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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.
448 questions in 37 reviews · Multiple Sclerosis and Rare Diseases of the CNS
current versionsNo studies 50 · 11.2%Ungraded 14 · 3.1%Very low 132 · 29.5%Low 160 · 35.7%Moderate 76 · 17%High 16 · 3.6%
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.
| Question | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Rituximab as 'switching' vs other disease‐modifying treatments Interferon beta or glatiramer acetate · relapsing multiple sclerosis Rituximab for people with multiple sclerosis (2021) · Cochrane | OR 1.71 [1.11, 2.62] | 5477 participants | Moderate |
Rituximab as 'switching' vs other disease‐modifying treatments Ocrelizumab · relapsing multiple sclerosis Rituximab for people with multiple sclerosis (2021) · Cochrane | OR 0.02 [0, 0.4] | 472 participants | Very low |
Rituximab as 'first choice' vs other disease‐modifying treatments Interferon beta or glatiramer acetate · relapsing multiple sclerosis Rituximab for people with multiple sclerosis (2021) · Cochrane | HR 0.14 [0.05, 0.39] | 335 participants | Moderate |
Rituximab as 'first choice' vs other disease‐modifying treatments Dimethyl fumarate · relapsing multiple sclerosis Rituximab for people with multiple sclerosis (2021) · Cochrane | HR 0.29 [0.08, 1] | 206 participants | Low |
Rituximab as 'first choice' vs other disease‐modifying treatments Natalizumab · relapsing multiple sclerosis Rituximab for people with multiple sclerosis (2021) · Cochrane | HR 0.24 [0.06, 1] | 170 participants | Low |
Rituximab as 'first choice' vs other disease‐modifying treatments Fingolimod · relapsing multiple sclerosis Rituximab for people with multiple sclerosis (2021) · Cochrane | HR 0.26 [0.04, 1.69] | 137 participants | Very low |
Rituximab as 'first choice' vs placebo Disability worsening measured by EDSS over 24 months · primary progressive multiple sclerosis Rituximab for people with multiple sclerosis (2021) · Cochrane | OR 0.71 [0.45, 1.11] | 1 study · 439 participants | Moderate |
Rituximab as 'first choice' vs placebo Relapse measured by clinical assessment over 24 months · primary progressive multiple sclerosis Rituximab for people with multiple sclerosis (2021) · Cochrane | OR 0.6 [0.18, 1.99] | 1 study · 439 participants | Low |
Rituximab as 'first choice' vs placebo Serious adverse events measured by clinical assessment over 28 months · primary progressive multiple sclerosis Rituximab for people with multiple sclerosis (2021) · Cochrane | OR 1.25 [0.71, 2.2] | 1 study · 439 participants | Low |
Polyunsaturated fatty acid (PUFA) vs monounsaturated fatty acid (MUFA) Relapse(assessed as number of participants experiencing relapse) · adults with multiple sclerosis, defined by established criteria Dietary interventions for multiple sclerosis‐related outcomes (2020) · Cochrane | RR 1.02 [0.88, 1.2] | 3 studies · 217 participants | Very low |
Omega‐3 vs omega‐6 SAEs (assessed as number of participants experiencing a SAE) · adults with multiple sclerosis, defined by established criteria Dietary interventions for multiple sclerosis‐related outcomes (2020) · Cochrane | RR 1.12 [0.38, 3.31] | 4 studies · 230 participants | Low |
Antioxidant vs placebo Relapse(assessed as number of participants experiencing relapse) · adults with multiple sclerosis, defined by established criteria Dietary interventions for multiple sclerosis‐related outcomes (2020) · Cochrane | RR 0.98 [0.59, 1.64] | 4 studies · 345 participants | Low |
Antioxidant vs placebo Change in validated disability scale ( · adults with multiple sclerosis, defined by established criteria Dietary interventions for multiple sclerosis‐related outcomes (2020) · Cochrane | no estimate extracted | 6 studies · 490 participants | Very low |
Antioxidant vs placebo Global impression of deterioration (investigator defined global impression of deterioration) · adults with multiple sclerosis, defined by established criteria Dietary interventions for multiple sclerosis‐related outcomes (2020) · Cochrane | RR 0.99 [0.5, 1.93] | 2 studies · 190 participants | Low |
