Meta AnalysisID 7328

不同浓度阿托品对儿童青少年近视的疗效和耐受性:系统评价与Meta分析的伞形评价

CRD42023466785

What's the best concentration of atropine to slow myopia progression in children and adolescent? What's the most effective and tolerable protocol to control myopia using atropine?

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Record Fields

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Meta Analysis Id
7328
Evidence Id
15886
Core Evidence Id
15886
Source Meta Analysis Id
7316
Herb2 Meta Analysis Id
HBMA007316
Crd Id
CRD42023466785
Title
Efficacy and tolerability of different concentrations atropine in children and adolescent with myopia: an umbrella review of systematic reviews and meta-analyses
Review Question
What's the best concentration of atropine to slow myopia progression in children and adolescent? What's the most effective and tolerable protocol to control myopia using atropine?
Study Type Included
Inclusion criteria 1) study type: systematic review or meta-analysis based on randomized control trials or observational studies on the topic of myopia control; 2) population: patients in RCTs or observational studies aged under 18 years old with myopia; 3) intervention and control: the intervention group received atropine drops with the concentration various from 0.01% to 1%, control group should be saline, placebo or blank control. Studies comparing the other myopia control approaches and atropine plus approaches were also included; 4) report of outcomes: main outcomes that included the changing of spherical equivalent refraction (SER) or axial length in mean±standard deviation form or 95% credible interval. Exclusion criteria 1) studies reporting the atropine used in animals; 2) studies of protocol, conference abstracts, network meta-analysis, articles without full-text; 3) articles reporting unavailable data.
Condition Being Studied
Myopia, short sightness, near-eyesight
Participant
We will include all systematic reviews on human participants, irrespective of sex and setting (inpatient, outpatient, or community setting), participating in placebo- or active-controlled RCTs or observational studies studying atropine used in myopia control. Participants who will included should be diagnosed by optometry that the refractions were less than -0.5D, for the reason that we intend to investigate the efficacy of atropine in slowing children and adolescent myopia, participants shou aged under 18 years old.
Animal
Human Disease Modelled
Intervention
Different concentration of atropine, or atropine plus other myopia controlling approaches.
Comparator Control
Blank or placebo drops that was proved not to control myopia, other myopia controlling approaches.
Main Outcome
Primary outcomes will be efficacy of myopia progression, defined as spherical equivalent error (SER) change and axial length change; Secondary outcomes included the adverse events during the trials or atropine treatment. Measures of effect Due to the continuous variants type, we measure the main outcomes using MDs (mean differences) in the meta-analyses.
Outcome Measure
Additional Outcome
Not applicable Measures of effect Not applicable
Study Method
Review of reviews, Systematic review
Keyword
MeSH headings have not been applied to this record
Contact
Zhaotian Zhang [email protected]
Organisational Affiliation
Zhongshan Ophthalmic Center, Sun-Yat-sen University
Funding Source
Supported by Natural Science Foundation of Guangdong Province, China Grant number(s) State the funder, grant or award number and the date of award Natural Science Foundation of Guangdong Province, China(2023A1515011652)
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English
Country
China
Review Stage
Review Ongoing
First Submission Date
2023-09-26
Registration Date
2023-10-07
Anticipated Start Date
2023-08-01
Anticipated Completion Date
2023-12-31
Title Cn
不同浓度阿托品对儿童青少年近视的疗效和耐受性:系统评价与Meta分析的伞形评价
Title En
Efficacy and tolerability of different concentrations atropine in children and adolescent with myopia: an umbrella review of systematic reviews and meta-analyses
Bilingual Status
complete