Medline

MEDLINE
  • 文章类型: Journal Article
    目的:作者姓名不完整,仅引用第一个可用的首字母而不是完整的名字,是MEDLINE中一个长期存在的问题,对生物医学文献系统产生负面影响。这项研究的目的是为MEDLINE创建增强作者姓名(EAN)数据集,以最大程度地增加完整作者姓名的数量。
    方法:EAN数据集是基于从多个文献数据库(如MEDLINE)收集的作者姓名进行大规模名称比较和恢复而构建的。Microsoft学术图,和语义学者。我们通过对EAN和MEDLINE的两个重要任务的作者姓名数据集(MAN)进行比较和统计分析来评估EAN对生物医学文献系统的影响。作者姓名搜索和作者姓名歧义消除。
    结果:评估结果表明,EAN将MEDLINE中的作者全名数量从6973万提高到了11090万。EAN不仅在2002年NLM更改其作者姓名索引策略之前恢复了大量的缩写名称,而且还提高了之后发表的文章中作者姓名的可用性。对作者姓名搜索和作者姓名歧义消除任务的评估表明,与MAN相比,EAN能够显着增强这两个任务。
    结论:EAN对全名的广泛覆盖表明,名称不完整的问题可以在很大程度上得到缓解。这对于开发改进的生物医学文献系统具有重要意义。EAN可在https://zenodo.org/record/10251358获得,更新版本可在https://zenodo.org/records/10663234获得。
    OBJECTIVE: Author name incompleteness, referring to only first initial available instead of full first name, is a long-standing problem in MEDLINE and has a negative impact on biomedical literature systems. The purpose of this study is to create an Enhanced Author Names (EAN) dataset for MEDLINE that maximizes the number of complete author names.
    METHODS: The EAN dataset is built based on a large-scale name comparison and restoration with author names collected from multiple literature databases such as MEDLINE, Microsoft Academic Graph, and Semantic Scholar. We assess the impact of EAN on biomedical literature systems by conducting comparative and statistical analyses between EAN and MEDLINE\'s author names dataset (MAN) on 2 important tasks, author name search and author name disambiguation.
    RESULTS: Evaluation results show that EAN improves the number of full author names in MEDLINE from 69.73 million to 110.9 million. EAN not only restores a substantial number of abbreviated names prior to the year 2002 when the NLM changed its author name indexing policy but also improves the availability of full author names in articles published afterward. The evaluation of the author name search and author name disambiguation tasks reveal that EAN is able to significantly enhance both tasks compared to MAN.
    CONCLUSIONS: The extensive coverage of full names in EAN suggests that the name incompleteness issue can be largely mitigated. This has significant implications for the development of an improved biomedical literature system. EAN is available at https://zenodo.org/record/10251358, and an updated version is available at https://zenodo.org/records/10663234.
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  • 文章类型: Journal Article
    目的:健康研究人员必须系统地了解影响暴露和结果的第三方变量,如有向无环图(DAG)所示。传统的通过文献综述和专家知识构建DAG往往需要更加系统和一致,导致潜在的偏见。我们尝试引入一种自动方法来构建网络链接感兴趣的变量。
    方法:利用医学文献中的大规模文本挖掘来构建基于语义MEDLINE数据库(SemMedDB)的概念网络。SemMedDB是“概念-关系-概念”三元组格式的PubMed规模存储库。概念之间的关系被归类为兴奋,抑制性,或将军。
    结果:为了便于在SemMedDB中使用大规模三元组,我们开发了一个可计算的生物医学知识(CBK)系统(https://cbk。bjmu.edu.cn/),一个网站,可以直接检索相关出版物及其相应的三元组,而无需编写SQL语句。阐述了三个案例研究来展示CBK系统的应用。
    结论:CBK系统是公开可用且用户友好的,可以快速捕获一组表型的影响因素,并在暴露-结果变量之间建立候选DAG。这可能是一个有价值的工具,可以减少考虑变量之间关系的探索时间,构建DAG。可靠和标准化的DAG可以显着改善观察性健康研究的设计和解释。
    OBJECTIVE: It is essential for health researchers to have a systematic understanding of third-party variables that influence both the exposure and outcome under investigation, as shown by a directed acyclic graph (DAG). The traditional construction of DAGs through literature review and expert knowledge often needs to be more systematic and consistent, leading to potential biases. We try to introduce an automatic approach to building network linking variables of interest.
