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Search review questions

Each row is one question a systematic review asked: who, what, compared with what, and which outcome, with the effect it found and how certain that is. Words match anywhere in the field.

Limit to evidence status or GRADE (optional)

1,521 questions in 132 reviews · Hepato-Biliary

current versions
No studies 303 · 19.9%Ungraded 39 · 2.6%Very low 876 · 57.6%Low 216 · 14.2%Moderate 65 · 4.3%High 22 · 1.4%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

QuestionEffectEvidenceStatus / GRADE
Radioembolisation plus sorafenib vs sorafenib monotherapy
Time to progression of the tumour (median time to progression) · people with hepatocellular carcinoma
Yttrium-90 microsphere radioembolisation for unresectable hepatocellular carcinoma (2020) · Cochrane
no estimate extractedNRNo studies
Radioembolisation plus sorafenib vs sorafenib monotherapy
Tumour response assessments · people with hepatocellular carcinoma
Yttrium-90 microsphere radioembolisation for unresectable hepatocellular carcinoma (2020) · Cochrane
no estimate extractedNRNo studies
Radioembolisation plus sorafenib vs sorafenib monotherapy
Non‐serious adverse events (hyperbilirubinaemia: most frequent) · people with hepatocellular carcinoma
Yttrium-90 microsphere radioembolisation for unresectable hepatocellular carcinoma (2020) · Cochrane
no estimate extracted1 study · 341 participantsVery low
Radioembolisation vs sorafenib
All‐cause mortality at 1 year · people with hepatocellular carcinoma
Yttrium-90 microsphere radioembolisation for unresectable hepatocellular carcinoma (2020) · Cochrane
no estimate extracted1 study · 360 participantsVery low
Radioembolisation vs sorafenib
Health‐related quality of life · people with hepatocellular carcinoma
Yttrium-90 microsphere radioembolisation for unresectable hepatocellular carcinoma (2020) · Cochrane
no estimate extracted1 study · 360 participantsVery low
Sclerotherapy vs no intervention
All‐cause mortality · primary prophylaxis of oesophageal variceal bleeding in children with chronic liver disease or portal vein thrombosis
Sclerotherapy versus sham or no intervention for primary prophylaxis of oesophageal variceal bleeding in… (2020) · Cochrane
RR 1.04 [0.44, 2.5]1 study · 108 participantsVery low
Sclerotherapy vs no intervention
Upper gastrointestinal bleeding · primary prophylaxis of oesophageal variceal bleeding in children with chronic liver disease or portal vein thrombosis
Sclerotherapy versus sham or no intervention for primary prophylaxis of oesophageal variceal bleeding in… (2020) · Cochrane
RR 0.46 [0.26, 0.83]1 study · 108 participantsVery low
Sclerotherapy vs no intervention
Serious adverse events and liver‐related morbidity: incidence of congestive hypertensive gastropathy · primary prophylaxis of oesophageal variceal bleeding in children with chronic liver disease or portal vein thrombosis
Sclerotherapy versus sham or no intervention for primary prophylaxis of oesophageal variceal bleeding in… (2020) · Cochrane
RR 2.48 [0.69, 8.84]1 study · 108 participantsVery low
Sclerotherapy vs no intervention
Serious adverse events and liver‐related morbidity: incidence of gastric varices · primary prophylaxis of oesophageal variceal bleeding in children with chronic liver disease or portal vein thrombosis
Sclerotherapy versus sham or no intervention for primary prophylaxis of oesophageal variceal bleeding in… (2020) · Cochrane
RR 1.11 [0.36, 3.43]1 study · 108 participantsVery low
Sclerotherapy vs no intervention
Serious adverse events and liver‐related morbidity: incidence of bleeding from gastric varices · primary prophylaxis of oesophageal variceal bleeding in children with chronic liver disease or portal vein thrombosis
