Study on Methodology Re-evaluation for Systematic Review/Meta-analysis of Antidepressants in the Treatment of Post-stroke Depression
- VernacularTitle:抗抑郁药物治疗卒中后抑郁系统评价/Meta分析的方法学再评价研究
- Author:
Yue GUAN
1
;
Guiping GUO
1
;
Jingwen WANG
1
;
Mingming WANG
1
;
Fei MOU
1
;
Yi QIAO
1
;
Qiongge LI
2
Author Information
1. Dept. of Pharmacy,the First Affiliated Hospital of Air Force Military Medical University,Xi’an 710032,China
2. Dept. of Pharmacy,Xi’an Municipal Forth Hospital,Xi’an 710004,China
- Publication Type:Journal Article
- Keywords:
Post-stroke depression;
AMSTAR scale;
Methodology;
Quality re-evaluation;
Systematic evaluation;
Meta-analysis
- From:
China Pharmacy
2020;31(24):3036-3041
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE: To re-evaluate t he methodology quality of published systematic review/Meta-analysis of antidepressants in the treatment of post-stroke depression. METHODS :Retrieved from Cochrane Library ,PubMed,Embase, SinoMed,CNKI,Wanfang database ,VIP,CBM and other databases ,systematic review/Meta-analysis of antidepressants in the treatment of post-stroke depression were collected during the inception to Dec. 2019. After literature screening and data extraction , methodology quality of included literatures were evaluated by using the AMSTAR scale. RESULTS :A total of 33 systematic reviews/Meta-analysis were included ,involving 523 RCTs and 41 020 patients. Average score of AMSTAR methodological quality evaluation was 6.76. Citalopram ,duloxetine and paroxetine were effective for the therapy of post-stroke depression ,but the conclusions about the effectiveness among antide-pressants were not consistents. The ADR incidence of Paroxetine was low. It was not clear that sertraline and citalopram may improve the neurological function of patients. CONCLUSIONS :The methodological quality of systematic review/Meta-analysis of antidepressants in the treatment of post-stroke depression is medium ,and the conclusions about the effectiveness of antidepressants ,improvement of daily life ability and the recovery of neurological function are still controversial.