Gap finder

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)

1,590 questions in 129 reviews · Gynaecological, Neuro-oncology and Orphan Cancer

current versions
No studies 281 · 17.7%Ungraded 74 · 4.7%Very low 410 · 25.8%Low 420 · 26.4%Moderate 280 · 17.6%High 125 · 7.9%

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
Neuronavigation image‐guided surgery vs standard surgery
Adverse events · high‐grade glioma
Intraoperative imaging technology to maximise extent of resection for glioma (2018) · Cochrane
no estimate extractedNRNo studies
Intervention NR
Length of Survival · people with advanced cancer with inoperable malignant bowel obstruction (MBO)
Home parenteral nutrition for people with inoperable malignant bowel obstruction (2018) · Cochrane
no estimate extracted13 studies · 721 participantsVery low
Intervention NR
Quality of life · people with advanced cancer with inoperable malignant bowel obstruction (MBO)
Home parenteral nutrition for people with inoperable malignant bowel obstruction (2018) · Cochrane
no estimate extracted3 studies · 188 participantsVery low
Intervention NR
Adverse events · people with advanced cancer with inoperable malignant bowel obstruction (MBO)
Home parenteral nutrition for people with inoperable malignant bowel obstruction (2018) · Cochrane
no estimate extracted9 studies · 280 participantsVery low
Mortality with anti‐gram‐positive antibiotics vs placebo
Overall mortality · febrile neutropenic patients with cancer
Empirical antibiotics targeting gram‐positive bacteria for the treatment of febrile neutropenic patients… (2017) · Cochrane
RR 0.9 [0.64, 1.25]8 studies · 1242 participantsModerate
Treatment failure with anti‐gram‐positive antibiotics vs placebo
Overall failure (disregarding modifications) · febrile neutropenic patients with cancer
Empirical antibiotics targeting gram‐positive bacteria for the treatment of febrile neutropenic patients… (2017) · Cochrane
RR 1 [0.79, 1.27]7 studies · 943 participantsLow
Treatment failure with anti‐gram‐positive antibiotics vs placebo
Failure, modifications included · febrile neutropenic patients with cancer
Empirical antibiotics targeting gram‐positive bacteria for the treatment of febrile neutropenic patients… (2017) · Cochrane
RR 0.72 [0.65, 0.79]11 studies · 2169 participantsVery low
Adverse events with anti‐gram‐positive antibiotics vs placebo
Any adverse events · febrile neutropenic patients with cancer
Empirical antibiotics targeting gram‐positive bacteria for the treatment of febrile neutropenic patients… (2017) · Cochrane
RR 1.74 [1.5, 2.01]9 studies · 1936 participantsVery low
Whole brain radiation therapy (WBRT) + stereotactic radiosurgery (SRS) vs WBRT
Overall survival · people with brain metastases
Whole brain radiation therapy (WBRT) alone versus WBRT and radiosurgery for the treatment of brain metastases (2017) · Cochrane
HR 0.82 [0.65, 1.02]2 studies · 358 participantsModerate
Whole brain radiation therapy (WBRT) + stereotactic radiosurgery (SRS) vs WBRT
Disease‐specific survival · people with brain metastases
Whole brain radiation therapy (WBRT) alone versus WBRT and radiosurgery for the treatment of brain metastases (2017) · Cochrane
RR 0.92 [0.64, 1.32]1 study · 286 participantsModerate
Whole brain radiation therapy (WBRT) + stereotactic radiosurgery (SRS) vs WBRT
Local tumor control · people with brain metastases
Whole brain radiation therapy (WBRT) alone versus WBRT and radiosurgery for the treatment of brain metastases (2017) · Cochrane
HR 0.27 [0.14, 0.52]2 studies · 129 participantsModerate
Whole brain radiation therapy (WBRT) + stereotactic radiosurgery (SRS) vs WBRT
Functionally independent survival (KPS) · people with brain metastases
Whole brain radiation therapy (WBRT) alone versus WBRT and radiosurgery for the treatment of brain metastases (2017) · Cochrane
RR 0.78 [0.61, 1]1 study · 145 participantsModerate
Whole brain radiation therapy (WBRT) + stereotactic radiosurgery (SRS) vs WBRT
Steroid use · people with brain metastases
Whole brain radiation therapy (WBRT) alone versus WBRT and radiosurgery for the treatment of brain metastases (2017) · Cochrane
RR 0.64 [0.42, 0.97]1 study · 118 participantsLow
Heparin prophylaxis vs no prophylaxis
Mortality
Parenteral anticoagulation in ambulatory patients with cancer (2017) · Cochrane
RR 0.98 [0.93, 1.03]18 studies · 9575 participantsModerate
Heparin prophylaxis vs no prophylaxis
Mortality
Parenteral anticoagulation in ambulatory patients with cancer (2017) · Cochrane
RR 0.99 [0.96, 1.01]14 studies · 5229 participantsModerate
Heparin prophylaxis vs no prophylaxis
