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帕博利珠单抗治疗晚期非小细胞肺癌的系统评价再评价

Re-evaluation of systematic reviews and meta analyses of Pembrolizumab treatment of advanced non-small cell lung cancer

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【作者】 王冰万宁谢菲杨宁徐晓玲梁虹艺季波袁进

【Author】 WANG Bing;WAN Ning;XIE Fei;YANG Ning;XU Xiaoling;LIANG Hongyi;JI Bo;YUAN Jin;School of Pharmaceutical Sciences, Southern Medical University;Department of Clinical Pharmacy, Guangdong Branch Center, National Clinical Research Center for Geriatric Diseases(Chinese People’s Liberation Armg General Hospital) General Hospital of Southern Theater Command;Department of Oncology, General Hospital of Southern Theater Command;

【通讯作者】 万宁;袁进;

【机构】 南方医科大学药学院国家老年疾病临床医学研究中心(解放军总医院)广东分中心中国人民解放军南部战区总医院临床药学科中国人民解放军南部战区总医院肿瘤科

【摘要】 目的 再评价已发表帕博利珠单抗治疗晚期非小细胞肺癌的系统评价的质量。方法 在Pub Med,EMBase,Cochrane Library,Web of Science,中国知网,维普和万方数据库中进行搜索,搜集帕博利珠单抗治疗晚期非小细胞肺癌的系统评价,检索时限均为建库至2022年2月。采用PRISMA声明、AMSTAR 2和GRADE工具分别评价纳入文献的报告质量、方法学质量和证据质量。结果 最终纳入10个系统评价。PRISMA得分为20~26分。AMSTAR2工具评价结果显示8个条目报告完整,2个条目未报告。GRADE分级结果显示系统评价结局指标的等级主要以低质量为主。结论 当前证据显示帕博利珠单抗治疗晚期非小细胞肺癌具有显著的临床效果,但其相关系统评价的方法学质量不高,循证医学证据质量有待进一步提升。

【Abstract】 Objective To re-evaluate the quality of published systematic reviews of Pembrolizumab for advanced non-small cell lung cancer. Methods Systematic reviews of Pembrolizumab for advanced non-small cell lung cancer were collected from Pub Med, EMBase, Cochrane Library, Web of Science, CNKI, VIP, and Wanfang databases from to February 2022.PRISMA statement, AMSTAR 2 and GRADE tools were used to evaluate the reporting quality, methodological quality, and evidence quality of the included systematic reviews. Results A total of ten systematic reviews were included. The PRISMA score ranged from 20-26. The evaluation results of AMSTAR 2 tool indicated that eight items were reported completely, two items were not reported. The grading results of GRADE showed that the outcome indexes of systematic reviews were mainly of low quality. Conclusion Current evidence shows that Pembrolizumab has significant clinical benefits in the treatment of advanced non-small cell lung cancer. However,the methodological quality of systematic reviews is insufficient,and the evidence quality of evidence-based medicine needs to be further improved.

【基金】 广东省自然科学基金面上项目(2021A151-5012251);广东省广州市科技计划项目(202002030446)
  • 【文献出处】 中国医药导报 ,China Medical Herald , 编辑部邮箱 ,2023年14期
  • 【分类号】R734.2
  • 【下载频次】48
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