Analisis crítico de dos revisiones sistemáticas: ¿Es útil el ácido fólico para prevenir eventos cardiovasculares en pacientes con enfermedad renal crónica terminal o avanzada?

Patients with chronic kidney disease have an increased cardiovascular risk. Several non-traditional factors have been showed to be associated with this risk, including hyperhomocysteinemia. The effects of reducing homocysteine levels with folic acid supplementation have been studied in a number of r...

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Autores principales: Peña,José, Claro,Juan Carlos
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2014
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000500013
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spelling oai:scielo:S0034-988720140005000132014-10-10Analisis crítico de dos revisiones sistemáticas: ¿Es útil el ácido fólico para prevenir eventos cardiovasculares en pacientes con enfermedad renal crónica terminal o avanzada?Peña,JoséClaro,Juan Carlos Chronic Evidence-Based Practice Folic Acid Hyperhomocysteinemia Renal Insufficiency Renal Dialysis Patients with chronic kidney disease have an increased cardiovascular risk. Several non-traditional factors have been showed to be associated with this risk, including hyperhomocysteinemia. The effects of reducing homocysteine levels with folic acid supplementation have been studied in a number of randomized trials, with mixed results. In this article we critically appraise two systematic reviews providing disparate conclusions about this question and we summarize their main findings using the GRADE methodology. We conclude that there are methodological differences that may explain the mixed results in both systematic reviews. Folic acid supplementation does not reduce cardiovascular morbidity or mortality in patients with chronic kidney disease at any stage.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.142 n.5 20142014-05-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000500013es10.4067/S0034-98872014000500013
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Chronic
Evidence-Based Practice
Folic Acid
Hyperhomocysteinemia
Renal Insufficiency
Renal Dialysis
spellingShingle Chronic
Evidence-Based Practice
Folic Acid
Hyperhomocysteinemia
Renal Insufficiency
Renal Dialysis
Peña,José
Claro,Juan Carlos
Analisis crítico de dos revisiones sistemáticas: ¿Es útil el ácido fólico para prevenir eventos cardiovasculares en pacientes con enfermedad renal crónica terminal o avanzada?
description Patients with chronic kidney disease have an increased cardiovascular risk. Several non-traditional factors have been showed to be associated with this risk, including hyperhomocysteinemia. The effects of reducing homocysteine levels with folic acid supplementation have been studied in a number of randomized trials, with mixed results. In this article we critically appraise two systematic reviews providing disparate conclusions about this question and we summarize their main findings using the GRADE methodology. We conclude that there are methodological differences that may explain the mixed results in both systematic reviews. Folic acid supplementation does not reduce cardiovascular morbidity or mortality in patients with chronic kidney disease at any stage.
author Peña,José
Claro,Juan Carlos
author_facet Peña,José
Claro,Juan Carlos
author_sort Peña,José
title Analisis crítico de dos revisiones sistemáticas: ¿Es útil el ácido fólico para prevenir eventos cardiovasculares en pacientes con enfermedad renal crónica terminal o avanzada?
title_short Analisis crítico de dos revisiones sistemáticas: ¿Es útil el ácido fólico para prevenir eventos cardiovasculares en pacientes con enfermedad renal crónica terminal o avanzada?
title_full Analisis crítico de dos revisiones sistemáticas: ¿Es útil el ácido fólico para prevenir eventos cardiovasculares en pacientes con enfermedad renal crónica terminal o avanzada?
title_fullStr Analisis crítico de dos revisiones sistemáticas: ¿Es útil el ácido fólico para prevenir eventos cardiovasculares en pacientes con enfermedad renal crónica terminal o avanzada?
title_full_unstemmed Analisis crítico de dos revisiones sistemáticas: ¿Es útil el ácido fólico para prevenir eventos cardiovasculares en pacientes con enfermedad renal crónica terminal o avanzada?
title_sort analisis crítico de dos revisiones sistemáticas: ¿es útil el ácido fólico para prevenir eventos cardiovasculares en pacientes con enfermedad renal crónica terminal o avanzada?
publisher Sociedad Médica de Santiago
publishDate 2014
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000500013
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