对被诊断患有内脏莱什曼病的患者的临床结果的预后预测模型:系统性审查的协议
James Wilson1,2, Forhad Chowdhury3,2, Shermarke Hassan3,2
1Infectious Diseases Data Observatory (IDDO), University of Oxford, Oxford, UK james.wilson@iddo.org.
BMJ open
|October 25, 2023
概括
本研究确定和评估内脏莱什曼病 (VL) 的预后模型,以改善患者风险分层和临床管理. 它旨在指导研究人员选择和更新用于预测VL结果的工具.
科学领域:
- 热带医学是一种热带医学.
- 流行病学 流行病学
- 生物统计学 生物统计学
背景情况:
- 内脏莱什曼病 (VL) 是一种致命的被忽视的热带疾病,如果没有治疗,死亡率很高.
- 有效的风险预测工具对于识别需要密集管理的高风险患者至关重要.
- 目前对VL的预后模型需要系统的识别,总结和评估.
研究的目的:
- 系统地识别,总结和评估现有的预后模型,用于内脏莱什曼病患者的临床结果.
- 为研究人员和临床医生提供可用的模型的全面概述.
- 为VL的风险预测工具的选择和潜在更新提供信息.
主要方法:
- 对开发,验证或更新VL预后模型的研究进行系统审查.
- 从开始到2023年3月,全面搜索数据库 (Embase,MEDLINE,科学网,SciELO,LILACS) 从开始到2023年3月.
- 使用PROBAST工具进行重复选,数据提取和偏差风险评估.
主要成果:
- 识别和对预测模型的关键信息进行比较,包括数据源,参与者,发展和性能.
- 评估模型的优点,局限性和临床适用性.
- 对包含的模型的偏差风险的评估.
结论:
- 该审查将提供对目前内脏莱什曼病的预后模型的批判性总结.
- 结果将指导选择适当的模型进行验证或更新.
- 这项工作支持改善VL的临床决策和患者管理.
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