服用他类药物是否会改变类风湿性关节炎的风险? 一个系统的审查和元分析
Xinhong Pan1, Xiaobing Yang1, Peiying Ma1
1Department of Rheumatology and Immunology, Huzhou Third Municipal Hospital, The Affiliated Hospital of Huzhou University, Huzhou City, Zhejiang Province, China.
PloS one
|July 23, 2024
概括
这次元分析发现,他类药物使用与类风湿性关节炎 (RA) 风险之间没有联系. 需要进一步的研究来证实这些关于他类药物和RA的发现.
科学领域:
- 免疫学 免疫学 免疫学
- 药理学 药理学是指药理学的学科.
- 类风湿病学 类风湿病学
背景情况:
- 类药物具有抗炎和免疫调节的特性.
- 这些特性表明它可能会对类风湿性关节炎 (RA) 风险产生影响.
研究的目的:
- 调查他类药物使用与发展RA的风险之间的关联.
- 通过元分析来综合现有文献中的证据.
主要方法:
- 在PubMed,Scopus和EMBASE数据库中进行了系统的文献搜索.
- 包括的研究包括到2023年10月发表的病例控制,队列和随机对照试验 (RCT).
- 采用随机效应的元分析,将他类药物使用与RA风险之间的关联结合起来.
主要成果:
- 九项研究 (4个队列,4个病例控制,1个RCT) 被纳入了元分析.
- 与他类药物使用相关的RA风险的整体聚合概率 (OR) 为0.93 (95% CI:0.82,1.06),表明没有显著的关联.
- 结果在不同研究设计中保持一致,在病例控制,队列或RCT分析中没有发现显著的关联.
- 在包括的研究中发现了很高的异质性 (I2 = 75%).
结论:
- 目前的证据表明,他类药物使用与类风湿性关节炎风险之间没有关联.
- 建议进行进一步的高质量研究,以探索潜在的混因素,患者特征和他类药物暴露的持续时间.
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