Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

4,783 questions · 10,022 findings · 882 reviews

No studies found 2,100 · 21%GRADE not reported 1,013 · 10.1%Very low 2,237 · 22.3%Low 2,514 · 25.1%Moderate 1,709 · 17.1%High 449 · 4.5%

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IPL (with/without MGX) vs no treatment/sham

Dry eye symptoms, measured using the OSDI score (ranging from 0 to 100 units, with a reduction in scores indicating clinical improvement) at 1‐month (with actual · people with meibomian gland dysfunction

It is very uncertain whether IPL (with/without MGX) changes dry eye symptoms, measured using the SPEED score at 3 months of compared with sham or no treatment (with/without MGX) (very low certainty).

1 finding from 1 review

IPL (with/without MGX) vs no treatment/sham

Tear osmolarity, measured in mOsmol/L, at 3 months of · people with meibomian gland dysfunction

IPL (with/without MGX) showed no clear difference in tear osmolarity, measured in mOsmol/L, at 3 months of compared with sham or no treatment (with/without MGX) (low certainty).

1 finding from 1 review

IPL (with/without MGX) vs no treatment/sham

Meibomian gland orifice plugging, at 3 months of · people with meibomian gland dysfunction

It is very uncertain whether IPL (with/without MGX) changes meibomian gland orifice plugging, at 3 months of compared with sham or no treatment (with/without MGX) (very low certainty).

1 finding from 1 review

IPL (with/without MGX) vs no treatment/sham

Corneal sodium fluorescein staining, measured using a validated clinical scale, at 3 months of · people with meibomian gland dysfunction

It is very uncertain whether IPL (with/without MGX) changes corneal sodium fluorescein staining, measured using a validated… compared with sham or no treatment (with/without MGX) (very low certainty).

1 finding from 1 review

Any antihypertensive drug vs placebo or no treatment

Cardiovascular mortality and morbidity Mean duration of 3.7 years · adults 60 years or older with primary hypertension

Antihypertensive drug probably leads to lower cardiovascular mortality and morbidity Mean duration of 3.7 years compared with placebo or no treatment (moderate certainty).

1 finding from 1 review

Any antihypertensive drug vs placebo or no treatment

Coronary heart disease mortality + morbidity · adults 60 years or older with primary hypertension

Antihypertensive drug probably leads to lower coronary heart disease mortality and morbidity Mean duration of 2.9… compared with placebo or no treatment (moderate certainty).

1 finding from 1 review

Topiramate vs placebo

50% or greater reduction in seizure frequency · people with drug‐resistant focal epilepsy

Topiramate leads to higher 50% or greater reduction in seizure frequency (ITT analysis) compared with placebo (high certainty).

1 finding from 1 review

Topiramate vs placebo

Adverse effects ‐ difficulty with concentration/concentration impaired/concentration‐attention difficulties · people with drug‐resistant focal epilepsy

Topiramate probably leads to higher adverse effects ‐ difficulty with concentration/concentration… compared with placebo (moderate certainty).

1 finding from 1 review