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Systematic Reviews & Meta-analysis

SR | Interventions for acute non‐arteritic central retinal artery occlusion

3 Mar, 2023 | 13:36h | UTC

Interventions for acute non‐arteritic central retinal artery occlusion – Cochrane Library

Summary: Treatments for acute central retinal artery occlusion (blockage of the blood supply to the retina of the eye) – Cochrane Library

 

Commentary on Twitter

 


SR | Erythromycin prior to endoscopy for acute upper gastrointestinal hemorrhage

3 Mar, 2023 | 13:33h | UTC

Erythromycin prior to endoscopy for acute upper gastrointestinal haemorrhage – Cochrane Library

Summary: What are the benefits and risks of erythromycin given before endoscopy for people with intestinal bleeding? – Cochrane Library

 


SR | Endovascular therapy vs. medical treatment for symptomatic intracranial artery stenosis

3 Mar, 2023 | 13:35h | UTC

Endovascular therapy versus medical treatment for symptomatic intracranial artery stenosis – Cochrane Library

 


SR | Neoadjuvant treatment for stage III and IV cutaneous melanoma

3 Mar, 2023 | 13:32h | UTC

Neoadjuvant treatment for stage III and IV cutaneous melanoma – Cochrane Library

Summary: What are the benefits and risks of neoadjuvant treatment (drug treatment prior to surgery to remove a tumour) for melanoma, a type of skin cancer? – Cochrane Library

 


M-A | Thromboprophylaxis in patients with Fontan circulation

2 Mar, 2023 | 12:57h | UTC

Thromboprophylaxis in Patients With Fontan Circulation – Journal of the American College of Cardiology (link to abstract – $ for full-text)

Commentary: Thromboprophylaxis in Patients With Fontan Circulation – American College of Cardiology

 

Commentary from the author on Twitter (thread – click for more)

 


M-A | Prevalence and odds of depressive and anxiety disorders and symptoms in children and adults with alopecia areata

2 Mar, 2023 | 12:59h | UTC

Prevalence and Odds of Depressive and Anxiety Disorders and Symptoms in Children and Adults With Alopecia Areata: A Systematic Review and Meta-analysis – JAMA Dermatology (link to abstract – $ for full-text)

Commentary: Anxiety, Depressive Disorder Prevalence Greater Among Alopecia Areata Patients – HCP Live

 


M-A | Incidence, indications, risk factors, and outcomes of emergency peripartum hysterectomy worldwide

2 Mar, 2023 | 12:54h | UTC

Incidence, Indications, Risk Factors, and Outcomes of Emergency Peripartum Hysterectomy Worldwide: A Systematic Review and Meta-analysis – Obstetrics & Gynecology

 


SR | Trifocal intraocular lenses vs. bifocal intraocular lenses after cataract extraction among participants with presbyopia

2 Mar, 2023 | 12:46h | UTC

Trifocal intraocular lenses versus bifocal intraocular lenses after cataract extraction among participants with presbyopia – Cochrane Library

Summary: Trifocal versus bifocal lenses implantation after cataract surgery – Cochrane Library

 


M-A | Eccentric exercise vs. other exercises in the treatment of mid-portion Achilles tendinopathy

2 Mar, 2023 | 12:40h | UTC

Eccentric exercise is more effective than other exercises in the treatment of mid-portion Achilles tendinopathy: systematic review and meta-analysis – BMC Sports Science, Medicine and Rehabilitation

 


M-A | Comparison of suture button and syndesmotic screw for ankle syndesmotic injuries

1 Mar, 2023 | 13:50h | UTC

Comparison of Suture Button and Syndesmotic Screw for Ankle Syndesmotic Injuries: A Meta-analysis of Randomized Controlled Trials – Orthopaedic Journal of Sports Medicine

 


M-A | Catheter directed thrombolysis for not immediately threatened acute limb ischemia

1 Mar, 2023 | 13:49h | UTC

Catheter directed thrombolysis for Not Immediately Threatened Acute Limb Ischaemia: a Systematic Review and Meta-Analysis – European Journal of Vascular & Endovascular Surgery

 


Is a one-size-fits-all ‘12-month rule’ appropriate when it comes to the last search date in systematic reviews?

1 Mar, 2023 | 13:48h | UTC

Is a one-size-fits-all ‘12-month rule’ appropriate when it comes to the last search date in systematic reviews? – BMJ Evidence-Based Medicine

 

Commentary on Twitter

 


SR | Surgical versus non‐surgical interventions for treating patellar dislocation

1 Mar, 2023 | 13:45h | UTC

Surgical versus non‐surgical interventions for treating patellar dislocation – Cochrane Library

 


SR | Insufficient evidence to recommend Vitamin D as an adjunct to antibiotics for the treatment of acute childhood pneumonia

28 Feb, 2023 | 13:39h | UTC

Vitamin D as an adjunct to antibiotics for the treatment of acute childhood pneumonia – Cochrane Library

 


M-A | Effect of posterior pericardiotomy in cardiac surgery

28 Feb, 2023 | 13:34h | UTC

Effect of posterior pericardiotomy in cardiac surgery: A systematic review and meta-analysis of randomized controlled trials – Frontiers in Cardiovascular Medicine

 


M-A | Adverse perinatal outcomes associated with antiretroviral therapy in women living with HIV

