructure (CNKI), China Biology Medicine Database (CBM), and Wanfang Database, and include the cross-sectional studies, case--control studies, and cohort studies that explore the association between hypothyroidism and cardiovascular risk in CKD patients. According to the eligibility criteria, two researchers will independently screen the retrieved literature, evaluate the methodological quality, and extract data. We will combine the extracted data based on STATA and TSA software.
Results:
This systematic review will assess the association between hypothyroidism and cardiovascular risk in CKD patients based on the incidence of cardiovascular events in CKD people with hypothyroidism.
Conclusions:
This study will provide more evidence for the correlation between hypothyroidism and cardiovascular risk in CKD patients, which will contribute to the management and clinical practice of CKD population.
Ethics And Dissemination:
This protocol is based on available literatures so that the ethical approval and informed consent are not applicable. The results of this study will be published in a peer-reviewed journals or relevant conferences.
Protocol Registration Number:
INPLASY2020100022.
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