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Systematic Reviews & Meta-analysis

SR | Glucocorticoids for croup in children

23 Feb, 2023 | 13:17h | UTC

Glucocorticoids for croup in children – Cochrane Library

 


M-A | Monoclonal antibody for the prevention of respiratory syncytial virus in infants and children

22 Feb, 2023 | 12:24h | UTC

Monoclonal Antibody for the Prevention of Respiratory Syncytial Virus in Infants and Children: A Systematic Review and Network Meta-analysis – JAMA Network Open

Commentary: Study Finds 3 Monoclonal Antibodies Reduce RSV Infections in High-Risk Infants, Children – HCP Live

 

Commentary on Twitter

 


M-A | Drugs to reduce bleeding in major open vascular or endovascular surgery – not enough evidence to guide treatment

21 Feb, 2023 | 11:44h | UTC

Summary: The article is a systematic review and network meta-analysis of randomized controlled trials (RCTs) on the effectiveness and safety of anti-fibrinolytic and hemostatic drugs and agents to reduce bleeding and the need for blood transfusion in people undergoing major vascular surgery or endovascular procedures. The authors searched multiple databases and trial registries and included 22 RCTs with 3,393 participants analyzed. Due to a lack of data, the authors are uncertain whether any systemic or topical treatments may improve outcomes, emphasizing that larger trials with clinically relevant outcomes are needed.

Article: Drugs to reduce bleeding and transfusion in major open vascular or endovascular surgery: a systematic review and network meta‐analysis – Cochrane Library

 


M-A | General Anesthesia vs. to Non-GA in endovascular thrombectomy for ischemic stroke

20 Feb, 2023 | 12:20h | UTC

Summary: The study analyzed randomized controlled trials comparing the use of general anesthesia (GA) versus non-GA techniques, such as conscious sedation or local anesthesia for endovascular thrombectomy (EVT) in patients with ischemic stroke. The meta-analysis included seven trials with a total of 980 participants, showing that GA is associated with a 9% improvement in recanalization rates and an 8.4% improvement in functional recovery compared to non-GA techniques. There was no difference in hemorrhagic complications or 3-month mortality. The study recommends that GA be the first choice for most EVT procedures in acute ischemic stroke.

Article: General Anesthesia Compared to Non-GA in Endovascular Thrombectomy for Ischemic Stroke: A Systematic Review and Meta-analysis of Randomized Controlled Trials – Neurology (link to abstract – $ for full-text)

 


M-A | Financial toxicity among patients with breast cancer worldwide

17 Feb, 2023 | 13:20h | UTC

Financial Toxicity Among Patients With Breast Cancer Worldwide: A Systematic Review and Meta-analysis – JAMA Network Open

Commentary: Breast Cancer Treatment Is Associated With Financial Toxicity Worldwide, Study Finds – AJMC

Related:

Navigating financial toxicity in patients with cancer: A multidisciplinary management approach – CA: A Cancer Journal for Clinicians

Financial Toxicity in Advanced and Metastatic Cancer: Overburdened and Underprepared – JCO Oncology Practice

The high price of anticancer drugs: origins, implications, barriers, solutions – Nature Reviews: Clinical Oncology

Unmet Need for Clinician Engagement Regarding Financial Toxicity After Diagnosis of Breast Cancer – Cancer

Financial toxicity: 1 in 3 cancer patients have to turn to friends or family to pay for care – STAT News 

Not Just Nausea And Vomiting: Cancer Docs Now Worry About ‘Financial Toxicity’ – WBUR 

Financial Toxicity and Cancer Treatment (PDQ®) – National Institute of Cancer

 

Commentary on Twitter

 


M-A | Efficacy and safety of drugs for gastroparesis

17 Feb, 2023 | 13:05h | UTC

Efficacy and Safety of Drugs for Gastroparesis: Systematic Review and Network Meta-analysis – Gastroenterology

Commentaries:

Review finds only two efficacious medications to treat gastroparesis – ACP Gastroenterology

Two drug classes appear effective for gastroparesis treatment – MDedge

 

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

 


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

17 Feb, 2023 | 13:00h | UTC

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

 


M-A | Foot orthoses for flexible flatfeet in children and adults

17 Feb, 2023 | 13:02h | UTC

Foot orthoses for flexible flatfeet in children and adults: a systematic review and meta-analysis of patient-reported outcomes – BMC Musculoskeletal Disorders

 


M-A | Global status of azithromycin and erythromycin resistance rates in Neisseria gonorrhoeae

17 Feb, 2023 | 12:58h | UTC

Global status of Azithromycin and Erythromycin Resistance Rates in Neisseria gonorrhoeae: A Systematic Review and Meta-analysis – Yale Journal of Biology and Medicine

 


M-A | Association between antimicrobial stewardship programs and antibiotic use globally

16 Feb, 2023 | 15:21h | UTC

Association Between Antimicrobial Stewardship Programs and Antibiotic Use Globally: A Systematic Review and Meta-Analysis – JAMA Network Open

Commentaries:

Antibiotic stewardship programs linked to reduced antibiotic prescribing, consumption worldwide – CIDRAP

Antimicrobial Stewardship Programs Beneficial for Cutting Antibiotic Use – HealthDay

 


M-A | Blood pressure lowering effects of B-blockers as add-on or combination therapy

16 Feb, 2023 | 15:10h | UTC

Blood pressure lowering effects of β-blockers as add-on or combination therapy: A meta-analysis of randomized controlled trials – Journal of Clinical Hypertension

Related: Diverse pharmacological properties, trial results, comorbidity prescribing and neural pathophysiology suggest European hypertension guideline downgrading of beta-blockers is not justified – Blood Pressure

 


M-A | Worldwide prevalence of antibiotic-associated Stevens-Johnson syndrome and toxic epidermal necrolysis

16 Feb, 2023 | 15:04h | UTC

Summary: The article examined the prevalence Stevens-Johnson syndrome and toxic epidermal necrolysis (SJS/TEN) associated with antibiotics worldwide. The analysis included 38 studies involving 2,917 patients, which showed that 28% of SJS/TEN cases were associated with antibiotics. Among antibiotic-associated SJS/TEN, the sulfonamide class was associated with 32% of cases, followed by penicillins, cephalosporins, fluoroquinolones, and macrolides.

