Coherence

一致性
  • 文章类型: Journal Article
    背景:据报道,肌张力障碍中皮质-基底神经节-丘脑-皮质(CBGTC)环的4-12Hz振荡活动增加。相干性分析是测量两个信号之间的线性耦合,揭示了在电机单元中常见的振荡活动驱动。通过进行一致性分析,CBGTC环的活动可以用局部场电位(LFP)等模态来测量,肌电图(EMG),和脑电图(EEG)。这项研究的目的是对一致性分析在肌张力障碍的临床评估和治疗中的应用进行系统评价。
    方法:6月28日在Embase和PubMed进行了系统评价,2023年。纳入了所有纳入相干性分析和成人肌张力障碍队列的研究。三位作者评估了文章的资格。使用QUADAS-2检查表评估质量。
    结果:共纳入41篇文章,395名成年肌张力障碍患者的数据。在选定的记录中,研究了六种不同类型的相干性:皮质皮质,皮质,皮质醇,苍白球,苍白球,和肌肉间的连贯性。在所有肌张力障碍亚型中发现各种类型的4-12相干性增加。
    结论:皮层之间的4-12Hz相干性增加,基底神经节,并影响所有肌张力障碍亚型的肌肉。然而,4和12Hz相干性与肌张力障碍临床状态之间的关系尚未建立。DBS处理导致4-12Hz相干性的降低。结合本综述的结果,4-12Hz频带可以用作生物标志物开发的有希望的现象。
    BACKGROUND: Increased 4-12 Hz oscillatory activity in the cortico-basal ganglia-thalamo-cortical (CBGTC) loop is reported in dystonia. Coherence analysis is a measure of linear coupling between two signals, revealing oscillatory activity drives that are common across motor units. By performing coherence analysis, activity of the CBGTC-loop can be measured with modalities like local field potentials (LFPs), electromyography (EMG), and electro-encephalography (EEG). The aim of this study is to perform a systematic review on the use of coherence analysis for clinical assessment and treatment of dystonia.
    METHODS: A systematic review was performed on a search in Embase and PubMed on June 28th, 2023. All studies incorporating coherence analysis and an adult dystonia cohort were included. Three authors evaluated the eligibility of the articles. Quality was assessed using the QUADAS-2 checklist.
    RESULTS: A total of 41 articles were included, with data of 395 adult dystonia patients. In the selected records, six different types of coherence were investigated: corticocortical, corticopallidal, corticomuscular, pallidopallidal, pallidomuscular, and intermuscular coherence. Various types of 4-12 coherence were found to be increased in all dystonia subtypes.
    CONCLUSIONS: There is increased 4-12 Hz coherence found between the cortex, basal ganglia, and affected muscles in all dystonia subtypes. However, the relationship between 4-12 Hz coherence and the dystonic clinical state has not been established. DBS treatment leads to a reduction of 4-12 Hz coherence. In combination with the results of this review, the 4-12 Hz frequency band can be used as a promising phenomenon for the development of a biomarker.
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  • 文章类型: Journal Article
    中风是一种严重的医疗状况,可能导致永久性残疾。中风后的最初8周对于康复至关重要,因为大多数复苏都发生在这一时期。需要个性化的方法和预测性生物标志物来定制康复。在这种情况下,脑电图脑连通性和人工智能(AI)可以在有效诊断和预测中风结果方面发挥关键作用。在本研究中,纳入127例亚急性缺血性病变患者和90例年龄和性别匹配的健康对照。在中风发作的15天内从每个参与者获得EEG记录。使用美国国立卫生研究院卒中量表(NIHSS)在基线和40天随访时进行临床评估。使用总相干性(TotCoh)和小字(SW)进行功能连通性分析。实施二次支持向量机(SVM)算法,将健康受试者与中风患者进行分类(健康与中风),确定受影响的半球(左半球和右半球),并预测功能恢复(功能恢复预测)。在功能恢复预测的分类中,准确率为94.75%,灵敏度96.27%特异92.33%,AUC为0.95;对于健康与中风,准确率为99.09%,灵敏度100%,特异性98.46%,AUC为0.99。对于左半球和右半球分类,准确率为86.77%,灵敏度为91.44%,特异性为80.33%,AUC为0.87。这些发现强调了利用基于EEG的功能连接措施与AI算法相结合的潜力,通过有针对性的康复干预来改善患者的预后。
