Question · asked by 1 review

Amifostine vs no treatment/placebo: Xerostomia (grade >= 2, 0-4 scale)

Population
Patients receiving radiotherapy on its own or in addition to chemotherapy to the head and neck region
Intervention
Amifostine
Comparison
no treatment/placebo
Outcome
Xerostomia (grade >= 2, 0-4 scale)

Amifostine may leads to lower xerostomia (grade >= 2, 0-4 scale) compared with no treatment/placebo (low certainty).

What each review found

Current versions only
No studies found 0 · 0%GRADE not reported 0 · 0%Very low 0 · 0%Low 3 · 100%Moderate 0 · 0%High 0 · 0%
FindingEffectStudiesGRADE certainty
Amifostine vs No treatment/placebo
Xerostomia (grade >= 2, 0-4 scale) · Patients receiving radiotherapy on its own or in addition to chemotherapy to the head and neck region · End of RT
Amifostine may leads to lower xerostomia (grade >= 2, 0-4 scale) compared with no treatment/placebo (low certainty).
Pharmacological interventions for preventing dry mouth and salivary gland dysfunction following radiotherapy (2017) · Cochrane All outcomes
RR 0.35 [0.19, 0.67]3 studies · 119 participantsLow
Amifostine vs No treatment/placebo
Xerostomia (grade >= 2, 0-4 scale) · Patients receiving radiotherapy on its own or in addition to chemotherapy to the head and neck region · 12 months postRT
Amifostine showed no clear difference in xerostomia (grade >= 2, 0-4 scale) compared with no treatment/placebo (low certainty).
Pharmacological interventions for preventing dry mouth and salivary gland dysfunction following radiotherapy (2017) · Cochrane All outcomes
RR 0.70 [0.40, 1.23]7 studies · 682 participantsLow
Amifostine vs No treatment/placebo
Xerostomia (grade >= 2, 0-4 scale) · Patients receiving radiotherapy on its own or in addition to chemotherapy to the head and neck region · Up to and including 3 months postRT
Amifostine may leads to lower xerostomia (grade >= 2, 0-4 scale) compared with no treatment/placebo (low certainty).
Pharmacological interventions for preventing dry mouth and salivary gland dysfunction following radiotherapy (2017) · Cochrane All outcomes
RR 0.66 [0.48, 0.92]5 studies · 687 participantsLow

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

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Pharmacological interventions for preventing dry mouth and salivary gland dysfunction following radiotherapy
2017 · Cochrane All outcomes
2016-09Not listedNot assessed
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.