27 Feb, 2023 | 12:48h | UTC

Adverse perinatal outcomes associated with antiretroviral therapy in women living with HIV: A systematic review and meta-analysis – Frontiers in Medicine

 


Innovative models of healthcare delivery: an umbrella review of reviews

27 Feb, 2023 | 12:37h | UTC

Innovative models of healthcare delivery: an umbrella review of reviews – BMJ Open

 


M-A | Efficacy of elimination diets in eosinophilic esophagitis

24 Feb, 2023 | 13:47h | UTC

Summary: This systematic review and meta-analysis evaluated the effectiveness of various dietary treatment regimens for eosinophilic esophagitis (EoE). After analyzing 34 studies with 1762 patients, it was concluded that dietary therapy is a viable and efficacious option for individuals with EoE of all ages, with an overall histological remission rate of 53.8% and a clinical response rate of 80.8%. The study also found that highly restrictive dietary regimes, such as a six-food elimination diet, may not be superior to less restrictive dietary regimens, such as a four-food elimination diet or one-food elimination diet, in achieving histological remission, supporting less restrictive dietary regimens as a treatment option. The study has several limitations, such as the observational nature of most studies included.

Article: Efficacy of elimination diets in eosinophilic esophagitis: a systematic review and meta-analysis – Clinical Gastroenterology and Hepatology

Commentary: Elimination diets effective for patients with eosinophilic esophagitis – ACP Gastroenterology

 

Commentary on Twitter

Article under a Creative Commons Attribution (CC BY 4.0) license

 


SR | Tranexamic acid for the reduction of bleeding during functional endoscopic sinus surgery

24 Feb, 2023 | 13:39h | UTC

Tranexamic acid for the reduction of bleeding during functional endoscopic sinus surgery – Cochrane Library

 


M-A | Association of brain metastases with survival in patients with limited or stable extracranial disease

24 Feb, 2023 | 13:34h | UTC

Association of Brain Metastases With Survival in Patients With Limited or Stable Extracranial Disease: A Systematic Review and Meta-analysis – JAMA Network Open

 


M-A | Adjuvant chemotherapy for resected triple negative breast cancer patients

24 Feb, 2023 | 13:30h | UTC

Adjuvant chemotherapy for resected triple negative breast cancer patients: A network meta-analysis – The Breast

 


SR | The impact of Antimicrobial Stewardship Programs in pediatric emergency departments and primary care

24 Feb, 2023 | 13:20h | UTC

The impact of Antimicrobial Stewardship Programmes in paediatric emergency departments and primary care: a systematic review – Therapeutic Advances in Infectious Disease

 


M-A | Low-dose insulin infusion is safe and effective in treating diabetic ketoacidosis in children

23 Feb, 2023 | 13:40h | UTC

Summary: The article discusses a systematic review and meta-analysis of randomized controlled trials comparing low-dose insulin at 0.05 units/kg/hr to standard dose at 0.1 units/kg/hr for children with diabetic ketoacidosis (DKA). The study found that low-dose insulin infusion is probably as efficacious and safer than standard-dose insulin in treating DKA in children, as it has no effect on the time to resolution of hyperglycemia or acidosis and probably reduces the risk of developing hypokalemia and hypoglycemia. However, the results are limited by imprecision and generalizability to other settings since all studies were performed in a single country. Therefore, further studies are required to identify the optimal insulin dose for children with DKA in terms of safety and effectiveness.

Article: Insulin Infusion Dosing in Pediatric Diabetic Ketoacidosis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials – Critical Care Explorations

 


M-A | Disordered eating affects 1 in 5 children and adolescents

23 Feb, 2023 | 13:33h | UTC

Summary: The text reports the findings of a systematic review and meta-analysis that included 32 studies on the global proportion of disordered eating in children and adolescents aged 6 to 18 years, assessed with the SCOFF questionnaire, a widely used screening measure for eating disorders. The review found that approximately 22% of children and adolescents showed disordered eating, which was higher among girls, older adolescents, and those with higher body mass index. The high figures are concerning from a public health perspective and highlight the need for prevention strategies to address disordered eating. The study has limitations, including the cross-sectional nature of most of the included studies and the use of self-report questionnaires to assess disordered eating, which may be subject to bias.

Article: Global Proportion of Disordered Eating in Children and Adolescents: A Systematic Review and Meta-analysis – JAMA Pediatrics (free for a limited period)

Commentary: What is disordered eating? And why do 20% of the world’s kids show signs of it? Experts explain – CNN

 


M-A | Metabolic side effects in persons with schizophrenia during mid- to long-term treatment with antipsychotics

23 Feb, 2023 | 13:26h | UTC

Summary: This study aimed to evaluate the mid- to long-term metabolic side effects of 31 antipsychotics in persons with schizophrenia by analyzing 137 eligible randomized controlled trials with 35,007 participants. The primary outcome was weight gain, with secondary outcomes including fasting glucose, total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, and triglycerides. The study found that antipsychotic drugs differ in their propensity to induce metabolic side effects. Chlorpromazine, clozapine, olanzapine, and zotepine produced the most weight gain. The confidence in the evidence ranged from low to moderate. The study suggests that differences in weight gain were more pronounced than previously published short-term data and that weight gain is most pronounced at the beginning of treatment and then remains stable.

Article: Metabolic side effects in persons with schizophrenia during mid- to long-term treatment with antipsychotics: a network meta-analysis of randomized controlled trials – World Psychiatry (free for a limited period)

 


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