    METHODS: Large-scale text mining from medical literature was utilized to construct a conceptual network based on the Semantic MEDLINE Database (SemMedDB). SemMedDB is a PubMed-scale repository of the \"concept-relation-concept\" triple format. Relations between concepts are categorized as Excitatory, Inhibitory, or General.
    RESULTS: To facilitate the use of large-scale triple sets in SemMedDB, we have developed a computable biomedical knowledge (CBK) system (https://cbk.bjmu.edu.cn/), a website that enables direct retrieval of related publications and their corresponding triples without the necessity of writing SQL statements. Three case studies were elaborated to demonstrate the applications of the CBK system.
    CONCLUSIONS: The CBK system is openly available and user-friendly for rapidly capturing a set of influencing factors for a phenotype and building candidate DAGs between exposure-outcome variables. It could be a valuable tool to reduce the exploration time in considering relationships between variables, and constructing a DAG. A reliable and standardized DAG could significantly improve the design and interpretation of observational health research.
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  • 文章类型: Meta-Analysis
    背景:通过搜索相关文献,复发率,视频辅助肛瘘治疗(VAAFT)后的并发症发生率,并对其疗效和安全性进行分析。
    方法:在PubMed(Medline)和Cochrane图书馆中搜索了报告截至2020年12月VAAFT结果的文章,根据系统评价和荟萃分析(PRISMA)筛查指南的首选报告项目。两名研究者独立完成了从筛选、纳入到质量评价和偏倚风险评估的全过程,数据包含在RevMan5.3软件中进行分析。主要结果是患者的人口统计学数据,检测率,肛肠瘘内口分类,术后复发率,和并发症的发生率。
    结果:共纳入10篇文献(779例患者)。患者平均年龄44岁,平均手术时间为60分钟,平均随访时间为22个月。男女比例为2.4:1,高位肛肠瘘与低位肛肠瘘的比例为6.6:1,内部开口检出率为98%,加权复发率为24%,加权并发症发生率为1%。
    结论:VAAFT治疗肛门直肠瘘安全有效。
    BACKGROUND: By searching relevant literature, the recurrence rate, complication rate after video-assisted anal fistula treatment (VAAFT), and efficacy and safety of the treatment were analyzed.
    METHODS: Articles that reported the outcomes of VAAFT up to December 2020 were searched in PubMed (Medline) and Cochrane Library, in accordance with the preferred reporting items for systematic review and meta-analysis (PRISMA) screening guidelines. Two researchers independently completed the whole process from screening and inclusion to quality evaluation and bias risk assessment, and the data was included in the RevMan 5.3 software for analysis. The main outcomes were demographic data of patients, detection rate, classification of internal opening of anorectal fistula, postoperative recurrence rate, and incidence of complications.
    RESULTS: A total of 10 articles were included (779 patients). The average age of the patients was 44 years old, average operation time was 60 min, and the average follow-up time was 22 months. The ratio of male to female was 2.4:1, the ratio of high anorectal fistula to low anorectal fistula was 6.6:1, the detection rate of internal openings was 98%, the weighted recurrence rate was 24%, and the weighted complication rate was 1%.
    CONCLUSIONS: VAAFT is effective and safe in the treatment of anorectal fistulas.
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  • 文章类型: Meta-Analysis
    目的:确定糖尿病患者午睡与糖尿病发病风险和血糖控制的关系。
    方法:系统评价和荟萃分析。
    方法:MEDLINE(PubMed),EMBASE,搜索了WebofScience和Cochrane图书馆从数据库开始到2023年5月9日发表的研究。
    方法:观察性研究报告成人糖尿病患者午睡与糖尿病或血糖控制的关系。
    方法:两名评审员独立筛选文献,提取数据并评估纳入研究的质量。结果报告为OR和95%CI,通过使用固定和随机效应模型汇集,进行亚组分析.建议评估的分级,采用开发评价方法对证据质量进行评价。
    结果:40项研究纳入我们的综述。习惯性午睡与糖尿病患者的糖尿病风险增加(OR1.20,95%CI1.14至1.27)和血糖控制不良相关(OR2.05,95%CI1.55至2.73)。午睡时间少于30分钟与糖尿病无关(OR1.05,95%CI0.97至1.14)。午睡时间30-60分钟与糖尿病风险相关(OR1.09,95%CI1.02至1.17),但亚组分析结果存在差异.午睡时间超过60分钟显著增加糖尿病风险(OR1.31,95%CI1.20~1.44)。
    结论:午睡与糖尿病风险增加和血糖控制不良相关,未来的研究将需要确认是否存在性别和地区差异。午睡持续时间超过60分钟显着增加糖尿病的风险,糖尿病患者午睡时间与血糖控制的关系有待进一步探讨。
    CRD42021292103。
    To determine the relationship of napping with incident diabetes risk and glycaemic control in people with diabetes.