    Stroke is a severe medical condition which may lead to permanent disability conditions. The initial 8 weeks following a stroke are crucial for rehabilitation, as most recovery occurs during this period. Personalized approaches and predictive biomarkers are needed for tailored rehabilitation. In this context, EEG brain connectivity and Artificial Intelligence (AI) can play a crucial role in diagnosing and predicting stroke outcomes efficiently. In the present study, 127 patients with subacute ischemic lesions and 90 age- and gender-matched healthy controls were enrolled. EEG recordings were obtained from each participant within 15 days of stroke onset. Clinical evaluations were performed at baseline and at 40-days follow-up using the National Institutes of Health Stroke Scale (NIHSS). Functional connectivity analysis was conducted using Total Coherence (TotCoh) and Small Word (SW). Quadratic support vector machines (SVM) algorithms were implemented to classify healthy subjects compared to stroke patients (Healthy vs Stroke), determine the affected hemisphere (Left vs Right Hemisphere), and predict functional recovery (Functional Recovery Prediction). In the classification for Functional Recovery Prediction, an accuracy of 94.75%, sensitivity of 96.27% specificity of 92.33%, and AUC of 0.95 were achieved; for Healthy vs Stroke, an accuracy of 99.09%, sensitivity of 100%, specificity of 98.46%, and AUC of 0.99 were achieved. For Left vs Right Hemisphere classification, accuracy was 86.77%, sensitivity was 91.44%, specificity was 80.33%, and AUC was 0.87. These findings highlight the potential of utilizing functional connectivity measures based on EEG in combination with AI algorithms to improve patient outcomes by targeted rehabilitation interventions.
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  • 文章类型: Journal Article
    我们证明了掺杂在二氧化铈纳米晶体基质中的Er3离子中的自旋相干性近一微秒,尽管大的旋磁比和自旋缺陷与纳米晶体表面的纳米接近度。通过将掺杂剂密度降低到无原子核自旋基质材料中的瞬时扩散限制以下,可以实现长自旋相干性。达到每个纳米晶体单个铒自旋缺陷的极限。我们在一个高度对称的立方体中观察到一个巨大的Orbach能量,进一步保护量子比特中的相干性,否则该量子比特会迅速去中心化。空间相关的电子能谱测量揭示了纳米晶体表面上Ce3+的存在,这可能是外来的顺磁自旋噪声。即使有这些因素,嵌入缺陷的纳米晶体基质在量子传感和量子通信应用中显示出巨大的前景,有多种途径,包括核壳制造,氧空位的氧化还原调节,和有机表面活性剂改性,可用于在未来进一步增强它们的自旋一致性和功能。
    We demonstrate nearly a microsecond of spin coherence in Er3+ ions doped in cerium dioxide nanocrystal hosts, despite a large gyromagnetic ratio and nanometric proximity of the spin defect to the nanocrystal surface. The long spin coherence is enabled by reducing the dopant density below the instantaneous diffusion limit in a nuclear spin-free host material, reaching the limit of a single erbium spin defect per nanocrystal. We observe a large Orbach energy in a highly symmetric cubic site, further protecting the coherence in a qubit that would otherwise rapidly decohere. Spatially correlated electron spectroscopy measurements reveal the presence of Ce3+ at the nanocrystal surface, which likely acts as extraneous paramagnetic spin noise. Even with these factors, defect-embedded nanocrystal hosts show tremendous promise for quantum sensing and quantum communication applications, with multiple avenues, including core-shell fabrication, redox tuning of oxygen vacancies, and organic surfactant modification, available to further enhance their spin coherence and functionality in the future.
