Sondra Song Jie Chen, Ajantha Nadarajah, Laura Banfield, Adam Fleming, Lehana Thabane, Carol Portwine, M Constantine Samaan
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引用次数: 1
Abstract
Objectives: The number of children who survive cancer is reaching new record levels, thanks to improved management strategies. However, this population is predisposed to chronic health conditions including cardiovascular disease and type 2 diabetes, yet the full scale of these diagnoses in this population is unclear. This protocol describes the conduct of a systematic review to report on the prevalence of diabetes mellitus (DM) subtypes in childhood cancer survivors. Methods: Searches will be conducted in MEDLINE, Embase, CINAHL, Cochrane Database of Systematic Reviews, and Cochrane Central Register of Controlled Trials. We will also search gray literature in Theses A&I, ProQuest Dissertations, and Web of Science as well as clinicaltrials.gov. Screening search results and data abstraction will be done independently by two reviewers. We will conduct a meta-analysis if two studies have similar designs, populations, methods, and outcome measures reported. Results: The findings of this systematic review will provide insights into the scale of diabetes in childhood cancer survivors to allow the prioritization of subpopulations that need specific interventions to screen, prevent, and treat DM. This will likely lead to improved outcomes in childhood cancer survivors.
目标:由于管理策略的改进,癌症存活儿童的数量达到了新的记录水平。然而,这一人群易患慢性疾病,包括心血管疾病和2型糖尿病,但这些疾病在这一人群中的全部诊断情况尚不清楚。本研究方案描述了一项关于儿童癌症幸存者中糖尿病(DM)亚型患病率的系统综述。方法:在MEDLINE、Embase、CINAHL、Cochrane系统评价数据库和Cochrane中央对照试验注册库中进行检索。我们还将在thesema&i、ProQuest dissertation、Web of Science以及clinicaltrials.gov中检索灰色文献。筛选搜索结果和数据提取将由两位审稿人独立完成。如果两项研究有相似的设计、人群、方法和结果测量,我们将进行荟萃分析。结果:本系统综述的发现将为儿童癌症幸存者的糖尿病规模提供见解,以便优先考虑需要特定干预措施来筛查、预防和治疗糖尿病的亚群。这可能会改善儿童癌症幸存者的预后。
期刊介绍:
Adolescent Health, Medicine and Therapeutics is an international, peer reviewed, open access journal focusing on health, pathology, and treatment issues specific to the adolescent age group, including health issues affecting young people with cancer. Original research, reports, editorials, reviews, commentaries and adolescent-focused clinical trial design are welcomed. All aspects of health maintenance, preventative measures, disease treatment interventions, studies investigating the poor outcomes for some treatments in this group of patients, and the challenges when transitioning from adolescent to adult care are addressed within the journal. Practitioners from all disciplines are invited to submit their work as well as health care researchers and patient support groups. Areas covered include: Physical and mental development in the adolescent period, Behavioral issues, Pathologies and treatment interventions specific to this age group, Prevalence and incidence studies, Diet and nutrition, Specific drug handling, efficacy, and safety issues, Drug development programs, Outcome studies, patient satisfaction, compliance, and adherence, Patient and health education programs and studies.