sex-disaggregated analysis

  • 文章类型: Journal Article
    (1)背景:男性脑脊液(CSF)/血清白蛋白商(QAlb)和脑脊液总蛋白(TP)高于女性。这被认为是由于性别之间的人体测量差异。本研究旨在探讨QAlb和CSFTP与身高的关系。体重,体重指数(BMI)。(2)方法:共207例患者纳入研究,并对临床诊断进行分析。(3)结果:运行多变量线性回归以预测年龄的对数转换Qalb和对数转换的CSFTP值,性别,体重,和身高(第一个模型)或年龄,性别,和BMI(第二模型)。在这两种模型中,年龄(β=0.004,95%CI=0.002至0.006)和性别(β=-0.095,95%CI=-0.169至-0.021,β=-0.135,95%CI=-0.191至-0.079)是QAlb的重要预测因子,但是体重,高度,BMI没有。同样,年龄(β=0.004,95%CI=0.003~0.006)和性别(β=-0.077,95%CI=-0.142~-0.013,β=-0.109,95%CI=-0.157~-0.060)是CSFTP的显著预测因子,而人体测量特征没有。当按BMI状态对男性和女性进行分组时,QAlb和CSFTP没有差异。(4)结论:我们的数据表明,人体测量特征不能解释QAlb和CSFTP的性别相关差异。
    (1) Background: Cerebrospinal fluid (CSF)/serum albumin quotient (QAlb) and CSF total protein (TP) are more elevated in males than females, and this has been hypothesised to be due to anthropometric differences between the sexes. This study aimed to investigate QAlb and CSF TP as a function of body height, weight, and body mass index (BMI). (2) Methods: A total of 207 patients were included in the study and analysed blinded to clinical diagnosis. (3) Results: Multivariable linear regressions were run to predict log-transformed Qalb and log-transformed CSF TP value from age, sex, weight, and height (first model) or from age, sex, and BMI (second model). In both models, age (β = 0.004, 95% CI = 0.002 to 0.006) and sex (β = -0.095, 95% CI = -0.169 to -0.021, and β = -0.135, 95% CI = -0.191 to -0.079) were significant predictors for QAlb, but weight, height, and BMI were not. Similarly, age (β = 0.004, 95% CI = 0.003 to 0.006) and sex (β = -0.077, 95% CI = -0.142 to -0.013, and β = -0.109, 95% CI = -0.157 to -0.060) were significant predictors for CSF TP, while anthropometric characteristics were not. No differences in QAlb and CSF TP were found when grouping males and females by BMI status. (4) Conclusions: Our data suggest that anthropometric characteristics could not explain the sex-related differences in QAlb and CSF TP.
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  • 文章类型: Journal Article
    慢性肾脏病(CKD)的性别和性别差异,包括流行病学和对治疗的反应,仍然知之甚少。本研究旨在调查女性在CKD临床试验中的代表性,以及是否报告了按性别和性别分类的结果。
    CKD的临床试验来自ClinicalTrials.gov。随机化,我们选择了≥100名参与者的3/4期试验,通过计算参与者:患病率比(PPR)和调查是否进行了按性别分列的分析来量化参与者中女性的代表性.
    总共,纳入了在ClinicalTrials.gov上注册并在1995年至2022年之间发布的192项CKD试验。总的来说,147.136名参与者中,女性占66.875人(45%).全球女性参与临床试验的比例低于其在基础CKD人群中的比例(55%)。PPR为0.75(95%置信区间0.72-0.78),无论平均年龄如何,都没有明显的变化,CKD阶段,透析,location,干预或资助机构的类型。共有39项(20%)试验报告了按性别分类的疗效结果,没有一项报告按性别分类的安全性结果。
    女性参与CKD临床试验的比例低于其在基础CKD人群中的比例。按性别分列的疗效和安全性结果很少报告。提高妇女参加临床试验的人数对于实现按性别和性别分类的分析,从而确定男女治疗反应的潜在差异至关重要。
    UNASSIGNED: Sex and gender differences in chronic kidney disease (CKD), including epidemiology and response to treatment, remain poorly understood. This study aimed to investigate how women are represented in CKD clinical trials and whether sex- and gender-disaggregated outcomes were reported.
    UNASSIGNED: Clinical trials on CKD were identified from ClinicalTrials.gov. Randomised, phase 3/4 trials with ≥100 participants were selected to quantify women\'s representation among participants by computing the participation:prevalence ratio (PPR) and investigating whether sex-disaggregated analyses had been performed.
    UNASSIGNED: In total, 192 CKD trials registered on ClinicalTrials.gov and published between 1995 and 2022 were included. Overall, women accounted for 66 875 (45%) of the 147 136 participants. Women\'s participation in clinical trials was lower than their representation in the underlying CKD population globally (55%). The PPR was 0.75 (95% confidence interval 0.72-0.78), with no significant variation irrespective of mean age, CKD stage, dialysis, location, type of intervention or funding agency. A total of 39 (20%) trials reported sex-disaggregated efficacy outcomes and none reported sex-disaggregated safety outcomes.
    UNASSIGNED: Women\'s participation in CKD clinical trials was lower than their representation in the underlying CKD population. Sex-disaggregated efficacy and safety outcomes were rarely reported. Improving women\'s enrolment into clinical trials is crucial to enable sex- and gender-disaggregated analysis and thus identify potential differences in treatment response between women and men.
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  • 文章类型: Journal Article
    这篇综述描述了COVID-19表现中的性别和性别差异,治疗,和结果。我们讨论了性别差异对感染的易感性,性染色体对机体免疫反应的作用以及激素对机体对病毒反应的影响。此外,临床和实验室表现的性别差异,感染并发症和结果,以及对治疗和预防反应的差异进行了回顾。
    This review describes the sex and gender differences in COVID-19 presentation, treatment, and outcomes. We discuss the differences between the sexes in susceptibility to infection, the role of sex chromosomes on the body\'s immunologic response and the influence of hormones on the body\'s response to the virus. Additionally, the sex differences in clinical and laboratory presentation, complications of infection and outcomes, as well as differences in response to treatment and prevention are reviewed.
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