Rituximab in systemic sclerosis: A protocol for systematic review

Systemic sclerosis (SSc) is a clinically complex and challenging disease, the most frequent complication of which is interstitial lung disease, which leads to a worse prognosis. In this situation, cyclophosphamide is considered the criterion standard for treatment, despite the controversies regardin...

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Veröffentlicht in:Medicine (Baltimore) 2019-09, Vol.98 (38), p.e17110-e17110
Hauptverfasser: Caldas, Marina Maria Vieira de Figueiredo, Neto, Francisco Alves Bezerra, Azevedo, Kesley Pablo Morais de, Pimenta, Isac Davidson Santiago Fernandes, Oliveira, Ana Katherine Da Silveira Gonçalves De, Piuvezam, Grasiela
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container_end_page e17110
container_issue 38
container_start_page e17110
container_title Medicine (Baltimore)
container_volume 98
creator Caldas, Marina Maria Vieira de Figueiredo
Neto, Francisco Alves Bezerra
Azevedo, Kesley Pablo Morais de
Pimenta, Isac Davidson Santiago Fernandes
Oliveira, Ana Katherine Da Silveira Gonçalves De
Piuvezam, Grasiela
description Systemic sclerosis (SSc) is a clinically complex and challenging disease, the most frequent complication of which is interstitial lung disease, which leads to a worse prognosis. In this situation, cyclophosphamide is considered the criterion standard for treatment, despite the controversies regarding its efficacy and toxicity. However, studies using rituximab (RTX) have shown that this drug may be a promising therapeutic option. The objective is to describe a protocol of a systematic review (SR) that analyzes the scientific evidence on the effects of RTX on SSc. This protocol is guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols. The databases to be searched are PubMed, Scopus, SciELO, LILACS, ScienceDirect, Web of Science, COCHRANE, WHOLIS, PAHO, and EMBASE. The studies that would be included in SR are clinical trials that evaluate the use of RTX in patients with SSc who meet the classification criteria for the disease according to American College of Rheumatology and European League Against Rheumatism (2013) and/or LeRoy criteria will be included in the SR. The data to be extracted are related to the characteristics of the studies: authors, year of publication, study location, type of study, sample size and age, patient characteristics, duration of intervention, therapeutic scheme, follow-up time, main variables, and main results. In our study, we hope to find articles presenting new evidence supporting treatment of SSc with RTX. The SR will present results of scientific evidence for the effects of RTX in SSc. We hope that the results could strengthen clinical decisions for the best treatment of SSc and guide future researches. CRD42019132018.
doi_str_mv 10.1097/MD.0000000000017110
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In this situation, cyclophosphamide is considered the criterion standard for treatment, despite the controversies regarding its efficacy and toxicity. However, studies using rituximab (RTX) have shown that this drug may be a promising therapeutic option. The objective is to describe a protocol of a systematic review (SR) that analyzes the scientific evidence on the effects of RTX on SSc. This protocol is guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols. The databases to be searched are PubMed, Scopus, SciELO, LILACS, ScienceDirect, Web of Science, COCHRANE, WHOLIS, PAHO, and EMBASE. The studies that would be included in SR are clinical trials that evaluate the use of RTX in patients with SSc who meet the classification criteria for the disease according to American College of Rheumatology and European League Against Rheumatism (2013) and/or LeRoy criteria will be included in the SR. The data to be extracted are related to the characteristics of the studies: authors, year of publication, study location, type of study, sample size and age, patient characteristics, duration of intervention, therapeutic scheme, follow-up time, main variables, and main results. In our study, we hope to find articles presenting new evidence supporting treatment of SSc with RTX. The SR will present results of scientific evidence for the effects of RTX in SSc. We hope that the results could strengthen clinical decisions for the best treatment of SSc and guide future researches. CRD42019132018.</description><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000017110</identifier><identifier>PMID: 31567948</identifier><language>eng</language><publisher>United States: the Author(s). 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The data to be extracted are related to the characteristics of the studies: authors, year of publication, study location, type of study, sample size and age, patient characteristics, duration of intervention, therapeutic scheme, follow-up time, main variables, and main results. In our study, we hope to find articles presenting new evidence supporting treatment of SSc with RTX. The SR will present results of scientific evidence for the effects of RTX in SSc. We hope that the results could strengthen clinical decisions for the best treatment of SSc and guide future researches. 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subjects Antirheumatic Agents - administration & dosage
Antirheumatic Agents - therapeutic use
Clinical Protocols
Humans
Rituximab - administration & dosage
Rituximab - therapeutic use
Scleroderma, Systemic - drug therapy
Study Protocol Systematic Review
Systematic Reviews as Topic
title Rituximab in systemic sclerosis: A protocol for systematic review
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