Meta AnalysisID 2791

人体汞暴露及其血液学影响:一项系统评价

CRD42018086389

Does human exposure to mercury lead to hematological effects?

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Meta Analysis Id
2791
Evidence Id
11349
Core Evidence Id
11349
Source Meta Analysis Id
2737
Herb2 Meta Analysis Id
HBMA002737
Crd Id
CRD42018086389
Title
Human exposure to mercury and its hematological effects: a systematic review
Review Question
Does human exposure to mercury lead to hematological effects?
Study Type Included
It will be accept all types of studies such as clinical trials (randomized and non randomized), cohort, retrospective cohort, case control, cross-sectional, case series and case report. It will not be accept: book, review and author's opinion.
Condition Being Studied
Mercury is a well known toxic substance that can potentially impair function of any organ, such as bone marrow. The chosen definition for hematological effect was any blood cell alteration. So any change on bone marrow cellular series, such as anemia, polycythemia, leukocytosis, leukopenia, thrombocytosis, thrombocytopenia and so on, will be studied. There is sparse information about this particular subject.
Participant
 Accepted will be people of any age, gender and ethnicity.
Animal
Human Disease Modelled
Intervention
It is important that the participants are or were exposed to mercury (information obtained by anamnesis and/or collected biomarker).
Comparator Control
Whenever there is a group of not exposed to mercury, it will be important to note if there is any difference on the outcome (number, type of hematological effect) (relative risk, odds ratio, prevalence ratio) between groups.
Main Outcome
Hematological effect is the primary outcome. It can be defined as any alteration of blood tissue analysis, which is divided in two parts: solid (cells) and liquid (plasma). For this study, it was established as any blood cell alteration. The used methods are CBC or blood cell count which measures the concentration of white blood cells, red blood cells, and platelets in the blood and aids in the diagnosis of conditions and diseases such as anemia. or bone marrow biopsy. Measures of effect If it is a result of a acute large dose exposure, it will be possible to measure the change on blood cells count in hours to a few days. If it is a result of a long low dose exposure it will be possible to measure it in years.
Outcome Measure
Additional Outcome
Mercury may have direct toxic effect at other organ, for example skin (DRESS syndrome or Allergic Dermatitis) and this may lead to hematological effect such as eosinophilia. So hematological effect may be a be a direct or an indirect consequence of mercury toxicity. Measures of effect It has the same pattern as the primary outcome. If it is a result of a acute large dose exposure, it will be possible to measure the change on blood cells count in hours to a few days. If it is a result of a long low dose exposure it will be possible to measure it in months to years.
Study Method
Systematic review
Keyword
Environmental Exposure; Humans; Mercury; Occupational Exposure
Contact
Angelica Dos Santos Vianna [email protected]
Organisational Affiliation
Universidade Federal do Rio de Janeiro [email protected]
Funding Source
Professor Volney de Magalhães Câmara
Other Selection Criteria
Final Publication
Vianna ADS, Matos EP, Jesus IM, Asmus CIRF, Câmara VM. Human exposure to mercury and its hematological effects: a systematic review. Cad Saude Publica. 2019 Feb 11;35(2):e00091618. doi: 10.1590/0102-311X00091618. http://cadernos.ensp.fiocruz.br/csp/public_site/arquivo/CSP_0916_18_SAGAS.pdf
Same Topic Review
Published Protocol
Review Type
Language
Country
Brazil
Review Stage
Review Completed published
First Submission Date
2018-01-17
Registration Date
2018-01-25
Anticipated Start Date
2018-02-01
Anticipated Completion Date
2018-05-01
Title Cn
人体汞暴露及其血液学影响:一项系统评价
Title En
Human exposure to mercury and its hematological effects: a systematic review
Bilingual Status
complete