Related factors of perianal tissue infection in patients with malignant hematopathy: a meta-analysis

Objective To analyze the risk factors of perianal infection in patients with malignant hematopathy in order to provide theoretical basis for the prevention. Methods Case-control studies and cohort studies concerning the related factors or the main risk factors for perianal tissue infection in patien...

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Main Authors: CHEN Xiaoli, FENG Yimei, SUN Hengrui, ZHANG Xi, KONG Peiyan, DU Xin
Format: Article
Language:zho
Published: Editorial Office of Journal of Third Military Medical University 2020-09-01
Series:Di-san junyi daxue xuebao
Subjects:
Online Access:http://aammt.tmmu.edu.cn/Upload/rhtml/202005137.htm
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author CHEN Xiaoli
FENG Yimei
SUN Hengrui
ZHANG Xi
KONG Peiyan
DU Xin
author_facet CHEN Xiaoli
FENG Yimei
SUN Hengrui
ZHANG Xi
KONG Peiyan
DU Xin
author_sort CHEN Xiaoli
collection DOAJ
description Objective To analyze the risk factors of perianal infection in patients with malignant hematopathy in order to provide theoretical basis for the prevention. Methods Case-control studies and cohort studies concerning the related factors or the main risk factors for perianal tissue infection in patients with malignant hematopathy were retrieved from the indexed articles from PubMed, Cochrane Library, Web of Science, China National Knowledge Infrastructure Database (CNKI), China Science and Technology Periodical Database (VIP), and Wanfan Database. Two evaluators independently retrieved and screened the literature, extracted the data, and made methodological quality assessment of the included literatures and cross-checked. Controversial issues were discussed and agreed by 3 evaluators together. Software Revman 5.3 was used for meta-analysis. A fixed-effect model or a random-effect model was used to combine odds ratio (OR) values and 95% confidence intervals (CI) to analyze each relevant risk factor, and sensitivity analysis was employed to assess the stability of the results. Results Eight literatures, containing a total of 1 857 cases were included for further analysis, including 272 cases (272/1 857, 14.6%) in the perianal infection group and 1 585 cases in the control group. The results of meta-analysis showed that age older than 50 years, irremission after chemotherapy, and the absolute count of neutrophils < 0.5×109/L, and acute myeloid leukemia were related to the formation of perianal infection in patients with hematopathy. There were no statistical difference in the incidence of perianal infection between male and female patients (P > 0.05). Conclusion The risk factors for perianal infection in patients with malignant hematologic disease are those aged over 50 years, unrelieved chemotherapy, and absolute value of neutrophils < 0.5×109/L and acute myeloid leukemia.
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spelling doaj.art-771588e3339d449a93c6377b4f37d15f2022-12-21T20:06:24ZzhoEditorial Office of Journal of Third Military Medical UniversityDi-san junyi daxue xuebao1000-54042020-09-0142171763176810.16016/j.1000-5404.202005137Related factors of perianal tissue infection in patients with malignant hematopathy: a meta-analysisCHEN Xiaoli0FENG Yimei1SUN Hengrui2ZHANG Xi3KONG Peiyan4DU Xin5State Key Laboratory of Trauma, Burns and Combined Injury, Medical Center of Hematology, PLA Center for Hematology, Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, 400037, China State Key Laboratory of Trauma, Burns and Combined Injury, Medical Center of Hematology, PLA Center for Hematology, Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, 400037, China State Key Laboratory of Trauma, Burns and Combined Injury, Medical Center of Hematology, PLA Center for Hematology, Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, 400037, China State Key Laboratory of Trauma, Burns and Combined Injury, Medical Center of Hematology, PLA Center for Hematology, Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, 400037, China State Key Laboratory of Trauma, Burns and Combined Injury, Medical Center of Hematology, PLA Center for Hematology, Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, 400037, China State Key Laboratory of Trauma, Burns and Combined Injury, Medical Center of Hematology, PLA Center for Hematology, Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, 400037, China Objective To analyze the risk factors of perianal infection in patients with malignant hematopathy in order to provide theoretical basis for the prevention. Methods Case-control studies and cohort studies concerning the related factors or the main risk factors for perianal tissue infection in patients with malignant hematopathy were retrieved from the indexed articles from PubMed, Cochrane Library, Web of Science, China National Knowledge Infrastructure Database (CNKI), China Science and Technology Periodical Database (VIP), and Wanfan Database. Two evaluators independently retrieved and screened the literature, extracted the data, and made methodological quality assessment of the included literatures and cross-checked. Controversial issues were discussed and agreed by 3 evaluators together. Software Revman 5.3 was used for meta-analysis. A fixed-effect model or a random-effect model was used to combine odds ratio (OR) values and 95% confidence intervals (CI) to analyze each relevant risk factor, and sensitivity analysis was employed to assess the stability of the results. Results Eight literatures, containing a total of 1 857 cases were included for further analysis, including 272 cases (272/1 857, 14.6%) in the perianal infection group and 1 585 cases in the control group. The results of meta-analysis showed that age older than 50 years, irremission after chemotherapy, and the absolute count of neutrophils < 0.5×109/L, and acute myeloid leukemia were related to the formation of perianal infection in patients with hematopathy. There were no statistical difference in the incidence of perianal infection between male and female patients (P > 0.05). Conclusion The risk factors for perianal infection in patients with malignant hematologic disease are those aged over 50 years, unrelieved chemotherapy, and absolute value of neutrophils < 0.5×109/L and acute myeloid leukemia.http://aammt.tmmu.edu.cn/Upload/rhtml/202005137.htmhematologic malignanciesleukemiaperianal infectionrisk factors
spellingShingle CHEN Xiaoli
FENG Yimei
SUN Hengrui
ZHANG Xi
KONG Peiyan
DU Xin
Related factors of perianal tissue infection in patients with malignant hematopathy: a meta-analysis
Di-san junyi daxue xuebao
hematologic malignancies
leukemia
perianal infection
risk factors
title Related factors of perianal tissue infection in patients with malignant hematopathy: a meta-analysis
title_full Related factors of perianal tissue infection in patients with malignant hematopathy: a meta-analysis
title_fullStr Related factors of perianal tissue infection in patients with malignant hematopathy: a meta-analysis
title_full_unstemmed Related factors of perianal tissue infection in patients with malignant hematopathy: a meta-analysis
title_short Related factors of perianal tissue infection in patients with malignant hematopathy: a meta-analysis
title_sort related factors of perianal tissue infection in patients with malignant hematopathy a meta analysis
topic hematologic malignancies
leukemia
perianal infection
risk factors
url http://aammt.tmmu.edu.cn/Upload/rhtml/202005137.htm
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