全球COVID-19疫情爆发后治疗干预措施的评估:随机对照试验的系统审查和文献分析分析
Mohammed Alfaqeeh1, Neily Zakiyah1,2, Auliya A Suwantika1,2,3
1Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Bandung, Indonesia.
Journal of multidisciplinary healthcare
|December 28, 2023
概括
这次审查发现,许多COVID-19治疗随机对照试验 (RCT) 缺乏方法严格. 提高试验质量和透明度对于未来的全球卫生紧急情况至关重要.
科学领域:
- 医学研究 医学研究
- 流行病学 流行病学
- 临床试验 临床试验
背景情况:
- 由于COVID-19的流行,需要快速开发有效的治疗方法.
- 随机对照试验 (RCT) 对于确定治疗疗效至关重要.
- 评估这些RCT的方法质量对于可靠的结果至关重要.
研究的目的:
- 系统地审查和文献分析COVID-19治疗RCT.
- 评估方法质量,执行多样性和全球趋势.
- 评估从第二波疫情开始的趋势.
主要方法:
- 来自三个数据库的RCT的系统审查 (2020年9月 - 2023年4月).
- 使用偏差风险 (RoB) 2工具评估方法质量.
- 图书统计分析包括关键词的同时出现和使用VOSviewer和Tableau.com的国家分布.
主要成果:
- 在501项确定的研究中,只有22项符合纳入标准,19项有注册数据.
- 在随机化,结果测量和报告方面发现了重大缺陷.
- 观察到全球合作,伊朗和巴西是主要贡献者.
结论:
- 发现缺乏高质量的COVID-19治疗RCT.
- 在全球卫生紧急情况中,急需提高试验严格性和透明度.
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