新诊断的儿科白血病中的眼部参与:系统性审查和元分析
Kristina Nazzicone1, Rachel Kim1, Alexa Fine2
1School of Medicine Queen's University Kingston Canada.
Pediatric investigation
|June 20, 2025
概括
儿科白血病的眼部参与是常见的,影响超过20%的新诊断的儿童,特别是那些没有症状的. 所有患有白血病的儿童都需要在诊断时进行眼科查.
科学领域:
- 儿科瘤学 儿科瘤学
- 眼科医生 眼科 眼科
- 血液学 血液学 血液学
背景情况:
- 儿童白血病中的眼部参与往往被忽视,特别是在无症状患者中.
- 儿童白血病眼科医症的流行率估计差异很大 (0.32%71%).
研究的目的:
- 确定患病率和描述眼睛参与新诊断的儿科白血病的性质.
- 使用系统审查和元分析方法.
主要方法:
- 在2024年7月之前进行全面的数据库搜索 (MEDLINE,Embase,Cochrane,Web of Science).
- 包括14项研究,包括2989名儿科白血病患者 (新诊断,≤18岁).
- 进行随机效应元分析以估计患病率,不包括复发或同时治疗的病例.
主要成果:
- 在诊断时,眼部干扰的综合流行率为20.32% (95% CI = 9.88% 33.08%).
- 无症状的眼部干扰 (23.90%) 比症状干扰 (14.75%) 更为普遍.
- 观察到高异质性 (I2 = 97.7%),归因于研究设计和人口差异.
结论:
- 儿科白血病中的眼部参与比以前认可的更为普遍,特别是在无症状病例中.
- 当前的选择性眼科评估实践可能会错过早期的眼部表现.
- 建议对所有新诊断的儿科白血病患者进行例行眼科查.
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