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  • 文章类型: Journal Article
    了解受伤的大脑对不同的经颅直流电刺激(tDCS)蒙太奇的反应可能有助于解释中风后运动增益的可变tDCS治疗结果。已发现皮质连通性反映了中风后的运动增益和皮质可塑性,但是tDCS之后的连通性变化仍然未知。我们旨在研究tDCS诱导的皮质连通性变化与卒中后运动增益之间的关系。在这项研究中,参与者被分配接受四个tDCS蒙太奇(阳极,Cathodal,双边,和假)在初级运动皮层(M1)上,根据单盲,随机化,交叉设计。干预前后分别进行脑电图(EEG)和Jebsen-Taylor手功能测试(JTT)。使用β带相干性以同侧和对侧M1作为种子区域来测量运动皮层连通性。基于JTT完成时间评估运动增益。我们检查了基线连通性与临床特征之间的关系,以及不同tDCS蒙太奇后连通性变化与运动增益之间的关系。基线功能连接,运动障碍,与卒中后持续时间相关。高同侧M1-额-颞连通性与良好的基线运动状态相关,连接增加伴随着阳极tDCS治疗后良好的功能改善。对比M1-额叶-中央连通性低与良好的基线运动状态相关,在阴极tDCS治疗后,连通性下降伴随着良好的功能改善。总之,基于EEG的运动皮层连通性与卒中特征相关,包括运动障碍和中风后持续时间,阳极和阴极tDCS引起的运动增益。
    Understanding the response of the injured brain to different transcranial direct current stimulation (tDCS) montages may help explain the variable tDCS treatment results on poststroke motor gains. Cortical connectivity has been found to reflect poststroke motor gains and cortical plasticity, but the changes in connectivity following tDCS remain unknown. We aimed to investigate the relationship between tDCS-induced changes in cortical connectivity and poststroke motor gains. In this study, participants were assigned to receive four tDCS montages (anodal, cathodal, bilateral, and sham) over the primary motor cortex (M1) according to a single-blind, randomized, crossover design. Electroencephalography (EEG) and Jebsen-Taylor hand function test (JTT) were performed before and after the intervention. Motor cortical connectivity was measured using beta-band coherence with the ipsilesional and contralesional M1 as seed regions. Motor gain was evaluated based on the JTT completion time. We examined the relationship between baseline connectivity and clinical characteristics and that between changes in connectivity and motor gains after different tDCS montages. Baseline functional connectivity, motor impairment, and poststroke duration were correlated. High ipsilesional M1-frontal-temporal connectivity was correlated with a good baseline motor status, and increased connectivity was accompanied by good functional improvement following anodal tDCS treatment. Low contralesional M1-frontal-central connectivity was correlated with a good baseline motor status, and decreased connectivity was accompanied by good functional improvement following cathodal tDCS treatment. In conclusion, EEG-based motor cortical connectivity was correlated with stroke characteristics, including motor impairment and poststroke duration, and motor gains induced by anodal and cathodal tDCS.
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  • 文章类型: Journal Article
    Multiple oscillating time series are typically analyzed in the frequency domain, where coherence is usually said to represent the magnitude of the correlation between two signals at a particular frequency. The correlation being referenced is complex-valued and is similar to the real-valued Pearson correlation in some ways but not others. We discuss the dependence among oscillating series in the context of the multivariate complex normal distribution, which plays a role for vectors of complex random variables analogous to the usual multivariate normal distribution for vectors of real-valued random variables. We emphasize special cases that are valuable for the neural data we are interested in and provide new variations on existing results. We then introduce a complex latent variable model for narrowly band-pass-filtered signals at some frequency, and show that the resulting maximum likelihood estimate produces a latent coherence that is equivalent to the magnitude of the complex canonical correlation at the given frequency. We also derive an equivalence between partial coherence and the magnitude of complex partial correlation, at a given frequency. Our theoretical framework leads to interpretable results for an interesting multivariate dataset from the Allen Institute for Brain Science.
    Les séries temporelles à oscillations multiples sont généralement étudiées dans le domaine fréquentiel, où la cohérence est souvent considérée comme l’amplitude de la corrélation entre deux signaux à une fréquence spécifique. Cette corrélation est à valeurs complexes et présente des similitudes avec la corrélation de Pearson pour les valeurs réelles, tout en présentant des différences distinctes. Dans cette étude, les auteurs explorent la dépendance entre les séries oscillantes en utilisant la distribution normale complexe multivariée. Cette distribution est l’équivalent de la distribution normale multivariée classique, mais adaptée aux vecteurs de variables aléatoires complexes plutôt qu’aux vecteurs de variables aléatoires réelles. Les auteurs mettent l’accent sur des cas spécifiques qui revêtent une importance particulière pour les données neuronales qui les intéressent, tout en proposant de nouvelles approches et des variations des résultats existants. Ils introduisent un modèle de variables latentes complexes pour les signaux filtrés en bande passante étroite à une fréquence donnée. Ils démontrent ensuite que l’estimation du maximum de vraisemblance dans ce modèle produit une cohérence latente équivalente à l’amplitude de la corrélation canonique complexe à la fréquence spécifiée. Ils établissent également une équivalence entre la cohérence partielle et l’amplitude de la corrélation partielle complexe, toujours à une fréquence donnée. Leur approche théorique conduit à des résultats interprétables pour un ensemble de données multivariées intéressant provenant de l’Allen Institute for Brain Science.
