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Efficacy of Vitamin D-3 in Patients With Diabetic Nephropathy: An Updated Meta-Analysis

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单位: [1]Department of Nephrology, Beijing Rehabilitation Hospital of Capital Medical University, Beijing, P.R. China [2]Department of Nephrology, China-Japan Friendship Hospital, Beijing, P.R. China
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关键词: Vitamin D-3 Meta-Analysis Urinary Albumin/Creatinine Ratio

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Context: Diabetic nephropathy is a common complication of diabetes mellitus with a higher incidence. Renin-angiotensin system blockers, as the main treatment for patients with diabetic kidney disease, can not only reduce albuminuria, but also lead to hyperkalaemia and creatinine. Therefore, additional protective therapeutic interventions are needed. Evidence Acquisition: An electronic literature search was conducted in international and domestic databases including PubMed, Embase, CNKI, Scopus, Index Copernicus, DOAJ, and Wanfang database for trials up to January 2017. The search terms used were as follow: "Diabetic Nephropathies", "vitamin D-3", "Cholecalciferol", "Calcitriol", "Alfacalcidol", "Paricalcitol", and "Randomized Controlled Trial". Quality assessments were evaluated with the Newcastle-Ottawa Quality Assessment Scale. Data were extracted by 2 independent reviewers (TJL and WGL). For all analysis, the standard mean difference (SMD) or odds ratio (OR) with 95% confidence intervals (CIs) were calculated, and heterogeneity of the studies was analyzed using I-2 statistics. Results: Twenty-four studies were (1,978 patients) identified in the literature retrieve process. The assessment scores indicated that all the admitted studies were reliable with scores ranging from 6 to 9. The pooled results indicated that vitamin D-3 had a significant effect in reducing albuminuria (MD = -0.23, 95% CI: -0.30, -0.15) and that the vitamin D-3 group had a low ratio of urinary microalbumin to creatinine than the control group (SMD = -0.49, 95% CI: -0.90, -0.08). The results also revealed that vitamin D-3 group had a lower hs-CRP than the control group (MD = -0.80, 95% CI: -1.26, -0.34). Conclusions: Based on the evidence of this study, vitamin D-3 could be suggested as a recommended drug for patients with diabetic nephropathy in clinical practice.

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出版当年[2016]版:
大类 | 4 区 医学
小类 | 4 区 医学:内科
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 医学:内科
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出版当年[2015]版:
Q3 MEDICINE, GENERAL & INTERNAL
最新[2023]版:
Q3 MEDICINE, GENERAL & INTERNAL

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2015版] 出版当年五年平均[2011-2015] 出版前一年[2014版] 出版后一年[2016版]

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第一作者单位: [1]Department of Nephrology, Beijing Rehabilitation Hospital of Capital Medical University, Beijing, P.R. China
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通讯机构: [1]Department of Nephrology, Beijing Rehabilitation Hospital of Capital Medical University, Beijing, P.R. China [*1]Department of Nephrology, Beijing Rehabilitation Hospital of Capital Medical University, Badachu, Shijingshan District, Beijing, P.R. China.
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