    Systematic review and meta-analysis.
    MEDLINE (PubMed), EMBASE, Web of Science and the Cochrane Library were searched for studies published from database inception to 9 May 2023.
    Observational studies reporting the relationship of napping with diabetes or glycaemic control in patients with diabetes in adult populations were included.
    Two reviewers independently screened the literature, extracted data and assessed the quality of the included studies. The results were reported as ORs and 95% CIs, which were pooled by using fixed and random effects models, and subgroup analyses were performed. The Grading of Recommendations Assessment, Development and Evaluation method was used to assess the quality of the evidence.
    Forty studies were included in our review. Habitual napping was associated with an increased diabetes risk (OR 1.20, 95% CI 1.14 to 1.27) and poor glycaemic control in patients with diabetes (OR 2.05, 95% CI 1.55 to 2.73). Nap durations less than 30 min were unrelated to diabetes (OR 1.05, 95% CI 0.97 to 1.14). Nap durations of 30-60 min were associated with diabetes risk (OR 1.09, 95% CI 1.02 to 1.17), but there were differences in the subgroup analysis results. Nap durations of more than 60 min significantly increased the risk of diabetes (OR 1.31, 95% CI 1.20 to 1.44).
    Napping is associated with increased diabetes risk and poor glycaemic control, and future research will need to confirm whether there are sex and regional differences. Nap durations of more than 60 min significantly increases the risk of diabetes, and the relationship between nap duration and glycaemic control in patients with diabetes needs to be further explored in the future.
    CRD42021292103.
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  • 文章类型: Meta-Analysis
    目的:比较腹腔镜手术和开腹手术对结直肠癌(CRC)术后成长期患者生活质量的影响。为CRC患者的手术治疗决策提供参考。
    方法:PubMed/MEDLINE,EMBASE,WebofScience,我们在2022年5月7日搜索了Cochrane数据库,以获得比较接受腹腔镜手术的CRC患者和接受开腹手术的CRC患者术后生活质量的临床研究.经过严格的质量审查,从符合条件的研究中提取数据。所有研究都包括患者人数,手术类型,随访长度,和生活质量分数。
    结果:共纳入6项研究,与开腹手术相比,腹腔镜手术的身体功能评分明显更好。(标准化平均差=0.45;95%CI(0.15,0.75),P=.003)。然而,整体健康,社会功能,身体疼痛,活力,生活质量指数,全球质量量表,身体成分总结和心理成分总结,两种手术疗法之间没有明显区别。
    结论:与开放手术相比,腹腔镜手术优势较弱。2种手术治疗CRC患者的长期生活质量没有显著差异。腹腔镜手术能否给CRC患者的生活质量带来更多改善,还需要更多高质量的临床随机研究来验证。
    OBJECTIVE: To compare the effect of laparoscopic surgery and open surgery on the quality of life of patients with colorectal cancer (CRC) in the growth period after the operation, and to provide a reference for surgical treatment decisions of patients with CRC.
    METHODS: PubMed/MEDLINE, EMBASE, Web of Science, and Cochrane databases were searched through May 7, 2022 for clinical studies comparing the postoperative quality of life in CRC patients who underwent laparoscopic surgery with those who underwent open surgery. Data were extracted from eligible studies following rigorous quality review. All studies included patient numbers, surgery type, follow-up length, and quality of life scores.
    RESULTS: A total of 6 studies were included, resulting in significantly better physical functioning scores with laparoscopic versus open surgery. (Standardized mean difference = 0.45; 95% CI (0.15, 0.75), P = .003). However, in general health, social functioning, bodily pain, vitality, quality of life index, Global Quality Scale, physical component summary and mental component summary, there was no telling difference between the 2 surgical therapies.
    CONCLUSIONS: Compared with open surgery, laparoscopic surgery has weak advantages. There was no noteworthy difference in the long-term quality of life between the 2 surgical treatments for CRC patients. Whether laparoscopic surgery can bring more improvement to the quality of life of patients with CRC needs more high-quality clinical randomized studies to verify.
