维生素 B12 缺乏症指南缺乏临床证据:文献分析和临床实践建议。

IF 1.8 4区 医学 Q3 FOOD SCIENCE & TECHNOLOGY
Clara H M Plattel
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引用次数: 0

摘要

背景:维生素 B12 缺乏症是一种严重的内科疾病,如不及时治疗,可导致严重症状,并可能出现严重并危及生命的并发症。临床指南旨在提供标准化的诊断和治疗方法,以实现一致性和有效性。然而,事实证明,并非所有患者都符合一般指南的要求:调查所提交研究的临床相关性,以支持这些诊断和治疗 B12 缺乏症的方案:方法:对侧重于诊断和治疗成人和儿童维生素 B12 缺乏症的参考文献进行文献综述:结果:没有发现任何可靠的临床试验或 RCT 可以支持当前的方案。所使用的研究主要基于假设,而非可靠的临床证据:现有的维生素 B12 缺乏症指南需要通过临床研究、该领域专家的临床经验以及全球患者团体的意见进行大幅修订和改进。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Lack of Clinical Evidence Regarding the Guidelines for Vitamin B12 Deficiency: An Analysis From Literature and Recommendations From Clinical Practice.

Background: Vitamin B12 deficiency is a critical medical condition that, if left untreated, can lead to severe symptoms and potentially serious and life-threatening complications. Clinical guidelines are designed to provide a standardized approach to diagnosis and treatment, aiming for consistency and effectiveness. However, it is well-established that not all patients fit into general guidelines.

Objective: To investigate the clinical relevance of the submitted research to support these protocols for diagnosing and treating a B12 deficiency.

Approach: Conducting a literature review of the references focused and used on diagnosing and treating vitamin B12 deficiency in adults and children.

Results: No robust clinical trial nor RCT has been found to back up the current protocols. The research used is primarily based on assumptions rather than solid clinical evidence.

Conclusion: Existing guidelines for vitamin B12 deficiency need to be significantly revised and improved through clinical research, clinical experience by experts in the field with input from patient groups worldwide.

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来源期刊
Food and Nutrition Bulletin
Food and Nutrition Bulletin 工程技术-食品科技
CiteScore
4.10
自引率
0.00%
发文量
31
审稿时长
18-36 weeks
期刊介绍: The Food and Nutrition Bulletin (FNB,) is a peer-reviewed, academic journal published quarterly by the Nevin Scrimshaw International Nutrition Foundation. The Journal is one of the leading resources used by researchers, academics, nutrition policy makers and planners in over 125 countries to obtain the most current research and policy information related to nutrition in developing countries.
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