Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

2,293 questions · 2,395 findings · 172 reviews · Gut

No studies found 420 · 17.5%GRADE not reported 60 · 2.5%Very low 821 · 34.3%Low 602 · 25.1%Moderate 397 · 16.6%High 95 · 4%

SEMS vs plastic tube

All major adverse effects · patients with dysphagia in oesophageal cancer

SEMS probably leads to lower all major adverse effects compared with plastic tube (main analysis) (moderate certainty).

1 finding from 1 review

SEMS vs laser

Persistent or recurrent dysphagia · patients with dysphagia in oesophageal cancer

SEMS showed no clear difference in persistent or recurrent dysphagia compared with laser (high certainty).

1 finding from 1 review

SEMS vs laser

Interventions for recurrent dysphagia · patients with dysphagia in oesophageal cancer

SEMS leads to lower interventions for recurrent dysphagia compared with laser (high certainty).

1 finding from 1 review

SEMS vs laser

Adverse effects ‐ All adverse effects · patients with dysphagia in oesophageal cancer

SEMS showed no clear difference in adverse effects ‐ All adverse effects compared with laser (moderate certainty).

1 finding from 1 review

Epinephrine vs epinephrine and any second endoscopic method

Recurrent and persistent bleeding overall rates with or without second‐look endoscopy Rebleeding (persistent or recurrent bleeding) · patients with high‐risk bleeding ulcers

Epinephrine probably leads to lower recurrent and persistent bleeding overall rates with or without… compared with epinephrine and any second endoscopic method (moderate certainty).

1 finding from 1 review

Epinephrine vs epinephrine and any second endoscopic method

Surgery rate Number requiring emergency surgery · patients with high‐risk bleeding ulcers

Epinephrine probably leads to lower surgery rate Number requiring emergency surgery compared with epinephrine and any second endoscopic method (moderate certainty).

1 finding from 1 review

Epinephrine vs epinephrine and any second endoscopic method

Mortality rate Number of deaths (30‐day mortality or in‐hospital mortality) · patients with high‐risk bleeding ulcers

Epinephrine probably leads to lower mortality rate Number of deaths (30‐day mortality or in‐hospital… compared with epinephrine and any second endoscopic method (moderate certainty).

1 finding from 1 review

Epinephrine vs epinephrine and any second endoscopic method

Adverse effects of endoscopy therapy Adverse effects · patients with high‐risk bleeding ulcers

Epinephrine probably leads to higher adverse effects of endoscopy therapy Adverse effects compared with epinephrine and any second endoscopic method (moderate certainty).

1 finding from 1 review

Intervention not reported

Relapse rate at one year (all studies) · Crohn's disease patients in remission

It is very uncertain whether the intervention changes relapse rate at one year (all studies) (very low certainty).

1 finding from 1 review

Intervention not reported

Relapse rate at one year (sensitivity analysis of Belluzi 1996) · Crohn's disease patients in remission

It is very uncertain whether the intervention changes relapse rate at one year (sensitivity analysis of Belluzi 1996) (very low certainty).

1 finding from 1 review

Intervention not reported

Relapse rate at one year (only EPIC studies) · Crohn's disease patients in remission

The intervention showed no clear difference in relapse rate at one year (only EPIC studies) (moderate certainty).

1 finding from 1 review

Intervention not reported

Adverse events rate‐ Upper GI (nausea, vomiting, halitosis, heartburn, dyspepsia, dysgeusia and bloating) · Crohn's disease patients in remission

The intervention probably leads to higher adverse events rate‐ Upper GI (nausea, vomiting, halitosis,… (moderate certainty).

1 finding from 1 review

Methotrexate vs placebo

Remission and complete withdrawal from steroids · patients with induction of remission in ulcerative colitis

Methotrexate showed no clear difference in remission and complete withdrawal from steroids compared with placebo (low certainty).

1 finding from 1 review