Sclerotherapy versus sham or no intervention for primary prophylaxis of oesophageal variceal bleeding in… (2020) · Cochrane
RR 6.51 [0.34, 123.06]1 study · 108 participantsVery low
Sclerotherapy vs no intervention
Health‐related quality of life · primary prophylaxis of oesophageal variceal bleeding in children with chronic liver disease or portal vein thrombosis
Sclerotherapy versus sham or no intervention for primary prophylaxis of oesophageal variceal bleeding in… (2020) · Cochrane
no estimate extractedNRNo studies
Sclerotherapy vs no intervention
Oesophageal variceal bleeding · primary prophylaxis of oesophageal variceal bleeding in children with chronic liver disease or portal vein thrombosis
Sclerotherapy versus sham or no intervention for primary prophylaxis of oesophageal variceal bleeding in… (2020) · Cochrane
RR 0.13 [0.04, 0.42]1 study · 108 participantsVery low
Sclerotherapy vs no intervention
Non‐serious adverse events · primary prophylaxis of oesophageal variceal bleeding in children with chronic liver disease or portal vein thrombosis
Sclerotherapy versus sham or no intervention for primary prophylaxis of oesophageal variceal bleeding in… (2020) · Cochrane
no estimate extracted1 study · 108 participantsUngraded
N‐acetylcysteine vs placebo
All‐cause mortality · adult patients with non‐paracetamol (acetaminophen)‐related acute liver failure
N‐acetylcysteine for non‐paracetamol (acetaminophen)‐related acute liver failure (2020) · Cochrane
RR 0.88 [0.57, 1.37]1 study · 173 participantsLow
N‐acetylcysteine vs placebo
Resolution of encephalopathy and coagulopathy ‐ not reported · children with non‐paracetamol (acetaminophen)‐related acute liver failure
N‐acetylcysteine for non‐paracetamol (acetaminophen)‐related acute liver failure (2020) · Cochrane
no estimate extractedNRNo studies
N‐acetylcysteine vs placebo
Non‐serious adverse events · children with non‐paracetamol (acetaminophen)‐related acute liver failure
N‐acetylcysteine for non‐paracetamol (acetaminophen)‐related acute liver failure (2020) · Cochrane
RR 1.19 [0.62, 2.16]1 study · 184 participantsLow
N‐acetylcysteine vs placebo
Quality of life ‐ not reported · children with non‐paracetamol (acetaminophen)‐related acute liver failure
N‐acetylcysteine for non‐paracetamol (acetaminophen)‐related acute liver failure (2020) · Cochrane
no estimate extractedNRNo studies
N‐acetylcysteine vs placebo
Serious adverse events · adult patients with non‐paracetamol (acetaminophen)‐related acute liver failure
N‐acetylcysteine for non‐paracetamol (acetaminophen)‐related acute liver failure (2020) · Cochrane
no estimate extractedNRNo studies
N‐acetylcysteine vs placebo
Liver transplant · adult patients with non‐paracetamol (acetaminophen)‐related acute liver failure
N‐acetylcysteine for non‐paracetamol (acetaminophen)‐related acute liver failure (2020) · Cochrane
RR 0.72 [0.49, 1.06]1 study · 173 participantsLow
N‐acetylcysteine vs placebo
Resolution of encephalopathy and coagulopathy · adult patients with non‐paracetamol (acetaminophen)‐related acute liver failure
N‐acetylcysteine for non‐paracetamol (acetaminophen)‐related acute liver failure (2020) · Cochrane
no estimate extractedNRNo studies
N‐acetylcysteine vs placebo
Non‐serious adverse events · adult patients with non‐paracetamol (acetaminophen)‐related acute liver failure
N‐acetylcysteine for non‐paracetamol (acetaminophen)‐related acute liver failure (2020) · Cochrane
RR 1.07 [0.79, 1.45]1 study · 173 participantsLow
N‐acetylcysteine vs placebo
Quality of life · adult patients with non‐paracetamol (acetaminophen)‐related acute liver failure
N‐acetylcysteine for non‐paracetamol (acetaminophen)‐related acute liver failure (2020) · Cochrane
no estimate extractedNRNo studies
N‐acetylcysteine vs placebo