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  • 文章类型: Journal Article
    静息态功能连通性(FC)广泛应用于功能磁共振成像(fMRI)的多变量模式分析,包括确定推定的大脑功能边界的位置,预测个体表型,诊断临床精神疾病。然而,从频率的角度对功能相互作用的分析给予了有限的关注。在这项研究中,通过将基于一致性和基于相关性的FC与两个机器学习任务进行对比,我们观察到,相对于时间相关性,在频域测量FC有助于识别更精细的功能子区域,并获得更好的模式辨别能力.这项研究证明了在fMRI分析中相干性的可行性,结果表明,在频域中对功能相互作用进行建模可以提供比时域中更丰富的信息,这可能为功能神经影像学的分析提供新的视角。
    Resting-state functional connectivity (FC) is widely used in multivariate pattern analysis of functional magnetic resonance imaging (fMRI), including identifying the locations of putative brain functional borders, predicting individual phenotypes, and diagnosing clinical mental diseases. However, limited attention has been paid to the analysis of functional interactions from a frequency perspective. In this study, by contrasting coherence-based and correlation-based FC with two machine learning tasks, we observed that measuring FC in the frequency domain helped to identify finer functional subregions and achieve better pattern discrimination capability relative to the temporal correlation. This study has proven the feasibility of coherence in the analysis of fMRI, and the results indicate that modeling functional interactions in the frequency domain may provide richer information than that in the time domain, which may provide a new perspective on the analysis of functional neuroimaging.
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  • 文章类型: Journal Article
    多通道语音增强系统通常由空间滤波器组成,例如自适应波束形成器,然后是后置滤波器,它抑制了剩余的噪声。残余噪声的功率谱密度(PSD)的准确估计对于后滤波器中的成功降噪至关重要。在本文中,我们提出了一种利用提出的后验语音存在概率(SPP)和噪声PSD估计器的后置滤波器,基于一致性和统计模型。我们将基于相干性的后验SPP建模为两个麦克风信号之间相干性大小的简单函数,并基于统计模型将其与单通道SPP组合。考虑到波束形成器的影响,使用伪相干得出了基于相干的估计器,该估计器用于在语音存在下波束形成器输出中剩余的噪声的PSD。用于构造基于相干的噪声PSD估计器。然后,通过将基于相干性和基于统计模型的噪声PSD估计器与所提出的SPP相结合来获得最终的噪声PSD估计器。光谱增益函数也被修改,纳入拟议的SPP。实验结果表明,该方法可以在各种扩散噪声环境下实现更准确的噪声PSD估计和语音质量分数的感知评估。并且在存在定向干扰的情况下不会降低语音质量,尽管所提出的方法利用了相干性信息。
    A multichannel speech enhancement system usually consists of spatial filters such as adaptive beamformers followed by postfilters, which suppress remaining noise. Accurate estimation of the power spectral density (PSD) of the residual noise is crucial for successful noise reduction in the postfilters. In this paper, we propose a postfilter utilizing proposed a posteriori speech presence probability (SPP) and noise PSD estimators, which are based on both the coherence and the statistical models. We model the coherence-based a posteriori SPP as a simple function of the magnitude of coherence between two microphone signals and combine it with a single-channel SPP based on statistical models. The coherence-based estimator for the PSD of the noise remaining in the beamformer output in the presence of speech is derived using the pseudo-coherence considering the effect of the beamformers, which is used to construct the coherence-based noise PSD estimator. Then, the final noise PSD estimator is obtained by combining the coherence-based and statistical model-based noise PSD estimators with the proposed SPP. The spectral gain function is also modified, incorporating the proposed SPP. Experimental results demonstrate that the proposed method led to more accurate noise PSD estimation and perceptual evaluation of speech quality scores in various diffuse noise environments, and did not degrade the speech quality under the presence of directional interference, although the proposed method utilizes the coherence information.
