Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

94 questions · 94 findings · 8 reviews · Headline outcomes only

No studies found 8 · 8.5%GRADE not reported 13 · 13.8%Very low 22 · 23.4%Low 17 · 18.1%Moderate 23 · 24.5%High 11 · 11.7%

Zoledronate vs pamidronate or risedronate

Number of participants who experienced side effects related to use of bisphosphonates · Paget's disease of bone

Zoledronate showed no clear difference in number of participants who experienced side effects related to use… compared with pamidronate or risedronate (low certainty).

1 finding from 1 review

Intervention not reported

Overall survival## · patients with multiple myeloma

The intervention showed no clear difference in overall survival## (moderate certainty).

1 finding from 1 review

Intervention not reported

Progression‐free survival### · patients with multiple myeloma

The intervention showed no clear difference in progression‐free survival### (low certainty).

1 finding from 1 review

Intervention not reported

Non‐vertebral fractures · patients with multiple myeloma

The intervention showed no clear difference in non‐vertebral fractures (moderate certainty).

1 finding from 1 review

Intervention not reported

Skeletal‐related events · patients with multiple myeloma

The intervention probably leads to lower skeletal‐related events (moderate certainty).

1 finding from 1 review

Zoledronate vs pamidronate or risedronate

Number of participants with change in bone pain¹ assessed on VAS. · Paget's disease of bone

It is very uncertain whether zoledronate changes number of participants with change in bone pain¹ assessed on VAS. compared with pamidronate or risedronate (very low certainty).

1 finding from 1 review