Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

1,062 questions · 1,113 findings · 171 reviews · Headline outcomes only

No studies found 161 · 14.5%GRADE not reported 41 · 3.7%Very low 269 · 24.2%Low 321 · 28.8%Moderate 252 · 22.6%High 69 · 6.2%

Decompressive surgery plus radiotherapy vs radiotherapy

Ambulation · adults with metastatic extradural spinal cord compression (fit for surgery, paraplegic less than 48 hours, and without multiple discrete…

Decompressive surgery plus radiotherapy may leads to higher ambulation Immediately after completing RT compared with radiotherapy (low certainty).

1 finding from 1 review

Decompressive surgery plus radiotherapy vs radiotherapy

Survival (short term) At 30 days · adults with metastatic extradural spinal cord compression (fit for surgery, paraplegic less than 48 hours, and without multiple discrete…

Decompressive surgery plus radiotherapy showed no clear difference in survival (short term) At 30 days compared with radiotherapy (low certainty).

1 finding from 1 review

Intervention not reported

Clinical global impression of change ‐ patient's self‐reported impression of memory change · Multiple sclerosis

The intervention showed no clear difference in clinical global impression of change ‐ patient's self‐reported… (high certainty).

1 finding from 1 review

Intervention not reported

Clinical global impression of change ‐ patient's self‐reported impression of cognitive change · Multiple sclerosis

The intervention showed no clear difference in clinical global impression of change ‐ patient's self‐reported… (high certainty).

1 finding from 1 review

Intervention not reported

Clinical global impression of change ‐ clinician's impression of memory change · Multiple sclerosis

The intervention showed no clear difference in clinical global impression of change ‐ clinician's impression of… (moderate certainty).

1 finding from 1 review

Intervention not reported

Clinical global impression of change ‐ clinician's impression of cognitive change · Multiple sclerosis

The intervention leads to higher clinical global impression of change ‐ clinician's impression of… (high certainty).

1 finding from 1 review

Intervention not reported

At least 50% reduction in pain · neuropathic pain (6 studies in central neuropathic pain due to multiple sclerosis, spinal cord injury, polyneuropathy, central post‐stroke…
1 finding from 1 review

Intervention not reported

At least 30% reduction in pain · neuropathic pain (6 studies in central neuropathic pain due to multiple sclerosis, spinal cord injury, polyneuropathy, central post‐stroke…
1 finding from 1 review

Intervention not reported

Proportion below 30/100 mm on VAS · neuropathic pain (6 studies in central neuropathic pain due to multiple sclerosis, spinal cord injury, polyneuropathy, central post‐stroke…

The review found no eligible studies for this question.

1 finding from 1 review

Intervention not reported

Patient Global Impression of Change very much improved (patient global evaluation of pain relief complete or good) · neuropathic pain (6 studies in central neuropathic pain due to multiple sclerosis, spinal cord injury, polyneuropathy, central post‐stroke…
1 finding from 1 review

Intervention not reported

Patient Global Impression of Change much or very much improved (patient global evaluation of pain relief complete, good or moderate) · neuropathic pain (6 studies in central neuropathic pain due to multiple sclerosis, spinal cord injury, polyneuropathy, central post‐stroke…
1 finding from 1 review

Intervention not reported

Any measure of 'substantial' pain relief · neuropathic pain (6 studies in central neuropathic pain due to multiple sclerosis, spinal cord injury, polyneuropathy, central post‐stroke…
1 finding from 1 review

Intervention not reported

Adverse event withdrawals · neuropathic pain (6 studies in central neuropathic pain due to multiple sclerosis, spinal cord injury, polyneuropathy, central post‐stroke…

It is very uncertain whether the intervention changes adverse event withdrawals (very low certainty).

1 finding from 1 review