瘙痒与骨髓增殖性肿瘤的合并症和生存率的关联:文献的系统回顾

J. Saucereau, E. Brenaut, A. S. Ficheux, L. Misery, C. Le Gall-Ianotto
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引用次数: 0

摘要

背景:瘙痒是一种常与全身性疾病,特别是血液系统疾病相关的症状。目的本研究的目的是评估瘙痒与骨髓增生性肿瘤(MPN)发病率的关系。方法采用Pubmed和Embase数据库对相关文献进行系统回顾。如果研究发表于2000年1月至2022年8月之间,并且涉及瘙痒与MPN患者发病率或生存率之间的关系,则纳入研究。结果10篇文章入选系统评价,其中6篇为真性红细胞增多症(PV), 1篇为原发性血小板增多症(ET), 2篇为原发性骨髓纤维化(PMF), 1篇同时包括ET和PV。虽然有2项研究发现瘙痒症与死亡率之间没有显著关联,但有2项研究发现瘙痒症与生存率改善之间存在显著关联。三项研究报告了瘙痒与血栓栓塞事件增加之间的统计学显著关联,而一项研究没有。一项研究表明,PV患者瘙痒和睡眠障碍之间存在关联。一项研究表明,在PV中瘙痒和抑郁症状之间存在关联。两项研究发现疾病进展与瘙痒之间存在显著关联,而三项研究没有发现。结论虽然瘙痒会影响睡眠质量和抑郁症状的发生,但瘙痒对死亡率的影响仍有争议,但瘙痒的存在可能与更好的生存率有关。普洛斯彼罗号码CRD42022316850。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association of Pruritus With Comorbidities and Survival in Myeloproliferative Neoplasms: A Systematic Review of the Literature

Background

Pruritus is a symptom frequently associated with systemic diseases, particularly hematological disorders.

Objectives

The aim of this study was to evaluate the association of pruritus with morbidity in myeloproliferative neoplasms (MPN).

Methods

A systematic review of the literature was performed using two databases (Pubmed and Embase). Studies were included if they were published between January 2000 and August 2022 and addressed an association between pruritus and morbidity or survival in MPN patients.

Results

Ten articles were selected for the systematic review, 6 including patients with polycythemia vera (PV), 1 with essential thrombocythemia (ET), 2 with primary myelofibrosis (PMF) and 1 including both ET and PV. While 2 studies found no significant association between pruritus and mortality, 2 studies found a significant association between pruritus and improved survival. Three studies reported a statistically significant association between pruritus and an increase in thromboembolic events, while one study did not. One study showed an association between the presence of pruritus and sleep disturbance in PV. One study demonstrated an association between pruritus and the presence of depressive symptoms in PV. Two studies found a significant association between disease progression and the presence of pruritus, while three studies did not.

Conclusions

While pruritus appears to influence sleep quality and the onset of depressive symptoms, the effect of pruritus on mortality is more controversial, but the presence of pruritus might be associated with better survival.

PROSPERO Number

CRD42022316850.

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