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Cochrane Database of Systematic Reviews

Agentes antiplaquetarios para la claudicación intermitente

Información

DOI:
https://doi.org/10.1002/14651858.CD001272.pub2Copiar DOI
Base de datos:
  1. Cochrane Database of Systematic Reviews
Versión publicada:
  1. 09 noviembre 2011see what's new
Tipo:
  1. Intervention
Etapa:
  1. Review
Grupo Editorial Cochrane:
  1. Grupo Cochrane de Vascular

Copyright:
  1. Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.

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Autores

  • Peng F Wong

    Correspondencia a: Department of Vascular Surgery, Freeman Hospital, Newcastle upon Tyne, UK

    [email protected]

    [email protected]

  • Lee Yee Chong

    Royal College of Physicians, London, UK

  • Dimitris P Mikhailidis

    Department of Clinical Biochemistry, Royal Free and University College Medical School, London, UK

  • Peter Robless

    Department of Cardiac, Thoracic and Vascular Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore

  • Gerard Stansby

    Department of Surgery, University of Newcastle upon Tyne, Newcastle upon Tyne, UK

Contributions of authors

Peng Wong (PW): selected trials, extracted data, assessed risk of bias, analysed and interpreted the data, and drafted manuscript.
Lee‐Yee Chong (LYC): selected trials, extracted data, assessed risk of bias,analysed and interpreted the data, and drafted manuscript.
Dimitri Mikhailidis (DM): provided advice on antiplatelets and appraised the manuscript.
Peter Robless (PR): interpreted the data, appraised the manuscript.
Gerard Stansby (GS): resolved disagreements on inclusion, interpreted the data, drafted and appraised the manuscript.

Sources of support

Internal sources

  • No sources of support supplied

External sources

  • Chief Scientist Office, Scottish Government Health Directorates, The Scottish Government, UK.

Declarations of interest

DM: "I have attended meetings and advisory boards and given some lectures sponsored by Merck, Sharp and Dohme (MSD) and Genzyme. I am editor‐in‐chief of several journals. Hence some royalties are paid to me (Bentham publications, SAGE publications and Informa publications)."

Acknowledgements

A protocol and draft review of this topic was originally written by a team led by Dr David Moher. The authors would like to thank the personnel from Cochrane Peripheral Vascular Diseases Review group, especially Marlene Stewart and Karen Welch for their invaluable assistance and advice.

Version history

Published

Title

Stage

Authors

Version

2011 Nov 09

Antiplatelet agents for intermittent claudication

Review

Peng F Wong, Lee Yee Chong, Dimitris P Mikhailidis, Peter Robless, Gerard Stansby

https://doi.org/10.1002/14651858.CD001272.pub2

2003 Oct 20

Antiplatelet agents for intermittent claudication

Protocol

Peter Robless, Dimitris P Mikhailidis, Gerard P Stansby

https://doi.org/10.1002/14651858.CD001272

Differences between protocol and review

The interpretation of the types of participants, the interventions and outcomes as described in protocol of this review (Robless 2003) were in some instances unclear and the reviewers have therefore provided clarification by providing definitions of patients with PAD, antiplatelet agents and cardiovascular events and adverse events.

The initial published protocol proposed to perform analysis on quality of life (QoL) and cost effectiveness. However, none of the studies included in this review reported these data, and it was not possible to perform these analyses. The types of studies included in the review were narrowed down compared with the protocol by excluding quasi‐randomised and cross‐over trials to reduce the risk of biases from non‐random sequence generation and difficulty in attributing the events to the intervention in question, respectively. The required length of the intervention was increased from 4 weeks to 3 months in order to reduce the potential of bias from under‐reporting from a short period of treatment, and also to allow real assessment of antiplatelet agents and their longer term impact on mortality.

The assessment of the methodological quality of the included studies was changed to the updated Cochrane Collaboration's recommended 'Risk of bias' tool (Higgins 2011a).

Notes

August 2003: A protocol on this topic was originally published in Issue 1, 1999 of The Cochrane Library by Professor David Moher and his team. Mr Peter Robless and colleagues have taken over the review.