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Pharmacogenetic tests and depressive symptom remission: a meta-analysis of randomized controlled trials

机译:药物发生测试和抑郁症状缓解:随机对照试验的荟萃分析

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摘要

Aim: To conducted a systematic review and meta-analysis of prospective, randomized controlled trials (RCTs) that examined pharmacogenetic-guided decision support tools (DSTs) relevant to depressive symptom remission in major depressive disorder (MDD). Patients & methods: Random-effects meta-analysis was performed on RCTs that examined the effect of DSTs on remission rates in MDD. RCT quality was assessed using the Cochrane Collaboration Criteria. Results & conclusion: A total of 1737 eligible subjects from five RCTs were examined. Individuals receiving pharmacogenetic-guided DST therapy (n=887) were 1.71 (95% CI: 1.17-2.48; p =0.005) times more likely to achieve symptom remission relative to individuals who received treatment as usual (n=850). Pharmacogenetic-guided DSTs might improve symptom remission among those with MDD.
机译:目的:进行系统审查和荟萃分析,对前瞻性,随机对照试验(RCT)进行了检测的药物发生引导决策支持工具(DSTS),其与主要抑郁症(MDD)中的抑郁症状缓解。 患者和方法:对RCT进行随机效应META分析,检测DSTS对MDD中缓解率的影响。 使用Cochrane协作标准评估RCT质量。 结果求和结论:研究了来自五个RCT的1737个符合条件的科目。 接受药物发生引导的DST治疗的个体(n = 887)为1.71(95%CI:1.17-2.48; p = 0.005)倍增相对于作为通常接受治疗的个体的症状缓解(n = 850)。 药物发生引导的DST可能会改善MDD的症状缓解。

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