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Cochrane Database of Systematic Reviews

Radioiodine treatment for pediactric Grave's disease

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Información

DOI:
https://doi.org/10.1002/14651858.CD006294Copiar DOI
Base de datos:
  1. Cochrane Database of Systematic Reviews
Versión publicada:
  1. 18 octubre 2006see what's new
Tipo:
  1. Intervention
Etapa:
  1. Protocol
Grupo Editorial Cochrane:
  1. Grupo Cochrane de Trastornos metabólicos y endocrinos

Copyright:
  1. Copyright © 2008 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.

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Autores

  • Chao Ma

    Correspondencia a: Department of Nuclear Medicine, The First Affiliated Hospital of Medical College Qingdao University, Qingdao, China

    [email protected]

  • Jiawei Xie

    Department of Endocrinology, Qingadao medical colloge Qingdao University, China

  • Anren Kuang

    Department of Nuclear Medicine, The First Affiliated Hospital / West China University of Medical Sciences, Chengdu, China

  • Guanjian Liu

    Department of Evidence‐Based Medicine and Clinical Epidemiology, West China Hospital, Sichuan University, Chengdu, China

Contributions of authors

Chao Ma: data extraction, data analysis and data presentation.

Anren Kuang: drafting and co‐drafting of the protocol and review.

Guanjian Liu: assistance with statistics.

Jiawei Xie: searching, selection of studies.

Declarations of interest

None known.

Version history

Published

Title

Stage

Authors

Version

2008 Jul 16

Radioiodine treatment for pediatric Graves' disease

Review

Chao Ma, Anren Kuang, Jiawei Xie, Guan Jian Liu

https://doi.org/10.1002/14651858.CD006294.pub2

2006 Oct 18

Radioiodine treatment for pediactric Grave's disease

Protocol

Chao Ma, Jiawei Xie, Anren Kuang, Guanjian Liu

https://doi.org/10.1002/14651858.CD006294

Keywords

MeSH

Medical Subject Headings Check Words

Adolescent; Child; Child, Preschool; Humans;

Table 1. Search strategy

Electronic searches

Unless otherwise stated, search terms are free text terms; MeSH = Medical subject heading (Medline medical index term); exp = exploded MeSH; the dollar sign ($) stands for any character(s); the question mark (?) = to substitute for one or no characters; tw = text word; pt = publication type; sh = MeSH; adj = adjacent.

1) exp goiter/
(2) exp hyperthyroidism/
(3) basedow diseas$.tw.
(4) graves diseas$.tw.
(5) hyperthyroidis$.tw.
(6) goiter$.tw.
(7) thyr?otoxicos$.tw.
(8) or/1‐7

(9) exp radiotherapy/
(10) exp iodine radioisotopes/
(11) exp antithyroid agents/
(12) exp surgery/
(13) (antithyroid adj10 (drug$ or agent$ or therap$ or treatment$)).tw.
(14) (radioactiv$ iodin$ or radioiodin$).tw.
(15) surger$.tw.
(16) iodine?131.tw.
(17) iodin$ 131.tw.
(18) thyreoglobulin$.tw.
(19) or/9‐18

(20) randomized controlled trial.pt.
(21) controlled clinical trial.pt.
(22) randomized controlled trials.sh.
(23) random allocation.sh.
(24) double‐blind method.sh.
(25) single‐blind method.sh.
(26) or/20‐25
(27) limit 26 to animal
(28) limit 26 to human
(29) 27 not 28
(30) 26 not 29

(31) clinical trial.pt.
(32) exp clinical trials/
(33) (clinic$ adj25 trial$).tw.
(34) ((singl$ or doubl$ or trebl$ or tripl$) adj (mask$ or blind$)).tw.
(35) placebos.sh.
(36) placebo$.tw.
(37) random$.tw.
(38) research design.sh.
(39) (latin adj square).tw.
(40) or/ 31‐39
(41) limit 40 to animal
(42) limit 40 to human
(43) 41 not 42
(44) 40 not 43

