Question · asked by 1 review

Altered WBRT fractionation schedules vs WBRT control: Overall survival: higher‐dose WBRT vs control (3000 cGy/10 daily fractions)No. of participants: 846(4 RCTs)

Altered WBRT fractionation schedules probably leads to higher overall survival: lower‐dose WBRT vs control WBRT (3000 cGy/10 daily… compared with WBRT control (moderate certainty).

What each review found

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FindingEffectStudiesGRADE certainty
Altered WBRT fractionation schedules vs WBRT control
Overall survival: lower‐dose WBRT vs control WBRT (3000 cGy/10 daily fractions)No. of participants: 705(3 RCTs) · patients with newly diagnosed multiple brain metastases
Altered WBRT fractionation schedules probably leads to higher overall survival: lower‐dose WBRT vs control WBRT (3000 cGy/10 daily… compared with WBRT control (moderate certainty).
Whole brain radiotherapy for the treatment of newly diagnosed multiple brain metastases (2018) · Cochrane Headline outcomes only
HR 1.21 [1.04, 1.4]Not reportedModerate
Altered WBRT fractionation schedules vs WBRT control
Overall survival: higher‐dose WBRT vs control (3000 cGy/10 daily fractions)No. of participants: 846(4 RCTs) · patients with newly diagnosed multiple brain metastases
Altered WBRT fractionation schedules showed no clear difference in overall survival: higher‐dose WBRT vs control (3000 cGy/10 daily… compared with WBRT control (moderate certainty).
Whole brain radiotherapy for the treatment of newly diagnosed multiple brain metastases (2018) · Cochrane Headline outcomes only
HR 0.97 [0.83, 1.12]Not reportedModerate

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Whole brain radiotherapy for the treatment of newly diagnosed multiple brain metastases
2018 · Cochrane Headline outcomes only
Not reportedlist not extracted yetNot assessed

Studies behind the findings

None of these reviews ties its included studies to this outcome in the data here. Cochrane reviews and reviews with headline outcomes only do not list their studies yet.

How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.