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艾迪联合化疗治疗卵巢癌的系统评价[J]. 肿瘤防治研究, 2009, 36(12): 1063-1066. DOI: 10.3971/j.issn.1000-8578.2009.12.020
引用本文: 艾迪联合化疗治疗卵巢癌的系统评价[J]. 肿瘤防治研究, 2009, 36(12): 1063-1066. DOI: 10.3971/j.issn.1000-8578.2009.12.020
Aidi Injection Combined with Chemotherapy in Treatment of Ovarian Cancer: A Systematic Review[J]. Cancer Research on Prevention and Treatment, 2009, 36(12): 1063-1066. DOI: 10.3971/j.issn.1000-8578.2009.12.020
Citation: Aidi Injection Combined with Chemotherapy in Treatment of Ovarian Cancer: A Systematic Review[J]. Cancer Research on Prevention and Treatment, 2009, 36(12): 1063-1066. DOI: 10.3971/j.issn.1000-8578.2009.12.020

艾迪联合化疗治疗卵巢癌的系统评价

Aidi Injection Combined with Chemotherapy in Treatment of Ovarian Cancer: A Systematic Review

  • 摘要: 目的 评价艾迪联合化疗治疗卵巢癌的效果和安全性。 方法 采用Cochrane系统评价方法,检索Cochrane图书馆、MEDLINE、VIP、CNKI、CBM disc等电子资料库。由3名评价者共同评价纳入研究质量,对同质研究进行Meta分析。 结果 共纳入3个随机对照研究、201例中晚期卵巢癌患者。所有纳入的3个研究均表明采用了随机的方法,但未提及分配隐藏及盲法,所有纳入研究均未进行ITT意向性分析。Meta分析显示艾迪联合化疗有效率优于单纯化疗OR2.30,95%CI(1.24~4.27),艾迪组患者的中位无进展生存期和生存期均延长了1~2月。在减轻化疗不良反应方面无确切临床证据。 结论 现有研究结果显示艾迪是一种有效安全的抗肿瘤药物,但由于纳入研究存在选择性偏倚和测量性偏倚的高度可能性,势必影响结果的强度,期待将来高质量的随机双盲对照试验提供高质量的证据。

     

    Abstract: Objective To evaluate the efficacy and safety of Aidi injection in the treatment of ovarian cancer. Methods The Cochrane Library, MEDLIN E, VIP, CNKI and CBM disc were searched. The quality of included studies was evaluated and meta-analysis was performed for the results of homogeneous studies. Results Three studies involving 201 participants with advanced ovarian cancer were included.All included studies employ means of randomization, but are inadquate in reporting concealment of allocation and blinding.Meta analysis based on included studies showed that response rate of Aidi injection combined with chemotherapy is better than the control group. Median time to progress and median survival time of Aidi injection are both one more month than control group.There was no clinical evidence in reducing adverse effect of chemotherapy. Conclusion Aidi injection is an effective and safe anti-cancer drug. Due to high risk of selection bias and detection bias of included studies, the evidence is not strong enough .Our results required further and larger-scaled RCT trials of the use of Aidi injection in the treatment of ovarian cancer.

     

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