Meta AnalysisID 7212

改良释放型氢化可的松对比标准糖皮质激素替代治疗对肾上腺皮质功能不全成人患者的临床、代谢和骨骼效应及安全性:系统评价与Meta分析

CRD42023470809

P: Patients with adrenal insufficiency I: Modified-release or dual-release hydrocortisone tablet (MR-HC) C: Standard oral Glucocorticoid (SC) O: Chnages in clinical, metabolic, and bone parameters, adverse events S: Rand

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Record Fields

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Meta Analysis Id
7212
Evidence Id
15770
Core Evidence Id
15770
Source Meta Analysis Id
7199
Herb2 Meta Analysis Id
HBMA007199
Crd Id
CRD42023470809
Title
Clinical, Metabolic, and Bone Effects and Safety of Modified-Release Hydrocortisone versus Standard Glucocorticoid Replacement Therapy in Adults with Adrenal Insufficiency: A Systematic Review and Meta-Analysis
Review Question
P: Patients with adrenal insufficiency I: Modified-release or dual-release hydrocortisone tablet (MR-HC) C: Standard oral Glucocorticoid (SC) O: Chnages in clinical, metabolic, and bone parameters, adverse events S: Randomized or non-randomized active-controlled trial
Study Type Included
Randomized or non-randomized trials
Condition Being Studied
Adrenal insufficiency
Participant
Inclusion criteria: 1) Randomized or non-randomized trials published in a peer-reviewed journal; 2) Subjects aged 18 years or older; 3) Primary or secondary adrenal insufficiency switched from SG to MR-HC replacement; 4) Clinical outcomes (quality of life); 5. Metabolic outcome measures (anthropometric, glucose, and lipid metabolism); 6. Bone outcomes (bone mineral density); 7. Adverse events. Exclusion criteria: (1) trials involving animals or healthy human subjects; (2) retrospective studies; (3) review articles, letters, case reports, and conference proceedings; (4) articles that provided inadequate information of interest or primary data; (5) studies reporting on glucocorticoid usage for nonendocrine conditions, and endocrine conditions other than AI.
Animal
Human Disease Modelled
Intervention
Patients with AI started or switched to modified-release or dual-release hydrocortisone tablet (MR-HC)
Comparator Control
Patients with AI started or continued standard oral glucocorticoid (SC)
Main Outcome
Changes in clinical, metabolic, and bone parameters Measures of effect Mean difference (95% confidence interval) or odds ratios
Outcome Measure
Additional Outcome
Adverse events Measures of effect Odds ratios
Study Method
Meta-analysis, Systematic review
Keyword
MeSH headings have not been applied to this record
Contact
A.B.M. Kamrul-Hasan [email protected]
Organisational Affiliation
Mymensingh Medical College
Funding Source
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English
Country
Bangladesh
Review Stage
Review Ongoing
First Submission Date
2023-10-09
Registration Date
2023-10-19
Anticipated Start Date
2023-10-20
Anticipated Completion Date
2023-11-30
Title Cn
改良释放型氢化可的松对比标准糖皮质激素替代治疗对肾上腺皮质功能不全成人患者的临床、代谢和骨骼效应及安全性:系统评价与Meta分析
Title En
Clinical, Metabolic, and Bone Effects and Safety of Modified-Release Hydrocortisone versus Standard Glucocorticoid Replacement Therapy in Adults with Adrenal Insufficiency: A Systematic Review and Meta-Analysis
Bilingual Status
complete