Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

73 questions · 74 findings · 23 reviews

No studies found 5 · 6.8%GRADE not reported 4 · 5.4%Very low 8 · 10.8%Low 15 · 20.3%Moderate 33 · 44.6%High 9 · 12.2%

WBRT with radiosensitisers (radiosen) vs WBRT

Overall survivalNo. of participants: 2631(8 RCTs) · patients with newly diagnosed multiple brain metastases

WBRT with radiosensitisers (radiosen) showed no clear difference in overall survivalNo. of participants: 2631(8 RCTs) compared with WBRT alone (moderate certainty).

1 finding from 1 review

Intervention not reported

year overall survival in patients of poor performance status (WHO performance status 2‐4) · adults with non small cell lung cancer who are not felt to be curable

The intervention showed no clear difference in year overall survival in patients of poor performance status (WHO… (moderate certainty).

1 finding from 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) · 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).

2 findings from 1 review

Altered WBRT fractionation schedules vs WBRT control

Overall survival: WBRT 4000 cGy/20 fractions BID vs control WBRT (2000 cGy/4‐5 daily fractions)No. of participants: 203(2 RCTs) · patients with newly diagnosed multiple brain metastases

Altered WBRT fractionation schedules showed no clear difference in overall survival: WBRT 4000 cGy/20 fractions BID vs control WBRT… compared with WBRT control (moderate certainty).

1 finding from 1 review

Intervention not reported

Mortality sensitivity analysis (calculated instead of overall survival) ‐ without UK NCRI Rapid trial and MSKCC trial #90‐44due to high risk of other bias

The intervention probably leads to lower mortality sensitivity analysis (calculated instead of overall… (moderate certainty).

1 finding from 1 review