All‐cause mortality · children with non‐paracetamol (acetaminophen)‐related acute liver failure
N‐acetylcysteine for non‐paracetamol (acetaminophen)‐related acute liver failure (2020) · Cochrane
RR 1.47 [0.85, 2.53]1 study · 184 participantsLow
N‐acetylcysteine vs placebo
Serious adverse events · children with non‐paracetamol (acetaminophen)‐related acute liver failure
N‐acetylcysteine for non‐paracetamol (acetaminophen)‐related acute liver failure (2020) · Cochrane
RR 1.25 [0.35, 4.51]1 study · 184 participantsLow
N‐acetylcysteine vs placebo
Liver Transplant · children with non‐paracetamol (acetaminophen)‐related acute liver failure
N‐acetylcysteine for non‐paracetamol (acetaminophen)‐related acute liver failure (2020) · Cochrane
RR 1.28 [0.89, 1.84]1 study · 184 participantsLow
Intervention NR
Interventions · people with liver cirrhosis and ascites
Treatment for ascites in adults with decompensated liver cirrhosis: a network meta‐analysis (2020) · Cochrane
no estimate extractedNRNo studies
Intervention NR
Aldosterone antagonists plus loop diuretics plus albumin (No direct RCT) · people with liver cirrhosis and ascites
Treatment for ascites in adults with decompensated liver cirrhosis: a network meta‐analysis (2020) · Cochrane
HR 1.06 [0.57, 2.16]NRVery low
Intervention NR
Aldosterone antagonists plus loop diuretics plus peritoneovenous shunt (No direct RCT) · people with liver cirrhosis and ascites
Treatment for ascites in adults with decompensated liver cirrhosis: a network meta‐analysis (2020) · Cochrane
HR 0.97 [0.4, 2.43]NRVery low
Intervention NR
Aldosterone antagonists plus loop diuretics plus systemic vasoconstrictors (No direct RCT) · people with liver cirrhosis and ascites
Treatment for ascites in adults with decompensated liver cirrhosis: a network meta‐analysis (2020) · Cochrane
HR 0.42 [0.15, 1.22]NRVery low
Intervention NR
Aldosterone antagonists (No direct RCT) · people with liver cirrhosis and ascites
Treatment for ascites in adults with decompensated liver cirrhosis: a network meta‐analysis (2020) · Cochrane
HR 1.92 [0.24, 20.64]NRVery low
Intervention NR
Aldosterone antagonists plus loop diuretics plus systemic vasoconstrictors plus paracentesis plus fluid replacement (No direct RCT) · people with liver cirrhosis and ascites
Treatment for ascites in adults with decompensated liver cirrhosis: a network meta‐analysis (2020) · Cochrane
HR 1.11 [0.02, 39.77]NRVery low
Intervention NR
Aldosterone antagonists plus loop diuretics plus systemic vasoconstrictors plus systemic vasodilator (No direct RCT) · people with liver cirrhosis and ascites
Treatment for ascites in adults with decompensated liver cirrhosis: a network meta‐analysis (2020) · Cochrane
HR 0.61 [0.02, 9.17]NRVery low
Intervention NR
Aldosterone antagonists plus loop diuretics plus systemic vasodilator (No direct RCT) · people with liver cirrhosis and ascites
Treatment for ascites in adults with decompensated liver cirrhosis: a network meta‐analysis (2020) · Cochrane
HR 0.62 [0.03, 9.1]NRVery low
Intervention NR
Systemic vasoconstrictors plus albumin (No direct RCT) · people with liver cirrhosis and ascites
Treatment for ascites in adults with decompensated liver cirrhosis: a network meta‐analysis (2020) · Cochrane
HR 2.62 [0.41, 19.28]NRVery low
Intervention NR
Serious adverse events (number of people) · people with liver cirrhosis and ascites
Treatment for ascites in adults with decompensated liver cirrhosis: a network meta‐analysis (2020) · Cochrane
no estimate extractedNRNo studies
Intervention NR
Aldosterone antagonists plus loop diuretics (1 RCT; 41 participants) · people with liver cirrhosis and ascites
Treatment for ascites in adults with decompensated liver cirrhosis: a network meta‐analysis (2020) · Cochrane
