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Comparative Effectiveness of Prophylactic Therapies for Necrotizing Enterocolitis in Preterm Infants: Protocol for a Network Meta-analysis of Randomized Trials
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نویسنده
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sadeghirad behnam ,florez ivan d. ,chang yaping ,forutan farid ,zeraatkar dena ,morgan rebecca l. ,shahid shaneela ,bala malgorzata m. ,beyene joseph ,offringa martin ,webber thomasin adams ,sherman philip m. ,el-gouhary enas ,guyatt gordon h. ,johnston bradley c.
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منبع
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international journal of preventive medicine - 2018 - دوره : 9 - شماره : September - صفحه:1 -6
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چکیده
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Necrotizing enterocolitis (nec) is a common and devastating disease with high morbidity and mortality in premature infants. current literature on the prevention of nec has limitations including lack of direct and indirect comparisons of available therapies. we will search medline, embase, science citation index expanded, social sciences citation index, cinahl, scopus, proquest dissertations and theses database, and grey literature sources to identify eligible trials evaluating nec preventive therapies. eligible studies will (1) enroll preterm (gestational age <37 weeks) and/or low birth weight (birth weight <2500 g) infants, (2) randomize infants to any preventive intervention or a placebo, or alternative active or nonactive intervention. our outcomes of interest are severe nec (stage ii or more, based on bell’s criteria), all-cause mortality, nec-related mortality, late-onset sepsis, duration of hospitalization, weight gain, time to establish full enteral feeds, and treatment-related adverse events. two reviewers will independently screen trials for eligibility, assess risk of bias, and extract data. all discrepancies will be resolved by discussion. we will specify a priori explanations for heterogeneity between studies. for available comparisons between treatment and no treatment, and direct comparisons of treatments, we will conduct conventional meta-analysis using a random effects model. we will conduct a network meta-analysis using a random effects model within the bayesian framework using markov chain monte carlo methods to assess relative effects of eligible interventions. we will assess the certainty in direct, indirect, and network estimates using the grading of recommendations assessment, development and evaluation approach. ethics and dissemination: we will disseminate our fi ndings through a peer-reviewed publication and conference presentations.
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کلیدواژه
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Multiple treatment comparison ,necrotizing enterocolitis ,preterm infants ,preventivetherapies ,systematic review
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آدرس
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mcmaster university, department of health research methods, evidence, and impact (hei), Canada. kerman university of medical sciences, hiv/ sti surveillance research center, who collaborating center for hiv surveillance, institute for futures studies in health, department of pediatrics, iran, mcmaster university, department of health research methods, evidence, and impact (hei), Canada. university of antioquia, department of pediatrics, Colombia, mcmaster university, department of health research methods, evidence, and impact (hei), Canada, mcmaster university, department of health research methods, evidence, and impact (hei), Canada. university health network, toronto general hospital, heart failure/transplant program, Canada, mcmaster university, department of health research methods, evidence, and impact (hei), Canada, mcmaster university, department of health research methods, evidence, and impact (hei), Canada, mcmaster university, department of health research methods, evidence, and impact (hei), Canada. jagiellonian university medical college, department of hygiene and dietetics, Poland, hospital for sick children research institute, Canada, mcmaster university, department of health research methods, evidence, and impact (hei), Canada, hospital for sick children, hospital library, Canada, university of toronto, hospital for sick children, department of pediatrics, division of gastroenterology, hepatology and nutrition, Canada, mcmaster university, department of pediatrics, Canada, jagiellonian university medical college, department of hygiene and dietetics, Poland, mcmaster university, department of health research methods, evidence, and impact (hei), Canada, mcmaster university, department of health research methods, evidence, and impact (hei), Canada. dalhousie university, department of community health and epidemiology, Canada. hospital for sick children research institute, Canada
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پست الکترونیکی
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bjohnston@dal.ca
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Authors
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