Symptomatic VTE
Parenteral anticoagulation in ambulatory patients with cancer (2017) · Cochrane
RR 0.56 [0.47, 0.68]16 studies · 9036 participantsHigh
Heparin prophylaxis vs no prophylaxis
Major bleeding
Parenteral anticoagulation in ambulatory patients with cancer (2017) · Cochrane
RR 1.3 [0.94, 1.79]18 studies · 9592 participantsModerate
Heparin prophylaxis vs no prophylaxis
Minor bleeding
Parenteral anticoagulation in ambulatory patients with cancer (2017) · Cochrane
RR 1.7 [1.13, 2.55]16 studies · 9245 participantsHigh
Heparin prophylaxis vs no prophylaxis
Thrombocytopenia
Parenteral anticoagulation in ambulatory patients with cancer (2017) · Cochrane
RR 0.69 [0.37, 1.27]12 studies · 5832 participantsModerate
Heparin prophylaxis vs no prophylaxis
Quality of life impairment
Parenteral anticoagulation in ambulatory patients with cancer (2017) · Cochrane
no estimate extracted2 studies · 2241 participantsModerate
Intervention NR
Incidence of GTN (including low‐quality studies) · women with a molar pregnancy
Prophylactic chemotherapy for hydatidiform mole to prevent gestational trophoblastic neoplasia (2017) · Cochrane
RR 0.37 [0.24, 0.57]3 studies · 550 participantsLow
Intervention NR
Incidence of GTN (excluding low‐quality studies) · women with a molar pregnancy
Prophylactic chemotherapy for hydatidiform mole to prevent gestational trophoblastic neoplasia (2017) · Cochrane
RR 0.28 [0.1, 0.73]1 study · 59 participantsLow
Intervention NR
Time to GTN diagnosis (days) · women with a molar pregnancy
Prophylactic chemotherapy for hydatidiform mole to prevent gestational trophoblastic neoplasia (2017) · Cochrane
MD 28.72 [13.19, 44.24]2 studies · 33 participantsLow
Intervention NR
Number of courses of chemotherapy to cure · women with a molar pregnancy
Prophylactic chemotherapy for hydatidiform mole to prevent gestational trophoblastic neoplasia (2017) · Cochrane
MD 1.1 [0.52, 1.68]1 study · 14 participantsVery low
Retroperitoneal drainage vs no drainage after pelvic lymphadenectomy
Short‐term lymphocyst formation: both asymptomatic and symptomatic within 4 weeks after surgery · Women with gynaecological malignancies
Retroperitoneal drainage versus no drainage after pelvic lymphadenectomy for the prevention of lymphocyst… (2017) · Cochrane
RR 0.76 [0.04, 13.35]2 studies · 204 participantsModerate
Retroperitoneal drainage vs no drainage after pelvic lymphadenectomy
Short‐term lymphocyst formation: symptomatic within 4 weeks after surgery · Women with gynaecological malignancies
Retroperitoneal drainage versus no drainage after pelvic lymphadenectomy for the prevention of lymphocyst… (2017) · Cochrane
RR 3.25 [1.26, 8.37]2 studies · 237 participantsHigh
Retroperitoneal drainage vs no drainage after pelvic lymphadenectomy
Short‐term lymphocyst formation: both asymptomatic and symptomatic at 8 weeks after surgery · Women with gynaecological malignancies
Retroperitoneal drainage versus no drainage after pelvic lymphadenectomy for the prevention of lymphocyst… (2017) · Cochrane
RR 0.72 [0.3, 1.71]2 studies · 180 participantsHigh
Retroperitoneal drainage vs no drainage after pelvic lymphadenectomy
Long‐term lymphocyst formation: both asymptomatic and symptomatic at 12 months after surgery · Women with gynaecological malignancies
Retroperitoneal drainage versus no drainage after pelvic lymphadenectomy for the prevention of lymphocyst… (2017) · Cochrane
RR 1.48 [0.89, 2.45]1 study · 232 participantsHigh
Retroperitoneal drainage vs no drainage after pelvic lymphadenectomy
Long‐term lymphocyst formation: symptomatic at 12 months after surgery · Women with gynaecological malignancies
Retroperitoneal drainage versus no drainage after pelvic lymphadenectomy for the prevention of lymphocyst… (2017) · Cochrane
RR 7.12 [0.89, 56.97]1 study · 232 participantsLow
Retroperitoneal drainage vs no drainage after pelvic lymphadenectomy
Febrile morbidity · Women with gynaecological malignancies
Retroperitoneal drainage versus no drainage after pelvic lymphadenectomy for the prevention of lymphocyst… (2017) · Cochrane
RR 1.76 [0.87, 3.55]4 studies · 571 participantsHigh
Retroperitoneal drainage vs no drainage after pelvic lymphadenectomy
Pelvic infection · Women with gynaecological malignancies
Retroperitoneal drainage versus no drainage after pelvic lymphadenectomy for the prevention of lymphocyst… (2017) · Cochrane
RR 0.42 [0.11, 1.62]4 studies · 571 participantsModerate
Intervention NR
Overall survival · women with stage I endometrial cancer
Lymphadenectomy for the management of endometrial cancer (2017) · Cochrane
