I want to investigate the relationship between Hepatitis B vaccination and incidence rate of multiple sclerosis(MS)...Would anyone introduce me some meta-analysis and systematic review articles in this field?
Very happy indeed to help some desperate who may not find him in his country
As far as Metanalysis it is not problem you can visit the web site
www.pubmed.gov
There just enter key word
hepatitis,vaccine,Multiple,sclerosis - or some of those words you will get them should they are present
If you need help with regard to the possible association between those top rated risk factor and disease poisson regression and Risk Ratio RR is the optimized test you need to do, otherwise all others are non reliable. Keep the fact that the number of years you have followed your patients is a top priority as much as the number of patients.
To further explore any possible connection between hepatitis B vaccination and MS, many scientific studies have been conducted, and have concluded that hepatitis B vaccination does not cause MS.
Few scientific evidence
Ø A study conducted in France from 1994 to 2003 (Mikaeloff, 2007) compared children with MS to children without. The study did not find a relationship between vaccination for hepatitis B and the development of childhood-onset MS.
Ø In the United States, a study (Verstraeten et al., 2001) compared 422 adults with demyelinating diseases , including MS, and 921 matched controls (people similar in age, gender, and enrollment in a healthcare system, but who did not have demyelinating disease). The researchers concluded that hepatitis B vaccination was not associated with demyelinating disease in the study population.
Ø Other studies conducted in the US (Ascherio and colleagues, 2001), in Europe (Confavreaux, 2001) and in British Columbia (Sadovnick and Scheifele, 2000) also evaluated the possible link between hepatitis B vaccination and MS, and also found no association between hepatitis B vaccination and MS.
Ø In 2002, the Institute of Medicine (IOM) reviewed published and unpublished research to determine if there was a link between hepatitis B vaccine and demyelinating neurological disorders, including MS in adults. The committee found that the epidemiological evidence does not support a causal relationship between hepatitis B vaccine in adults and multiple sclerosis.