Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

116 questions · 120 findings · 11 reviews · Neuromuscular

No studies found 25 · 20.8%GRADE not reported 5 · 4.2%Very low 35 · 29.2%Low 20 · 16.7%Moderate 27 · 22.5%High 8 · 6.7%

Corticosteroids vs placebo

Adverse events Assessed as: occurrence of one or more major adverse events requiring withdrawal of treatment · people with nerve damage (< 6 months' duration) in leprosy

Corticosteroids showed no clear difference in adverse events Assessed as: occurrence of one or more major adverse… compared with placebo (moderate certainty).

1 finding from 1 review

Corticosteroids vs placebo

Improvement in sensory nerve function at 1 year · people with nerve damage (6 to 24 months' duration) in leprosy

Corticosteroids showed no clear difference in improvement in sensory nerve function at 1 year compared with placebo (moderate certainty).

1 finding from 1 review

Antivirals plus corticosteroids vs corticosteroids plus placebo or no treatment

Incomplete recovery at end of study № of participants: 766 (3 RCTs) · Bell's palsy

Antivirals plus corticosteroids showed no clear difference in incomplete recovery at end of study № of participants: 766 (3 RCTs) compared with corticosteroids plus placebo or no treatment (AS versus OS) (low certainty).

1 finding from 1 review

Antivirals plus corticosteroids vs corticosteroids plus placebo or no treatment

Motor synkinesis or crocodile tears № of participants: 469 (2 RCTs) · Bell's palsy

Antivirals plus corticosteroids probably leads to lower motor synkinesis or crocodile tears № of participants: 469 (2 RCTs) compared with corticosteroids plus placebo or no treatment (AS versus OS) (moderate certainty).

1 finding from 1 review

Antivirals plus corticosteroids vs corticosteroids plus placebo or no treatment

Adverse events № of participants: 656 (2 RCTs) · Bell's palsy

It is very uncertain whether antivirals plus corticosteroids changes adverse events № of participants: 656 (2 RCTs) compared with corticosteroids plus placebo or no treatment (AS versus OS) (very low certainty).

1 finding from 1 review

Medial epicondylectomy plus oral steroids vs oral steroids alone

Proportion of ulnar nerves with sensory improvement after one year · patients with nerve damage in leprosy

It is very uncertain whether medial epicondylectomy plus oral steroids changes proportion of ulnar nerves with sensory improvement after one year compared with oral steroids alone (very low certainty).

1 finding from 1 review

Medial epicondylectomy plus oral steroids vs oral steroids alone

Proportion of ulnar nerves with motor improvement after one year · patients with nerve damage in leprosy

It is very uncertain whether medial epicondylectomy plus oral steroids changes proportion of ulnar nerves with motor improvement after one year compared with oral steroids alone (very low certainty).

1 finding from 1 review

Corticosteroids vs placebo compared

Serious adverse events (dichotomous data) ‐ suspected or probable pneumonia · critically ill patients

Corticosteroids showed no clear difference in serious adverse events (dichotomous data) ‐ suspected or probable… compared with placebo compared (high certainty).

1 finding from 1 review