HR 1.07 [0.81, 1.43]2 studies · 1851 participantsModerate
Intervention NR
Recurrence‐free survival · women with stage I endometrial cancer
Lymphadenectomy for the management of endometrial cancer (2017) · Cochrane
HR 1.23 [0.96, 1.58]2 studies · 1851 participantsModerate
Intervention NR
Direct surgical morbidity · women with stage I endometrial cancer
Lymphadenectomy for the management of endometrial cancer (2017) · Cochrane
RR 1.93 [0.79, 4.71]2 studies · 1922 participantsModerate
Intervention NR
Surgery‐related systemic morbidity · women with stage I endometrial cancer
Lymphadenectomy for the management of endometrial cancer (2017) · Cochrane
RR 3.72 [1.04, 13.27]2 studies · 1922 participantsModerate
Intervention NR
Lymphoedema or lymphocyst · women with stage I endometrial cancer
Lymphadenectomy for the management of endometrial cancer (2017) · Cochrane
RR 8.39 [4.06, 17.33]2 studies · 1922 participantsHigh
Intervention NR
Overall survival · people with non‐rhabdomyosarcoma soft tissue sarcoma
Autologous hematopoietic stem cell transplantation following high‐dose chemotherapy for nonrhabdomyosarcoma… (2017) · Cochrane
HR 1.26 [0.7, 2.29]1 study · 83 participantsHigh
Intervention NR
Treatment‐related mortality · people with non‐rhabdomyosarcoma soft tissue sarcoma
Autologous hematopoietic stem cell transplantation following high‐dose chemotherapy for nonrhabdomyosarcoma… (2017) · Cochrane
no estimate extracted1 study · 83 participantsHigh
Intervention NR
Disease‐free survival · people with non‐rhabdomyosarcoma soft tissue sarcoma
Autologous hematopoietic stem cell transplantation following high‐dose chemotherapy for nonrhabdomyosarcoma… (2017) · Cochrane
no estimate extractedNRNo studies
Intervention NR
Progression‐free survival · people with non‐rhabdomyosarcoma soft tissue sarcoma
Autologous hematopoietic stem cell transplantation following high‐dose chemotherapy for nonrhabdomyosarcoma… (2017) · Cochrane
HR 1.34 [0.81, 2.2]1 study · 83 participantsHigh
Intervention NR
Non‐hematologic toxicity grade 3 to 4 · people with non‐rhabdomyosarcoma soft tissue sarcoma
Autologous hematopoietic stem cell transplantation following high‐dose chemotherapy for nonrhabdomyosarcoma… (2017) · Cochrane
no estimate extractedNRNo studies
Intervention NR
Health‐related quality of life · people with non‐rhabdomyosarcoma soft tissue sarcoma
Autologous hematopoietic stem cell transplantation following high‐dose chemotherapy for nonrhabdomyosarcoma… (2017) · Cochrane
no estimate extractedNRNo studies
Intervention NR
Occurrence of CIN2+ in histology at 18 months · women with ASCUS or LSIL
Immediate referral to colposcopy versus cytological surveillance for minor cervical cytological… (2017) · Cochrane
RR 1.5 [1.12, 2.01]2 studies · 4028 participantsModerate
Intervention NR
Occurrence of CIN2+ in histology at 24 months · women with ASCUS or LSIL
Immediate referral to colposcopy versus cytological surveillance for minor cervical cytological… (2017) · Cochrane
RR 1.14 [0.66, 1.97]3 studies · 4331 participantsLow
Intervention NR
Occurrence of CIN3+ in histology at 18 months · women with ASCUS or LSIL
Immediate referral to colposcopy versus cytological surveillance for minor cervical cytological… (2017) · Cochrane
RR 1.24 [0.77, 1.98]2 studies · 4028 participantsModerate
Intervention NR
Occurrence of CIN3+ in histology at 24 months · women with ASCUS or LSIL
Immediate referral to colposcopy versus cytological surveillance for minor cervical cytological… (2017) · Cochrane
RR 1.02 [0.53, 1.97]3 studies · 4331 participantsLow
Intervention NR
Occurrence of any CIN in histology at 24 months · women with ASCUS or LSIL
Immediate referral to colposcopy versus cytological surveillance for minor cervical cytological… (2017) · Cochrane
RR 2.02 [1.33, 3.08]2 studies · 656 participantsLow
Intervention NR
Default rates at 6 months · women with ASCUS or LSIL
Immediate referral to colposcopy versus cytological surveillance for minor cervical cytological… (2017) · Cochrane
RR 3.85 [1.27, 11.63]3 studies · 5117 participantsModerate
Intervention NR
Default rates at 12 months · women with ASCUS or LSIL
Immediate referral to colposcopy versus cytological surveillance for minor cervical cytological… (2017) · Cochrane
RR 6.63 studies · 5115 participantsModerate
Intervention NR
Number of participants who experienced prolonged vaginal discharge · Women undergoing excision of the cervical transformation zone for cervical neoplasia
Antibiotics for infection prevention after excision of the cervical transformation zone (2017) · Cochrane
RR 1.29 [0.72, 2.31]1 study · 348 participantsLow