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  • 文章类型: Journal Article
    背景:经颅磁刺激(TMS),当应用于初级运动皮层时,在从外周肌肉测量的肌电图中引发运动诱发电位(MEP)。经常观察到MEP振幅在试验之间波动,即使有持续的刺激。许多因素导致TMS中的MEP波动。其中一个主要因素是大脑皮层活动的平稳性和不稳定性弱,我们假设MEP波动源于此。我们假设,当在头皮上测得的几个脑电图(EEG)通道在频域中高度相似时,将TMS传递到初级运动皮层时,MEP波动受到抑制。
    目的:我们开发了一种TMS触发系统,使用EEG相干分析来抑制MEP波动,在频域中检测2个通道之间的脑电信号相似性。
    方法:七个健康的成年人参加了实验,以确认TMS触发系统是否能够正常工作,记录MEP变化的平均幅度和系数,并与控制任务期间获得的值进行比较。我们还确定了每种条件下的实验时间,并验证了它是否在预测时间内。
    结果:7名参与者中有5名MEP振幅的变异系数下降,根据F检验,在2名参与者中确认了显着差异(P=.02)。阈值修改后每个刺激所需的实验时间的变异系数小于不进行阈值修改时的变异系数。并且通过进行F检验证实了显着差异(P<.001)。
    结论:我们发现使用本研究中开发的系统可以抑制MEP,并且TMS触发系统还可以通过自动改变触发阈值来稳定实验时间。
    BACKGROUND: Transcranial magnetic stimulation (TMS), when applied over the primary motor cortex, elicits a motor-evoked potential (MEP) in electromyograms measured from peripheral muscles. MEP amplitude has often been observed to fluctuate trial to trial, even with a constant stimulus. Many factors cause MEP fluctuations in TMS. One of the primary factors is the weak stationarity and instability of cortical activity in the brain, from which we assumed MEP fluctuations originate. We hypothesized that MEP fluctuations are suppressed when TMS is delivered to the primary motor cortex at a time when several electroencephalogram (EEG) channels measured on the scalp are highly similar in the frequency domain.
    OBJECTIVE: We developed a TMS triggering system to suppress MEP fluctuations using EEG coherence analysis, which was performed to detect the EEG signal similarity between the 2 channels in the frequency domain.
    METHODS: Seven healthy adults participated in the experiment to confirm whether the TMS trigger system works adequately, and the mean amplitude and coefficient of the MEP variation were recorded and compared with the values obtained during the control task. We also determined the experimental time under each condition and verified whether it was within the predicted time.
    RESULTS: The coefficient of variation of MEP amplitude decreased in 5 of the 7 participants, and significant differences (P=.02) were confirmed in 2 of the participants according to an F test. The coefficient of variation of the experimental time required for each stimulus after threshold modification was less than that without threshold modification, and a significant difference (P<.001) was confirmed by performing an F test.
    CONCLUSIONS: We found that MEP could be suppressed using the system developed in this study and that the TMS trigger system could also stabilize the experimental time by changing the triggering threshold automatically.
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  • 文章类型: Journal Article
    为了实现逆合成孔径激光雷达对高分辨率空间态势感知的远程应用,分析制约其远程应用的主要因素至关重要。本研究将逆合成孔径激光雷达的距离方程与受激布里渊阈值功率方程相结合,研究了激光发射功率随距离的变化。此外,利用激励布里渊阈值功率方程,激光线宽公式,和脉冲信号的脉冲宽度特性,我们研究了在不同距离下满足相应功率要求的激光相干性的变化规律。结果表明,使用连续光纤激光器可以实现22km及以下的检测距离,而无需补偿。对于22km和57km之间的距离,必须进行相干补偿。距离从57公里到3000公里,脉冲固体激光器用于分析相干性,并得出结论,在该范围内成像非合作目标是可行的。据观察,从57公里到2179公里需要相干补偿,2000公里后变得更具挑战性。此外,脉冲固态激光器仍可用于2179-3273km范围内的合作目标成像;然而,一致性补偿仍然是必要的,并且变得越来越困难。最后,为了将逆合成孔径激光雷达的成像范围扩展到约3000km,提出了几种相干长度补偿方案。
    In order to achieve the remote application of inverse synthetic aperture laser radar for high resolution spatial situational awareness, it is essential to analyze the main factors that restrict its remote application. This study combines the range equation of inverse synthetic aperture lidar with the stimulated Brillouin threshold power equation to investigate the variation of laser transmitting power with distance. Additionally, by utilizing the excited Brillouin threshold power equation, laser linewidth formula, and pulse width characteristics of pulse signal, we examine the variation law of laser coherence that meets corresponding power requirements at different distances. The results indicate that a detection distance of 22 km and below can be achieved using continuous fiber lasers without compensation. Coherence compensation is necessary for distances between 22 km and 57 km. For distances ranging from 57 km to 3000 km, pulsed solid-state lasers are used to analyze coherence and conclude that imaging non-cooperative targets within this range is feasible. It is observed that coherence compensation is required from 57 km to 2179 km, becoming more challenging after 2000 km. Furthermore, pulsed solid-state lasers can still be utilized for imaging cooperative targets within a range of 2179-3273 km; however, coherence compensation remains necessary and becomes increasingly difficult. Finally, several coherent length compensation schemes are proposed in order to extend the imaging range of inverse synthetic aperture LiDAR to approximately 3000 km.