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  • 文章类型: Meta-Analysis
    这项荟萃分析旨在研究急性和慢性体力活动(PA)干预对学龄前儿童认知功能(CF)多个领域的影响。电子数据库(PsycINFO,PubMed,SPORTDiscus,Embase,WebofScience,MEDLINE,和ERIC)在2000年1月至2022年2月之间进行了相关研究。研究了急性或慢性体力活动干预对2-6岁学龄前儿童CF的影响。共有16篇文章符合这项荟萃分析的条件。结果显示,急性PA干预对CF没有影响(Hedges\'g=0.04;95%CI=-0.12,0.19)。慢性PA干预对总体CF有中等和积极的影响(对冲=0.49;95%CI=0.29,0.69),对感知有很大影响(对冲=1.19;95%CI=0.64,1.75),对抑制性控制有中等影响(Hedges\'g=0.73;95%CI=0.22,1.24)。主持人分析表明,总体CF表现受到干预方式和认知结果评估的显著调节,没有其他主持人(研究设计,样本量,频率,持续时间,和会话长度)被发现有影响。慢性PA干预可能是促进CF多个方面的有希望的方法,尤其是执行功能和感知。未来的研究应该探索不同强度的PA对学龄前儿童CF的影响,以辨别最有效的PA处方,反过来,提高学龄前儿童的CF。
    This meta-analysis aims to investigate the effects of acute and chronic physical activity (PA) interventions on multiple domains of cognitive function (CF) in preschool children. Electronic databases (PsycINFO, PubMed, SPORTDiscus, Embase, Web of Science, MEDLINE, and ERIC) were searched for relevant studies between January 2000 and February 2022. Studies that examined the effects of acute or chronic physical activity interventions on CF in preschool children aged 2-6 years were included. A total of 16 articles were eligible for this meta-analysis. Results showed that there was no effect of acute PA interventions on CF (Hedges\' g = 0.04; 95% CI = -0.12, 0.19). Chronic PA interventions had a moderate and positive effect on overall CF (Hedges\' g = 0.49; 95% CI = 0.29, 0.69), a large effect on perception (Hedges\' g = 1.19; 95% CI = 0.64, 1.75), and a moderate effect on inhibitory control (Hedges\' g = 0.73; 95% CI = 0.22, 1.24). The moderator analyses showed that overall CF performance was significantly moderated by intervention modality and assessment of cognitive outcomes, and no other moderator (study design, sample size, frequency, duration, and session length) was found to have an effect. Chronic PA intervention might be a promising way to promote multiple aspects of CF, especially executive function and perception. Future studies should explore the effect of different intensities of PA on the CF of preschool children to discern the most effective PA prescription to, in turn, enhance the CF of preschool children.
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  • 文章类型: Meta-Analysis
    探讨粪菌移植(FMT)治疗溃疡性结肠炎(UC)的疗效和安全性,我们对随机对照试验进行了全面的系统评价和荟萃分析.收集和评价FMT治疗UC的高质量随机对照试验,我们搜索了很多数据库,包括PubMed,WebofScience,科克伦,Embase,还有Medline,在数据库建立到2023年3月之间发表的研究。我们使用ReviewManager软件(5.4.1版)对研究进行了荟萃分析,以确定FMT组和对照组之间缓解率和不良反应的差异。利用风险比(RR)和95%置信区间(CI)结合我们的发现。共纳入13项关于FMT治疗UC患者疗效的随机对照试验(RCTs),580名患者参与其中,包括293名接受FMT治疗的患者和287名对照受试者。Meta分析显示,FMT组的临床缓解率明显优于对照组[RR=1.73;95%CI=(1.41,2.12);P<0.00001];FMT组的内镜缓解率明显优于对照组[RR=1.74;95%CI=(1.24,2.44);P=0.001]。此外,两组不良反应发生率差异无统计学意义[RR=1.00;95%CI=(0.86,1.15);P=0.96].粪便微生物移植已显示出作为诱导溃疡性结肠炎UC临床缓解的治疗干预的潜力;然而,获得内镜缓解和维持长期缓解仍然存在挑战.在整个治疗过程中,安全问题仍然存在。有必要采取措施来提高安全性和成功率。
    To explore the efficacy and safety of fecal microbiota transplantation (FMT) as a treatment approach for ulcerative colitis (UC), a comprehensive systematic review and meta-analysis of randomized controlled trials was conducted. To collect and evaluate randomized controlled trials of high quality on FMT for UC, we searched a number of databases, including PubMed, Web of Science, Cochrane, Embase, and Medline, for studies published between the establishment of the databases and March 2023. We conducted a meta-analysis of the studies using Review Manager software (version 5.4.1) to determine the differences in rates of remission and adverse reactions between the FMT group and the control group, utilizing the risk ratio (RR) and 95% confidence interval (CI) to combine our findings. A total of 13 randomized controlled trials (RCTs) on the efficacy of FMT in patients with UC were included in the study, in which 580 patients participated, including 293 patients treated with FMT and 287 control subjects. Meta-analysis revealed that clinical remission was significantly better in the FMT group than in the control group [RR = 1.73; 95% CI = (1.41, 2.12); P < 0.00001]; endoscopic remission was significantly better in the FMT group than in the control group [RR = 1.74; 95% CI = (1.24, 2.44); P = 0.001]. Additionally, there were no significant differences in the incidence of adverse reactions between the two groups [RR = 1.00; 95% CI = (0.86, 1.15); P = 0.96]. Fecal microbiota transplantation has shown potential as a therapeutic intervention for inducing clinical remission in ulcerative colitis UC; nevertheless, the attainment of endoscopic remission and the maintenance of long-term remission continue to present challenges. Safety concerns persist throughout the treatment process, necessitating the implementation of measures to augment both safety and success rates.
