Aims: This paper examines network meta-analysis (NMA) as a methodological advancement in nursing research and discusses considerations for interpreting and applying NMA results in clinical practice.
Design And Methods: Methodological discussion.
Results: The NMA method simultaneously evaluates multiple interventions by combining direct and indirect evidence. The publication of NMA articles in nursing journals has been increasing. However, interpreting NMA results can be complex and challenging. In this paper, we outline the prerequisites and assumptions of NMA, provide a graphical representation, discuss effect estimation and quality of evidence and give an overview of applying NMA results in clinical practice.
Conclusion: NMA is a valuable analytical approach in nursing research that can provide high-level evidence to guide clinical decision-making. Accurate interpretation of NMA findings is necessary to inform clinical practice. This paper serves as an introduction to NMA for nurses unfamiliar with the approach.
Implications For The Profession: NMA is a powerful statistical technique for assessing the relative effectiveness of different nursing interventions and informing evidence-based nursing guidelines. When interpreting the results, nurses should consider the certainty of evidence and the practical value of the results and be cautious of misleading conclusions.
Impact: NMA is a recent analytical method in nursing research. This practical introduction seeks to enhance comprehension of NMA and the interpretation and application of NMA findings in clinical practice. NMA is a robust statistical technique to assess the relative effectiveness of various nursing interventions.
Reporting Method: In the methodological discussion guide, no new data was generated. A hypothetical dataset was used.
Patient Or Public Contribution: This methodological paper contributes to understanding NMA and interpreting its results, integrating it into clinical practice, and improving patient outcomes.
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http://dx.doi.org/10.1111/jan.16421 | DOI Listing |
Sci Rep
January 2025
College of Traditional Chinese Medicine, Shandong Second Medical University, Weifang, China.
To update the efficacy and safety of different drugs for the treatment of patients with hyperphosphatemia in chronic kidney disease, we conducted a network meta-analysis of 22 therapies for the treatment of uncontrolled hyperphosphatemia in patients with chronic kidney disease (CKD). All randomized controlled trials on hyperphosphatemia published from January 2013 to November 2023 were searched from CNKI, VIP database, Wanfang database, PubMed, Scopus, and Cochrane databases. Meta-analysis was used to evaluate the serum phosphorus, calcium levels, total effective rate and adverse events of patients with chronic kidney disease (CKD).
View Article and Find Full Text PDFInt J Surg
December 2024
Wales Kidney Research Unit, Division of Infection and Immunity, Cardiff University, United Kingdom.
Background: Transplantation significantly improves the quality of life for patients with chronic kidney disease. Despite various educational strategies being assessed, the optimal approach to overcome barriers to kidney transplantation remains unclear.
Materials And Methods: The authors conducted a systematic review and network meta-analysis (NMA) of randomized controlled trials (RCTs) comparing educational interventions to improve kidney transplantation access.
Int J Behav Nutr Phys Act
January 2025
Department of Sports Science and Physical Education, The Chinese University of Hong Kong, Hong Kong SAR, China.
Background: Physical activity (PA) interventions have been shown to yield positive effects on cognitive functions. However, it is unclear which type of PA intervention is the most effective in children and adolescents with Neurodevelopmental Disorders (NDDs). This study aimed to compare the effectiveness of different types of PA interventions on cognitive functions in children and adolescents with NDDs, with additional analyses examining intervention effects across specific NDD types including attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD).
View Article and Find Full Text PDFAdv Nutr
January 2025
Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK; Department of Psychiatry & Mind-Body Interface Laboratory (MBI-Lab), China Medical University Hospital, Taichung, Taiwan; College of Medicine, China Medical University, Taichung, Taiwan; An-Nan Hospital, China Medical University, Tainan, Taiwan. Electronic address:
Heart failure is a progressive condition associated with a high mortality rate. Despite advancements in treatment, many patients continue to experience less-than-ideal outcomes. Omega-3 polyunsaturated fatty acids (n-3 PUFAs) have been studied as a potential supplementary therapy for heart failure, but the optimal dosage and duration of supplementation remain unclear.
View Article and Find Full Text PDFFront Med (Lausanne)
December 2024
Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Objective: This paper aims to evaluate the disparities in efficacy and safety across various oral Chinese patent medicines for the treatment of benign prostatic hyperplasia (BPH), using a frequency-based reticulated meta-analysis.
Methods: The researchers searched the following databases: Web of Science, PubMed, Excerpta Medical Database (Embase), Cochrane Library, China Knowledge Network (CNKI), China Biomedical Literature Service System (SinoMed), Wanfang Data Knowledge Service Platform and China Science and Technology Periodicals Database (VIP). Besides, the researchers collected all randomized controlled trials (RCTs) of oral Chinese patent medicines, as well as simple preparations and simple preparations for benign prostatic hyperplasia from the establishment of the database until July1, 2024.
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