Rate ratio 1.3 [0.27, 6.99]NRVery low
Intervention NR
Paracentesis plus fluid replacement · people with liver cirrhosis and ascites
Treatment for ascites in adults with decompensated liver cirrhosis: a network meta‐analysis (2020) · Cochrane
no estimate extractedNRNo studies
Intervention NR
Transjugular intrahepatic portosystemic shunt (1 RCT; 70 participants) · people with liver cirrhosis and ascites
Treatment for ascites in adults with decompensated liver cirrhosis: a network meta‐analysis (2020) · Cochrane
no estimate extractedNRVery low
Intervention NR
Health‐related quality of life · people with liver cirrhosis and ascites
Treatment for ascites in adults with decompensated liver cirrhosis: a network meta‐analysis (2020) · Cochrane
no estimate extractedNRNo studies
Intervention NR
Paracentesis plus systemic vasoconstrictors (4 RCTs; 145 participants) · people with liver cirrhosis and ascites
Treatment for ascites in adults with decompensated liver cirrhosis: a network meta‐analysis (2020) · Cochrane
OR 1.63 [0.3, 11.66]NRVery low
Intervention NR
Aldosterone antagonists plus loop diuretics (2 RCT; 84 participants) · people with liver cirrhosis and ascites
Treatment for ascites in adults with decompensated liver cirrhosis: a network meta‐analysis (2020) · Cochrane
OR 3.54 [0.43, 27.41]NRVery low
Intervention NR
Aldosterone antagonists plus loop diuretics (1 RCT; 31 participants) · people with liver cirrhosis and ascites
Treatment for ascites in adults with decompensated liver cirrhosis: a network meta‐analysis (2020) · Cochrane
Rate ratio 4.12 [0.87, 34.02]NRVery low
Intervention NR
Paracentesis plus systemic vasoconstrictors (1 RCT; 25 participants) · people with liver cirrhosis and ascites
Treatment for ascites in adults with decompensated liver cirrhosis: a network meta‐analysis (2020) · Cochrane
Rate ratio 1.37 [0.36, 5.82]NRVery low
Intervention NR
Transjugular intrahepatic portosystemic shunt (6 RCTs; 427 participants) · people with liver cirrhosis and ascites
Treatment for ascites in adults with decompensated liver cirrhosis: a network meta‐analysis (2020) · Cochrane
HR 0.87 [0.52, 1.44]NRVery low
Intervention NR
Symptomatic resolution of ascites at maximal · people with liver cirrhosis and ascites
Treatment for ascites in adults with decompensated liver cirrhosis: a network meta‐analysis (2020) · Cochrane
no estimate extractedNRNo studies
Intervention NR
Aldosterone antagonists plus loop diuretics (3 RCTs; 125 participants) · people with liver cirrhosis and ascites
Treatment for ascites in adults with decompensated liver cirrhosis: a network meta‐analysis (2020) · Cochrane
HR 1.1 [0.12, 10.74]NRVery low
Intervention NR
Transjugular intrahepatic portosystemic shunt (6 RCTs; 392 participants) · people with liver cirrhosis and ascites
Treatment for ascites in adults with decompensated liver cirrhosis: a network meta‐analysis (2020) · Cochrane
HR 9.44 [1.93, 62.68]NRVery low
Intervention NR
Aldosterone antagonists plus loop diuretics (4 RCTs; 211 participants) · people with liver cirrhosis and ascites
Treatment for ascites in adults with decompensated liver cirrhosis: a network meta‐analysis (2020) · Cochrane
HR 1.05 [0.7, 1.69]NRVery low
Intervention NR
Aldosterone antagonists plus paracentesis plus fluid replacement (1 RCT; 36 participants) · people with liver cirrhosis and ascites
Treatment for ascites in adults with decompensated liver cirrhosis: a network meta‐analysis (2020) · Cochrane
HR 30.63 [5.06, 692.98]NRLow
Intervention NR
Aldosterone antagonists plus loop diuretics (4 RCTs; 242 participants) · people with liver cirrhosis and ascites
Treatment for ascites in adults with decompensated liver cirrhosis: a network meta‐analysis (2020) · Cochrane
Rate ratio 2.04 [1.37, 3.1]NRVery low