Risk of hip fracture in patients on hemodialysis versus peritoneal dialysis: A meta‐analysis of observational studies

Boonpheng, Boonphiphop; Mao, Michael A; Wijarnpreecha, Karn; Kaewput, Wisit; Ungprasert, Patompong; Cheungpasitporn, Wisit

doi:10.1111/jebm.12341

Cited by 16 publications

(9 citation statements)

References 39 publications

(51 reference statements)

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“…The screening and extraction of data were conducted separately by two independent reviewers [ 23 ]. In opposing views between the two reviewers, a third reviewer [ 24 , 25 ] was invited to reconcile the differences. Duplicate articles were detected and removed using EndNote X8 software (Thomson Corporation; Stamford, CT, USA).…”

Section: Methodsmentioning

confidence: 99%

Laparoscopic versus Robotic Hepatectomy: A Systematic Review and Meta-Analysis

Aboudou

Zhang

et al. 2022

JCM

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This study aimed to assess the surgical outcomes of robotic compared to laparoscopic hepatectomy, with a special focus on the meta-analysis method. Original studies were collected from three Chinese databases, PubMed, EMBASE, and Cochrane Library databases. Our systematic review was conducted on 682 patients with robotic liver resection, and 1101 patients were operated by laparoscopic platform. Robotic surgery has a long surgical duration (MD = 43.99, 95% CI: 23.45–64.53, p = 0.0001), while there is no significant difference in length of hospital stay (MD = 0.10, 95% CI: −0.38–0.58, p = 0.69), blood loss (MD = −20, 95% CI: −64.90–23.34, p = 0.36), the incidence of conversion (OR = 0.84, 95% CI: 0.41–1.69, p = 0.62), and tumor size (MD = 0.30, 95% CI: −0–0.60, p = 0.05); the subgroup analysis of major and minor hepatectomy on operation time is (MD = −7.08, 95% CI: −15.22–0.07, p = 0.09) and (MD = 39.87, 95% CI: −1.70–81.44, p = 0.06), respectively. However, despite the deficiencies of robotic hepatectomy in terms of extended operation time compared to laparoscopic hepatectomy, robotic hepatectomy is still effective and equivalent to laparoscopic hepatectomy in outcomes. Scientific evaluation and research on one portion of the liver may produce more efficacity and more precise results. Therefore, more clinical trials are needed to evaluate the clinical outcomes of robotic compared to laparoscopic hepatectomy.

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Section: Methodsmentioning

confidence: 99%

Laparoscopic versus Robotic Hepatectomy: A Systematic Review and Meta-Analysis

Aboudou

Zhang

et al. 2022

JCM

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“…If not, a third assessor would help to resolve the arguments. 20,21 Two investigators reviewed the titles and abstracts of all records and identified studies potentially eligible for inclusion, which received a full-text evaluation if meeting our inclusion criteria. The following data of each study were extracted: first author’s name; year of publication; study designs; sample size; diagnostic criteria; mean/median age; races; gender; disease duration; follow-up period; treatments and concomitant medications of interventions/comparisons; AE-associated populations; particular populations (e.g.…”

Section: Methodsmentioning

confidence: 99%

Adverse events of rituximab in neuromyelitis optica spectrum disorder: a systematic review and meta-analysis

