Yunhua Peng, Xi Chen, Qiying Yang, Mohammad Rava, MeiXue Ji
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引用次数: 0
Abstract
Introduction: This meta-analysis synthesizes and evaluates treatments for diabetic nephropathy, focusing on subgroup analyses to understand efficacy variations across diverse patient demographics and disease characteristics, thereby advancing personalized healthcare in diabetic kidney disease.
Methods: Adhering to PRISMA guidelines, a thorough literature search across PubMed, NCBI, and Web of Science initially identified 904 studies spanning from 2015 to 2023. A meticulous screening process, involving the review of titles and abstracts and the application of stringent inclusion and exclusion criteria, refined the selection to six studies. These studies were selected for their comprehensive focus on diabetic nephropathy, availability of odds ratio data, and detailed subgroup analyses. Statistical synthesis was conducted using a random-effects model, and heterogeneity was assessed using the I² statistic.
Results: Analysis of the selected studies revealed significant heterogeneity in treatment effectiveness related to patient demographics, nephropathy stages, genotypes, and other disease-specific characteristics. The overall estimated odds ratio (OR) for treatment efficacy was 2.7 (95% CI: 1.8-3.6), indicating a moderate effect size. This variation highlighted the complex interplay of genetic, environmental, and lifestyle factors in nephropathy treatment outcomes. The study also delved into the mechanistic aspects of treatment interactions with diverse nephropathy subtypes, thereby offering a deeper understanding of the efficacy of treatments within specific patient categories.
Conclusions: The study underscores the critical need for personalized treatment strategies in diabetic nephropathy, providing valuable insights for healthcare professionals. It advocates for tailoring treatments to individual patient profiles to optimize outcomes, enhancing patient care quality. These findings reinforce the value of subgroup-based approaches and support evidence-based, patient-centric management in diabetic kidney disease.
期刊介绍：
The Iranian Journal of Kidney Diseases (IJKD), a peer-reviewed journal in English, is the official publication of the Iranian Society of Nephrology. The aim of the IJKD is the worldwide reflection of the knowledge produced by the scientists and clinicians in nephrology. Published quarterly, the IJKD provides a new platform for advancement of the field. The journal’s objective is to serve as a focal point for debates and exchange of knowledge and experience among researchers in a global context. Original papers, case reports, and invited reviews on all aspects of the kidney diseases, hypertension, dialysis, and transplantation will be covered by the IJKD. Research on the basic science, clinical practice, and socio-economics of renal health are all welcomed by the editors of the journal.
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