Challenges and Limitations in the Interpretation of Systematic Reviews: Making Sense of Clopidogrel and CYP2C19 Pharmacogenetics

作者: M J Sorich , T M Polasek , M D Wiese

DOI: 10.1038/CLPT.2013.100

关键词:

摘要: From 2010 to 2012, nine systematic reviews reported highly variable conclusions regarding the association between carriage of a cytochrome P450 2C19 loss-of-function allele and risk adverse cardiovascular (CV) events in individuals using clopidogrel. Possible contributors findings include differences patient populations, CV end points, statistical models utilized by reviews, as well unexplained heterogeneity, inconsistent/incomplete reporting, publication bias with respect primary studies. Clinical Pharmacology & Therapeutics (2013); 94 3, 376–382. doi:10.1038/clpt.2013.100

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