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  • 标题:Does antiretroviral therapy cause congenital malformations? A systematic review and meta-analysis
  • 本地全文:下载
  • 作者:Fekadu Mazengia Alemu ; Alemayehu Worku Yalew
  • 期刊名称:Epidemiology and Health
  • 印刷版ISSN:2092-7193
  • 出版年度:2021
  • 卷号:43
  • DOI:10.4178/epih.e2021008
  • 语种:English
  • 出版社:Taehan P'ibu Kwahakhoe
  • 摘要:This meta-analysis investigated the risk of congenital anomalies among infants of human immunodeficiency virus-infected pregnant women who were exposed to antiretroviral therapy (ART). METHODS Cohort studies, case-control studies, randomized controlled trials, and controlled clinical trials were reviewed by searching MEDLINE/PubMed, Embase, Web of Science, Scopus, AIDSLINE, CINAHL, Cochrane Library, and Google/Google Scholar. Methodological quality was assessed using the GRADE evaluation. A DerSimonian and Laird random-effects model was used. Subgroup analyses and meta-regression were used to investigate heterogeneity. RESULTS The electronic searches yielded 765 items. After quality assessment and grading, 30 studies were suitable for metaanalysis. In total, 1,461 congenital anomalies were found among 53,186 births. Children born to women receiving combined antiretroviral therapy (cART) had an approximately 10% higher risk of developing congenital anomalies (relative risk [RR
  • 关键词:Antiretroviral therapy; Congenital anomalies; Protease inhibitors; Integrase inhibitors; Efavirenz
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