Wang

Zhou

et al. 2021

Ther Adv Neurol Disord

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Background: The adverse events (AEs) of rituximab (RTX) for neuromyelitis optica spectrum disorder (NMOSD) are incompletely understood. Aim: To collate information on the reported the AEs of RTX in NMOSD and assess the quality of evidence. Methods: PubMed, EMBASE, Web of Science, Cochrane Library, Wanfang Data, CBM, CNKI, VIP, clinicaltrials.gov, and so on were searched for studies with control groups as well as for case series that had assessed the RTX-associated AEs. The incidence of AEs and the comparison of AE risks among different therapies were pooled. The GRADE was developed for evidence quality. Results: A total of 3566 records were identified. Finally, 36 studies (4 RCTs, 6 crochet studies, 2 NRCTs, and 24 case series), including 1542 patients (1299 females and 139 males), were included for final analyses. Rates of patients with any AEs, any serious AEs (SAEs), infusion-related AEs, any infection, respiratory infection, urinary infection, and death were 28.57%, 5.66%, 27.01%, 17.36%, 4.76%, 4.76%, and 0.17%, respectively. The results from subgroup analysis showed that AE rates were most likely not associated with covariates such as duration of illness and study designs. Very low-quality evidence suggested that the risk ratios (RR) of any AEs (0.84, 95% CI = 00.42–1.69, p = 0.62) and any infections (1.24 95% CI = 0.18–8.61) of RTX were similar to that of azathioprine, and the RR of any AEs of RXT was akin to that of mycophenolate mofetil (0.66, 95% CI = 0.32–1.35 p = 0.26). Evidence of low to high quality showed the lower RR of RTX in other AEs, but not in infusion-related AEs. Strategies to handle AEs focused on symptomatic treatments. Conclusions: RTX is mostly safer than other immunosuppressants in NMOSD: the incidence of RTX-associated AEs was not high, and when present, the AEs were usually mild or moderate and could be well controlled. Given its efficacy and safety, RTX could be recommended as a first-line treatment for NMOSD.

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“…5,14,23 For example, peritoneal dialysis has been shown to have a lower rate of hip fractures and have a beneficial effect compared with hemodialysis on bone mineral density during first year of therapy. 4,17 Limitations of this study largely stem from its retrospective nature. Large portions of patients with CKD are undiagnosed.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Association of Chronic Kidney Disease and Complications Following Acute Torsional Ankle Fracture

et al. 2022

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Background: Although chronic kidney disease (CKD) has been associated with poor outcomes following traumatic fractures, there is a scarcity of literature describing the effect on outcomes of ankle fractures. We will examine the impact of CKD on clinical outcomes following torsional ankle fracture, including complications and unplanned surgical procedures. Methods: A retrospective review of 1981 adult patients with torsional ankle fractures treated at a level 1 trauma center was performed to identify patients with CKD based on glomerular filtration rate. Demographic, injury, and treatment-related characteristics were collected. Outcomes included any unplanned procedure: implant removal, debridement, revision, arthrodesis, and amputation; in addition to complications of superficial infection, deep infection, and implant irritation. Patients with CKD were matched with patients without CKD by propensity score matching. Univariate comparisons between groups were conducted using chi-square and Mann-Whitney U tests. Results: 136 patients (68 with CKD and 68 without CKD) were analyzed. Of the 68 patients with CKD, the mean stage of disease was 3.7 with 24% on dialysis for a mean length of 4.1 years. Patients without CKD were more likely to undergo primary ORIF (100% vs 54%, P < .001). Thirty-five percent of patients with CKD had surgical complications vs 19% in the cohort without ( P = .07). Patients with open fractures, dislocation, and chronic kidney disease were, respectively, 5.19, 3.77, and 3.91 times more likely to have any complication ( P = .02, P = .05, P = .05). Patients with CKD were more likely to undergo unplanned arthrodesis ( P = .01). Only dislocation was an independent predictor for unplanned procedure (odds ratio = 5.08, P = .026). Conclusion: Following torsional ankle fracture, CKD is associated with increased likelihood of having a complication or an unplanned arthrodesis. Open fractures and dislocation at time of injury are also associated with complications. Our findings encourage caution about surgical treatment of ankle fractures in patients with CKD. Level of Evidence: Level III, retrospective, comparative, prognostic.

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Risk of hip fracture in patients on hemodialysis versus peritoneal dialysis: A meta‐analysis of observational studies

Cited by 16 publications

References 39 publications

Laparoscopic versus Robotic Hepatectomy: A Systematic Review and Meta-Analysis

Laparoscopic versus Robotic Hepatectomy: A Systematic Review and Meta-Analysis

Adverse events of rituximab in neuromyelitis optica spectrum disorder: a systematic review and meta-analysis

Association of Chronic Kidney Disease and Complications Following Acute Torsional Ankle Fracture

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