类风湿性关节炎与放射治疗毒性风险之间的关联:系统性审查
Nina Liebenberg1, Alan McWilliam2, Sarah L Kerns3
1Royal Surrey County Hospital NHS Foundation Trust, Guildford, UK.
BMJ oncology
|November 11, 2024
概括
在类风湿性关节炎 (RA) 患者中使用放射治疗可能会增加毒性风险,但证据有限. 目前的数据不支持减少RA患者的放射治疗剂量,原因是缺乏高质量的研究.
科学领域:
- 在瘤学瘤学.
- 类风湿病学 类风湿病学
- 辐射疗法 辐射疗法
背景情况:
- 关于在风湿性关节炎 (RA) 患者中使用放射治疗存在担忧.
- 目前有限的证据支持或反驳这些担忧.
- 了解RA对放射治疗毒性的影响对于临床指导至关重要.
研究的目的:
- 系统地审查有关类风湿性关节炎与放射治疗毒性的现有证据.
- 为临床实践提供信息,并识别当前研究中的差距.
主要方法:
- 按照PRISMA 2020指南进行了系统审查.
- 在Medline,Embase和PubMed数据库中进行了搜索.
- 两个独立评估员审查了12篇选定的文章进行定性分析.
主要成果:
- 最初确定了155篇文章,其中12篇被列入最终分析.
- 大多数研究 (9/12) 质量中低,呈现偏差.
- 虽然一些研究表明RA患者的毒性更高,但只有两项研究取得了统计学意义.
结论:
- 高质量的证据将类风湿性关节炎与放射治疗毒性联系起来仍然很少.
- 目前的数据不足以建议RA患者减少放射治疗剂量.
- 需要进一步进行高质量的研究,包括前性分析,先进技术和更大的队列.
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