慢性病在炎症性肠病中的慢性病:系统性审查和元分析
Ward Zadora1,2, Tommaso Innocenti2,3, Bram Verstockt2,4
1Nephrology and Renal Transplantation Research Group, KULeuven, Leuven, Belgium.
Journal of Crohn's & colitis
|April 8, 2024
概括
炎症性肠病 (IBD) 显著增加患慢性病 (CKD) 的风险. 这一系统性审查发现IBD患者的CKD几率高出59%,突出显示了患者护理的关键关联.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 胃肠病学 胃肠病学
- 免疫学 免疫学 免疫学
背景情况:
- 炎症性肠病 (IBD) 与免疫介导的疾病有关.
- 慢性病 (CKD) 的特点是功能减弱或损伤.
- 现有证据表明IBD和CKD之间存在联系,但其程度尚不清楚.
研究的目的:
- 系统地审查和量化IBD和CKD患病率之间的关联.
- 与对照组相比,评估IBD患者中CKD风险的大小.
主要方法:
- 在主要数据库 (EMBASE,MEDLINE,科学网,Cochrane,SCOPUS) 中进行全面的文献搜索.
- 对符合条件的研究进行系统审查和元分析.
- 使用随机效应模型和Mantle Haenszel测试计算整体赔率比.
主要成果:
- 包括8项研究,包括102,230名IBD患者和762,430名对照患者的数据.
- 在IBD患者中发展CKD的整体几率比为1.59 (95%CI为1.31-1.93).
- 在使用诊断代码与用于CKD诊断的eGFR的研究之间没有观察到几率比率的显著差异.
结论:
- IBD与CKD患病率的临床显著增加有关.
- 提供了诊断评估和未来研究的建议.
- 这一发现强调了监测IBD患者功能的重要性.
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