Article: Worldwide Prevalence of Antibiotic-Associated Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis: A Systematic Review and Meta-analysis – JAMA Dermatology (free for a limited period)

 

*Note: This summary was created through the collaboration of a medical editor and ChatGPT.

 


M-A | Radiofrequency therapies for trigeminal neuralgia

16 Feb, 2023 | 14:51h | UTC

Radiofrequency Therapies for Trigeminal Neuralgia: A Systematic Review and Updated Meta-analysis – Pain Physician (PDF)

 


M-A | Cost-effectiveness of internet interventions compared with treatment as usual for people with mental disorders

16 Feb, 2023 | 14:43h | UTC

Cost-effectiveness of Internet Interventions Compared With Treatment as Usual for People With Mental Disorders: Systematic Review and Meta-analysis of Randomized Controlled Trials – Journal of Medical Internet Research

 


M-A | Relative safety and effectiveness of different erythropoiesis‐stimulating agents for anemia in adults with CKD

15 Feb, 2023 | 15:58h | UTC

Summary: The article reviewed the evidence on the safety and effectiveness of different epoetin drugs in treating anemia in people with chronic kidney disease. From the available research, it is uncertain whether various epoetin medications are superior or inferior to each other in terms of the probability of requiring a blood transfusion, mortality, experiencing a heart attack or stroke, developing a clot in a fistula or dialysis vascular catheter, or the likelihood of requiring dialysis for individuals with less severe kidney disease.*

Article: Erythropoiesis‐stimulating agents for anaemia in adults with chronic kidney disease: a network meta‐analysis – Cochrane Library

Summary: The relative safety and effectiveness of different epoetin drugs for treating anaemia in people with chronic kidney disease – Cochrane Library

 

*Note: This summary was created through the collaboration of a medical editor and ChatGPT.

 


SR | Silicone gel sheeting for treating keloid scars

15 Feb, 2023 | 15:53h | UTC

Silicone gel sheeting for treating keloid scars – Cochrane Library

Summary: What are the benefits and risks of silicone gel sheeting for treating keloid scars? – Cochrane Library

 


M-A | Risk of bias in randomized clinical trials comparing transcatheter and surgical aortic valve replacement

15 Feb, 2023 | 15:52h | UTC

Risk of Bias in Randomized Clinical Trials Comparing Transcatheter and Surgical Aortic Valve Replacement: A Systematic Review and Meta-analysis – JAMA Network Open

Commentary: Major TAVI Studies Have ‘Methodological Issues,’ INTEGRITTY Group Contends – TCTMD

 

Commentary on Twitter

 


SR | Prognostic models for mortality risk in patients requiring ECMO

15 Feb, 2023 | 15:49h | UTC

Prognostic models for mortality risk in patients requiring ECMO – Intensive Care Medicine

 


SR | Effect of remote patient monitoring for patients with chronic kidney disease who perform dialysis at home

15 Feb, 2023 | 15:47h | UTC

Effect of remote patient monitoring for patients with chronic kidney disease who perform dialysis at home: a systematic review – BMJ Open

 


SR | Cost measurement in value-based healthcare

15 Feb, 2023 | 15:46h | UTC

Cost measurement in value-based healthcare: a systematic review – BMJ Open

 


SR | Inspiratory muscle training, with or without concomitant pulmonary rehabilitation, for COPD

15 Feb, 2023 | 15:42h | UTC

Inspiratory muscle training, with or without concomitant pulmonary rehabilitation, for chronic obstructive pulmonary disease (COPD) – Cochrane Library

Summary: Are exercises for strengthening breathing muscles effective for people with chronic obstructive pulmonary disease? – Cochrane Library

 


M-A | Tenecteplase vs. alteplase for treatment of acute ischemic stroke

13 Feb, 2023 | 12:57h | UTC

Tenecteplase vs. alteplase for treatment of acute ischemic stroke: A systematic review and meta-analysis of randomized trials – Frontiers in Neurology

Related: Tenecteplase versus alteplase in acute ischaemic cerebrovascular events (TRACE-2): a phase 3, multicentre, open-label, randomised controlled, non-inferiority trial – The Lancet (link to abstract – $ for full-text)

 


M-A | Exercise-based cardiac rehabilitation for coronary heart disease

13 Feb, 2023 | 12:28h | UTC

Exercise-based cardiac rehabilitation for coronary heart disease: a meta-analysis – European Heart Journal

 


SR | Cognitive aids in the management of clinical emergencies

10 Feb, 2023 | 13:44h | UTC

Cognitive aids in the management of clinical emergencies: a systematic review – Anaesthesia

 


M-A | Pacifier use and breastfeeding in term and preterm newborns

9 Feb, 2023 | 13:41h | UTC

Pacifier use and breastfeeding in term and preterm newborns—a systematic review and meta-analysis – European Journal of Pediatrics

 


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