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  • 文章类型: Meta-Analysis
    背景:本研究旨在阐明脾切除术中LigaSure技术和常规技术的最佳管理。
    方法:所有数据库,包括CBM,CNKI,WFPD,Medline,EMBASE,PubMed,和截至2023年4月的Cochrane数据库进行了搜索,以比较LigaSure技术与常规技术的相关研究。六项研究,由两名独立审稿人摘录,进行失血评估,手术时间,转换,死亡率,住院,和输血。
    结果:常规组的失血量明显高于LigaSure组(WMD=-48.98,95%CI:-62.41至-35.55,P<.00001)。同时,LigaSure组的平均手术时间明显短于常规组(WMD=-10.57;95%CI:-12.35至-8.78),P<.00001)。在转化率方面没有发现显著差异,住院,发病率,和输血。
    结论:LigaSure技术具有与常规技术相当的效果,但在一定程度上减少了失血量和手术时间.
    BACKGROUND: This study aimed to clarify the optimal management of the LigaSure technique and conventional techniques during splenectomy.
    METHODS: All databases, including CBM, CNKI, WFPD, Medline, EMBASE, PubMed, and Cochrane databases up to April 2023, were searched for relevant studies comparing the LigaSure technique with conventional techniques. Six studies, extracted by 2 independent reviewers, were evaluated for blood loss, operative time, conversion, mortality, hospital stay, and transfusion.
    RESULTS: The blood loss was significantly higher in the convention group than in the LigaSure group (WMD = -48.98, 95% CI: -62.41 to -35.55, P < .00001). Meanwhile, the mean operative time was significantly shorter in LigaSure group than in convention group (WMD = -10.57; 95% CI: -12.35 to -8.78), P < .00001). No significant differences were found regarding the conversion rate, hospital stay, morbidity, and transfusion.
    CONCLUSIONS: The LigaSure technique has comparable effects to conventional techniques, but to some extent reduces blood loss and operative time.
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  • 文章类型: Systematic Review
    目的:真实世界数据(RWD)和真实世界证据(RWE)近年来越来越受到重视。我们旨在使用2013年至2021年发布的真实世界数据(RWD)评估队列研究的报告质量,并分析可能的因素。
    方法:我们通过OVID界面在Medline和Embase中对2022年4月29日发布的2013年至2021年队列研究进行了全面搜索。包括旨在比较现实环境中暴露因素的有效性或安全性的研究。评估基于使用观察性常规收集的健康数据(记录)声明进行的研究的报告。纳入和评估协议是使用科恩的kappa计算的。采用Pearson卡方检验或Fisher精确检验和Mann-WhitneyU检验对可能的影响因素进行分析。包括记录的发布,期刊IF,和文章引用。Bonferroni的校正进行多重比较。执行中断的时间序列分析以显示报告质量随时间的变化。
    结果:共纳入187篇文章。187篇文章中充分报告项目百分比的平均值±SD为44.7±14.3,范围为11.1-87%。在23个项目中,10个项目的适当报告率达到50%,一些重要项目的报告率不足。在Bonferroni修正之后,在RECORD发布后,仅一项的报告明显改善,总体报告质量无显著改善.对于中断时间序列分析,适当报告率的斜率(p=0.42)和水平(p=0.12)没有显著变化.期刊IFs和引文分别与2个领域相关,前者在高报道质量文章中明显较高。
    结论:在使用RWD的队列研究中,对记录列表的认可普遍不足,并且近年来没有改善。我们鼓励研究人员在利用RWD进行研究时认可相关指南。
    Real-world data (RWD) and real-world evidence (RWE) have been paid more and more attention in recent years. We aimed to evaluate the reporting quality of cohort studies using real-world data (RWD) published between 2013 and 2021 and analyze the possible factors.
