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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Medicine+(Baltimore)
2015 ; 94
(11
): e609
Nephropedia Template TP
gab.com Text
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Network meta-analysis of randomized controlled trials: efficacy and safety of
UDCA-based therapies in primary biliary cirrhosis
#MMPMID25789951
Zhu GQ
; Shi KQ
; Huang S
; Huang GQ
; Lin YQ
; Zhou ZR
; Braddock M
; Chen YP
; Zheng MH
Medicine (Baltimore)
2015[Mar]; 94
(11
): e609
PMID25789951
show ga
Major ursodeoxycholic acid (UDCA)-based therapies for primary biliary cirrhosis
(PBC) include UDCA only, or combined with either methotrexate (MTX),
corticosteroids (COT), colchicine (COC), or bezafibrate (BEF). As the optimum
treatment regimen is unclear and warrants exploration, we aimed to compare these
therapies in terms of patient mortality or liver transplantation (MOLT) and
adverse events (AE).PubMed, the Cochrane Library, and Scopus were searched for
randomized controlled trials up to August 31, 2014. We estimated the hazard
ratios (HRs) for MOLT and odds ratios (ORs) for AE. A sensitivity analysis based
on the dose of UDCA was also executed.Thirty-one eligible articles were included.
Compared with COT plus UDCA, UDCA (HR 0.38, 95% confidence interval [CI]
0.09-1.39), BEF plus UDCA (HR 0.29, 95% CI 0.02-4.83), COC plus UDCA (HR 0.39,
95% CI 0.07-2.25), MTX plus UDCA (HR 0.28, 95% CI 0.05-1.63), or OBS (HR 0.49,
95% CI 0.11-2.01) all provided an increased risk of MOLT. With respect to drug AE
profile, although not differing appreciably, BEF plus UDCA was associated with
more AEs compared with UDCA (OR 3.16, 95% CI 0.59-20.67), COT plus UDCA (OR 2.27,
95% CI 0.15-33.36), COC plus UDCA (OR 1.00, 95% CI 0.09-12.16), MTX plus UDCA (OR
2.03, 95% CI 0.23-17.82), or OBS (OR 3.00, 95% CI 0.53-20.75). The results of
sensitivity analyses were highly consistent with previous analyses.COT plus UDCA
was the optimal UDCA-based regimen for both MOLT and AEs. BEF plus UDCA was most
likely to cause AEs, whereas monotherapy with UDCA and coadministriation of COT
plus UDCA appeared to be associated with the fewest AEs for PBC treatment.