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  • 文章类型: Journal Article
    目的:探讨行业资助与网络荟萃分析(NMA)结论之间的关联,以及NMA在临床实践指南(CPG)中的使用。
    方法:这是NMA和CPG的概述。我们搜索了PubMed/MEDLINE,认识论,以及截至2023年2月18日的几个指南数据库。我们纳入了最近5年的CPG和NMA的随机对照试验,这些试验评估了免疫介导的炎性疾病的靶向治疗。数据提取和结果评估由独立作者重复完成。
    结果:我们包括216个NMA和99个CPG。31%(67/216)由行业资助。行业资助的NMA的比例为44%(25/57),而非行业资助的NMA的比例为26%(30/116)(OR=2.24[1.15-4.39];aOR=1.76[0.81-3.81])。39/67(58%)行业资助和69/149(46%)非行业资助的NMA的摘要结论被认为没有结果支持(OR=1.61[0.90-2.89];aOR=1.40[0.71-2.78])。所有行业资助的NMA都引用了一种治疗方法,最好引用自己的赞助药物。59/99(60%)CPG包括至少一个NMA,其中23/59(39%)引用了行业资助的NMA。
    结论:我们没有发现证据表明,与非行业资助的NMA相比,行业资助的NMA更有可能得出不受支持的结论,或者仅引用一种治疗方法作为最佳结论。然而,几乎所有行业资助的NMA都喜欢自己的治疗方法。尽管40%的CPG不依赖NMA,超过三分之一的人使用了行业资助的NMA。局限性包括由于未公开的资金和尚未考虑的潜在混杂因素而导致的可能错误分类。
    OBJECTIVE: To explore the association between industry funding and network meta-analyses\' (NMAs) conclusion, and the use in Clinical Practice Guidelines (CPGs) of NMAs.
    METHODS: This was an overview of NMAs and CPGs. We searched PubMed/MEDLINE, Epistemonikos, and several guideline databases up to February 18th 2023. We included CPGs from the last 5 years and NMAs of randomized controlled trials that evaluated targeted therapies in immune-mediated inflammatory diseases. Data extraction and outcome assessments were done in duplicate by independent authors.
    RESULTS: We included 216 NMAs and 99 CPGs. 31% (67/216) were industry-funded. The proportion of industry-funded NMAs that cited one treatment as being best was 44% (25/57) compared to 26% (30/116) for nonindustry-funded (OR = 2.24 [1.15-4.39]; aOR = 1.76 [0.81-3.81]). The abstract\'s conclusion of 39/67 (58%) industry-funded and 69/149 (46%) nonindustry-funded NMAs were considered unsupported by the results (OR = 1.61 [0.90-2.89]; aOR = 1.40 [0.71-2.78]). All industry-funded NMAs that cited one treatment as best cited their own sponsored drug. 59/99 (60%) CPGs included at least one NMA, with 23/59 (39%) of them citing industry-funded NMAs.
    CONCLUSIONS: We did not find evidence that industry-funded NMAs were more likely to have unsupported conclusions or to cite only one treatment as being best in their conclusions compared to non-industry-funded NMAs. However, almost all industry-funded NMAs favored their own treatments. Even though 40% of the CPGs did not rely on NMA, over a third of those who did used industry-funded NMAs. Limitations include the possible misclassification due to undisclosed funding and potential confounders that have not been accounted for.
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