    We conducted a comprehensive search in Medline and Embase through the OVID interface for cohort studies published from 2013 to 2021 on April 29, 2022. Studies aimed at comparing the effectiveness or safety of exposure factors in the real-world setting were included. The evaluation was based on the REporting of studies Conducted using Observational Routinely-collected health Data (RECORD) statement. Agreement for inclusion and evaluation was calculated using Cohen\'s kappa. Pearson chi-square test or Fisher\'s exact test and Mann-Whitney U test were used to analyze the possible factors, including the release of RECORD, journal IFs, and article citations. Bonferroni\'s correction was conducted for multiple comparisons. Interrupted time series analysis was performed to display the changes in report quality over time.
    187 articles were finally included. The mean ± SD of the percentage of adequately reported items in the 187 articles was 44.7 ± 14.3 with a range of 11.1-87%. Of 23 items, the adequate reporting rate of 10 items reached 50%, and the reporting rate of some vital items was inadequate. After Bonferroni\'s correction, the reporting of only one item significantly improved after the release of RECORD and there was no significant improvement in the overall report quality. For interrupted time series analysis, there were no significant changes in the slope (p = 0.42) and level (p = 0.12) of adequate reporting rate. The journal IFs and citations were respectively related to 2 areas and the former significantly higher in high-reporting quality articles.
    The endorsement of the RECORD cheklist was generally inadequate in cohort studies using RWD and has not improved in recent years. We encourage researchers to endorse relevant guidelines when utilizing RWD for research.
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  • 文章类型: Journal Article
    目的:近年来大量研究表明慢性脑脊髓静脉功能不全是引起多发性硬化的潜在因素。但这一结论尚未得到证实。这项荟萃分析检查了多发性硬化症与慢性脑脊髓静脉功能不全之间的相关性。
    方法:我们检索了Embase和Medline(Ovid)2006年1月1日至2022年5月1日发表的出版物。荟萃分析是根据系统评价和荟萃分析指南的首选报告项目进行的。
    结果:合格研究(n=20)包括来自7个国家的3069名参与者。汇总分析表明,多发性硬化症患者的慢性脑脊髓静脉功能不全发生率高于健康对照组(OR3.36;95%CI1.92至5.85;p<0.001),研究之间存在显着的异质性(I2=79%)。在随后的敏感性分析中,结果相关性更强,但异质性也更大。我们删除了最初提出慢性脑脊髓静脉功能不全小组的研究以及参与或提倡血管内治疗的作者的研究。
    结论:慢性脑脊髓静脉功能不全与多发性硬化显著相关,并且在多发性硬化患者中比在健康个体中更普遍,但仍观察到相当大的结果异质性。
    Numerous studies have indicated that chronic cerebrospinal venous insufficiency is a potential factor in causing multiple sclerosis in recent years, but this conclusion remains unconfirmed. This meta-analysis examined the correlation between multiple sclerosis and chronic cerebrospinal venous insufficiency.
    We searched Embase and Medline (Ovid) for publications published from 1 January 2006 to 1 May 2022. The meta-analysis was performed following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.
    Eligible studies (n=20) included 3069 participants from seven countries. Pooled analysis indicated that chronic cerebrospinal venous insufficiency was more frequent in patients with multiple sclerosis than in healthy controls (OR 3.36; 95% CI 1.92 to 5.85; p<0.001) with remarkable heterogeneity among studies (I2=79%). Results were more strongly correlated in subsequent sensitivity analyses, but heterogeneity was also more substantial. We removed studies that initially proposed a chronic cerebrospinal venous insufficiency team as well as studies by authors involved in or advocating endovascular therapies.
    Chronic cerebrospinal venous insufficiency is significantly associated with multiple sclerosis and it is more prevalent in patients with multiple sclerosis than in healthy individuals, but considerable heterogeneity of results is still observed.
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