(45) comparative study.sh.
(46) exp evaluation studies/
(47) follow‐up studies.sh.
(48) prospective studies.sh.
(49) (control$or prospectiv$ or volunteer$).tw.
(49) (control$ r5. #1 or prospectiv$ #2 or volunteer$).tw.
(50) cross‐over studies.sh.
(51) or/45‐50
(52) limit 51 to animal
(53) limit 51 to human
(54) 52 not 53
(55) 51 not 54

(56) 30 or 44 or 55
(57) 8 and 19 and 56
(58) limit 57 to humans
(59) limit 58 to all child <0 to 18 years>

(60) exp Cohort Studies/
(61) 8 and 19 and 60

(62) limit 61 to humans
(63) limit 62 to "all child (0 to 18 years)"
(64) 59 or 63

Figuras y tablas -
Table 1. Search strategy
Table 2. Study quality (included studies)

Characteristic

Study a

Study b

Study c

Study d

Study e

Intervention 1 (I1) / intervention 2 (I2) / control 1 (C1)

I1: Pioglitazone
I2: Rosiglitazone
C1: Placebo

Randomised controlled clinical trial (RCT)

Non‐inferiority / equivalence trial

Controlled clinical trial

Design: parallel, crossover, factorial RCT

Design: crossover study

Design: factorial study

Crossover study: wash‐out phase

Crossover study: carryover effect tested

Crossover study: period effect tested

Method of randomisation

Unit of randomisation (individuals, cluster ‐ specify)

Randomisation stratified for centres

Randomisation ratio

Concealment of allocation

Stated blinding (open; single, double, triple blind)

Actual blinding: participant

Actual blinding: caregiver / treatment administrator

Actual blinding: outcome assessor

Actual blinding: others

Blinding checked: participant

Blinding checked: caregiver / treatment administrator

Primary endpoint defined

[n] of primary endpoint(s)

[n] of secondary endpoints

Total [n] of endpoints

Prior publication of study design

Outcomes of prior / current publication identical

Power calculation

[n] participants per group calculated

Non‐inferiority trial: interval for equivalence specified

Intention‐to‐treat analysis (ITT)

Per‐protocol‐analysis

ITT defined

Analysis stratified for centres

Missing data: last‐observation‐carried‐forward (LOCF)

Missing data: other methods

LOCF defined

[n] of screened participants (I1/ I2 / C1 / total)

[n] of randomised participants (I1/ I2 / C1 / total)

I1: 400
I2: 350
C1: 700
Total: 1450

[n] of participants finishing the study (I1/ I2 / C1 / total)

[n] of patients analysed (I1/ I2 / C1 / total)

Description of discontinuing participants

Drop‐outs (reasons explained)

Withdrawals (reasons explained)

Losses‐to‐follow‐up (reasons explained)

[n] of participants who discontinued (I1/ I2 / C1 / total)

[%] discontinuation rate (I1/ I2 / C1 / total)

Discontinuation rate similar between groups

[%] crossover between groups

Differences [n] calculated to analysed patients

[n] of subgroups

Subgroups: pre‐defined

Subgroups: post‐hoc

[n] of statistical comparisons

Adjustment for multiple outcomes / repeated measurements

Baseline characteristics: clinically relevant differences

Treatment identical (apart from intervention)

Timing of outcomes' measurement comparable between groups

Compliance measured

Other important covariates measured (specify)

Co‐morbidities measured

Co‐medications measured

Specific doubts about study quality

Funding: commercial

Funding: non‐commercial

Publication status: peer review journal

Publication status: journal supplement

Publication status: abstract

Publication status: other

Notes

Symbols & abbreviations: Y = yes; N = no; ? = unclear I = intervention; C = control

Figuras y tablas -
Table 2. Study quality (included studies)
Table 3. Baseline characteristics (included studies)

Characteristic

Study a

Study b

Study c

Study d

Study e

Intervention 1 (I1) / intervention 2 (I2) / control 1 (C1)

I1: Pioglitazone
I2: Rosiglitazone
C1: Placebo

[n] (I1/ I2 / C1 / total)

