Efficacy and safety of tumor necrosis factor antagonists in Crohn's disease: meta-analysis of placebo-controlled trials.

作者: Laurent Peyrin–Biroulet , Pierre Deltenre , Nicolas de Suray , Julien Branche , William J. Sandborn

DOI: 10.1016/J.CGH.2008.03.014

关键词:

摘要: Background & Aims: We performed a meta-analysis of placebo-controlled trials to evaluate safety and efficacy tumor necrosis factor (TNF) antagonists for Crohn's disease. Methods: searched MEDLINE, Cochrane Library, EMBASE. The primary end points were clinical remission luminal disease fistula closure at ≥2 consecutive visits. Deaths, serious infections, malignancies also analyzed by the methods Peto Der Simonian Laird. Results: Fourteen enrolled 3995 patients. In overall analysis, anti-TNF therapy was effective induction week 4 (mean difference, 11%; 95% confidence interval [CI], 6%–16%; P

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