Meta AnalysisID 7881

口服毛果芸香碱或西维美林治疗干燥综合征患者干眼的疗效:一项系统评价和Meta分析

CRD42023405612

The purpose of this study is to explore whether oral pilocarpine or cevimiline can relieve symptoms of dry eye in patients with Sjogren's syndrome. Some studies have concluded that this treatment is effective for dry eye

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Record Fields

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Meta Analysis Id
7881
Evidence Id
16439
Core Evidence Id
16439
Source Meta Analysis Id
7877
Herb2 Meta Analysis Id
HBMA007877
Crd Id
CRD42023405612
Title
Efficacy of oral pilocarpine or cevimiline for the treatment of dry eye in patients with Sjogren's syndrome: A systematic review and meta-analysis
Review Question
The purpose of this study is to explore whether oral pilocarpine or cevimiline can relieve symptoms of dry eye in patients with Sjogren's syndrome. Some studies have concluded that this treatment is effective for dry eye, while some ones hold the opposite conclusion.
Study Type Included
There are no restrictions on the types of study designs. Case report, case series, prospective study, retrospective study, cohort study, etc.
Condition Being Studied
Sjögren's syndrome (SS) is a common autoimmune disease that primarily affects exocrine glands such as the lacrimal glands. Dry eye disease is one of the most prevalent complications of Sjögren's syndrome, affecting most patients. It significantly affects quality of life and treatment of Sjögren's syndrome is often difficult and unsatisfactory. Pilocarpine and carvimilin are muscarinic cholinergic agonists that have been used to treat Sjogren's syndrome. Whether oral pilocarpine can relieve dry eye symptoms in patients with Sjogren's syndrome remains to be investigated and opinions differ. So, this research tries to specifically explore this problem.
Participant
1. All study types are included: case reports, case series, prospective studies, retrospective studies, cohort studies, and more. All studies are included, there is no limited time frame. 2. Inclusion criteria: ① patients with Sjögren's syndrome; ② treatment with conventional administration of oral pilocarpine and carvimilin, 3. Exclusion criteria: ①Irrelevant studies;②studies published in other languages than English;③lack of ocular surface parameters. 4. Observation: objective tests (Schirmer’s test, break-up time, Rose Bengal staining); subjective tests (symptoms’ questionnaire).
Animal
Human Disease Modelled
Intervention
Intervention: Patients diagnosed as Sjögren's syndrome were treated with oral pilocarpine and carvimilin.
Comparator Control
Placebo or Blank.
Main Outcome
The objective measurement of interest includes: • Schirmer’s Test • Phenol red thread test • Tear break-up time (TBUT) • Tear osmolarity • Tear meniscus height (TMH) The subjective measurement of interest includes: • Ocular surfaces disease index (OSDI) • Dry eye questionnaires (DEQ-5) • Dry Eye-Related Quality of Life Score (DEQS)
Outcome Measure
Additional Outcome
Not applicable.
Study Method
Meta-analysis, Systematic review
Keyword
Dry Eye Syndromes; Humans; Patients; Pilocarpine; Sjogren's Syndrome
Contact
nan zhou [email protected]
Organisational Affiliation
Nanjing University
Funding Source
None.
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English
Country
China
Review Stage
Review Ongoing
First Submission Date
2023-03-09
Registration Date
2023-03-19
Anticipated Start Date
2023-03-07
Anticipated Completion Date
2023-05-08
Title Cn
口服毛果芸香碱或西维美林治疗干燥综合征患者干眼的疗效:一项系统评价和Meta分析
Title En
Efficacy of oral pilocarpine or cevimiline for the treatment of dry eye in patients with Sjogren's syndrome: A systematic review and meta-analysis
Bilingual Status
complete