Sex [n,%] (I1/ I2 / C1 / total)

Age [years] mean (SD) (I1/ I2 / C1 / total)

I1: 43 (12)
I2: 41 (11)
C: 45 (12)
Total: 42 (10)

Ethnic groups [%] (I1/ I2 / C1 / total)

Duration of disease [years] mean (SD) (I1/ I2 / C1 / total)

Body mass index [kg/m2] mean (SD) (I1/ I2 / C1 / total)

Pharmaco‐naive patients [n,%] (I1/ I2 / C1 / total)

Co‐morbidity [%] (I1/ I2 / C1 / total)

Co‐medication [%] (I1/ I2 / C1 / total)

HbA1c [%] mean (SD) (I1/ I2 / C1 / total)

Notes

Symbols & abbreviations: Y = yes; N = no; ? = unclear
I = intervention; C = control

Figuras y tablas -
Table 3. Baseline characteristics (included studies)
Table 4. Adverse events (included studies)

Characteristic

Study a

Study b

Study c

Study d

Study e

Intervention 1 (I1) / intervention 2 (I2) / control 1 (C1)

I1: Pioglitazone
I2: Rosiglitazone
C1: Placebo

[n] of participants who died

[n] adverse events (I1/ I2 / C1 / total)

[%] adverse events (I1/ I2 / C1 / total)

[n] serious adverse events (I1/ I2 / C1 / total)

[%] serious adverse events (I1/ I2 / C1 / total)

[n] drop‐outs due to adverse events (I1/ I2 / C1 / total)

I1: 3/40
I2: 5/30
C1: 6/50
Total: 14/120

[%] drop‐outs due to adverse events (I1/ I2 / C1 / total)

[n] hospitalisation (I1/ I2 / C1 / total)

[%] hospitalisation (I1/ I2 / C1 / total)

[n] out‐patient treatment (I1/ I2 / C1 / total)

[%] out‐patient treatment (I1/ I2 / C1 / total)

[n] hypoglycaemic episodes (I1/ I2 / C1 / total)

[%] hypoglycaemic episodes (I1/ I2 / C1 / total)

[n] severe hypoglycaemic episodes (I1/ I2 / C1 / total)

[%] severe hypoglycaemic episodes (I1/ I2 / C1 / total)

[n] nocturnal hypoglycaemic episodes (I1/ I2 / C1 / total)

[%] nocturnal hypoglycaemic episodes (I1/ I2 / C1 / total)

[n] with symptoms (I1/ I2 / C1 / total)

[%] with symptoms (I1/ I2 / C1 / total)

Symbols & abbreviations: Y = yes; N = no; ? = unclear I = intervention; C = control

Figuras y tablas -
Table 4. Adverse events (included studies)
Table 5. Primary outcome data (included studies)

Characteristic

Study a

Study b

Study c

Study d

Study e

Intervention 1 (I1) / intervention 2 (I2) / control 1 (C1)

I1: Pioglitazone
I2: Rosiglitazone
C1: Placebo

All‐cause mortality: [n] of participants who died
(I1/ I2 / C1 / total)"

I1: 2/200
I2: 1/300
C1: 2/500
Total: 5/1000

Notes

Symbols & abbreviations: Y = yes; N = no; ? = unclear I = intervention; C = control

Figuras y tablas -
Table 5. Primary outcome data (included studies)
Table 6. Secondary outcome data (included studies)

Characteristic

Study a

Study b

Study c

Study d

Study e

Intervention 1 (I1) / intervention 2 (I2) / control 1 (C1)

I1: Pioglitazone
I2: Rosiglitazone
C1: Placebo

Weight change [kg] at 12 weeks (mean/SD)
(I1/ I2 / C1 / total)

I1: ‐2.5 (1.2)
I2: ‐1.3 (0.8)
C1: +0.3 (0.4)
Total: ‐1.2 (0.9)

Notes

Symbols & abbreviations: Y = yes; N = no; ? = unclear; I = intervention; C = control

Figuras y tablas -
Table 6. Secondary outcome data (included studies)