Antioxidant vs placebo MRI activity(assessed as number of participants with gadolinium‐enhancing lesions) · adults with multiple sclerosis, defined by established criteria Dietary interventions for multiple sclerosis‐related outcomes (2020) · Cochrane | RR 0.67 [0.09, 4.88] | 2 studies · 131 participants | Very low |
Antioxidant vs placebo SAEs (assessed as number of participants experiencing a SAE) · adults with multiple sclerosis, defined by established criteria Dietary interventions for multiple sclerosis‐related outcomes (2020) · Cochrane | RR 0.72 [0.17, 3.08] | 3 studies · 222 participants | Low |
Polyunsaturated fatty acid (PUFA) vs monounsaturated fatty acid (MUFA) Change in validated disability scale ( · adults with multiple sclerosis, defined by established criteria Dietary interventions for multiple sclerosis‐related outcomes (2020) · Cochrane | no estimate extracted | 2 studies · 102 participants | Very low |
Polyunsaturated fatty acid (PUFA) vs monounsaturated fatty acid (MUFA) Global impression of deterioration (investigator defined global impression of deterioration) · adults with multiple sclerosis, defined by established criteria Dietary interventions for multiple sclerosis‐related outcomes (2020) · Cochrane | RR 0.85 [0.71, 1.03] | 4 studies · 542 participants | Low |
Polyunsaturated fatty acid (PUFA) vs monounsaturated fatty acid (MUFA) MRI activity ‐ not measured · adults with multiple sclerosis, defined by established criteria Dietary interventions for multiple sclerosis‐related outcomes (2020) · Cochrane | no estimate extracted | NR | No studies |
Polyunsaturated fatty acid (PUFA) vs monounsaturated fatty acid (MUFA) SAEs (assessed as number of participants experiencing a SAE) · adults with multiple sclerosis, defined by established criteria Dietary interventions for multiple sclerosis‐related outcomes (2020) · Cochrane | no estimate extracted | 1 study · 40 participants | Low |
Omega‐3 vs omega‐6 Relapse(assessed as number of participants experiencing relapse) · adults with multiple sclerosis, defined by established criteria Dietary interventions for multiple sclerosis‐related outcomes (2020) · Cochrane | RR 1.02 [0.62, 1.66] | 2 studies · 129 participants | Low |
Omega‐3 vs omega‐6 Change in validated disability scale ( · adults with multiple sclerosis, defined by established criteria Dietary interventions for multiple sclerosis‐related outcomes (2020) · Cochrane | no estimate extracted | 3 studies · 166 participants | Low |
Omega‐3 vs omega‐6 Global impression of deterioration (investigator defined global impression of deterioration) · adults with multiple sclerosis, defined by established criteria Dietary interventions for multiple sclerosis‐related outcomes (2020) · Cochrane | RR 0.99 [0.51, 1.91] | 1 study · 86 participants | Moderate |
Omega‐3 vs omega‐6 MRI activity(assessed by new gadolinium‐enhancing lesions) · adults with multiple sclerosis, defined by established criteria Dietary interventions for multiple sclerosis‐related outcomes (2020) · Cochrane | no estimate extracted | 1 study · 86 participants | Moderate |
Standard valve vs anti‐syphon valve Treatment failure: morbidity associated with shunt placement that led to shunt revision · participants with hydrocephalus Ventriculo‐peritoneal shunting devices for hydrocephalus (2020) · Cochrane | no estimate extracted | 3 studies · 296 participants | Very low |
Intervention NR Quality of life · participants with hydrocephalus Ventriculo‐peritoneal shunting devices for hydrocephalus (2020) · Cochrane | no estimate extracted | NR | No studies |
Standard valve vs self‐adjusting CSF flow‐regulating valve Treatment failure: morbidity associated with shunt placement that led to shunt revision · participants with hydrocephalus Ventriculo‐peritoneal shunting devices for hydrocephalus (2020) · Cochrane | no estimate extracted | 1 study · 229 participants | Low |
Standard valve vs self‐adjusting CSF flow‐regulating valve Adverse events: morbidity related to the shunt placement that has not led to shunt revision · participants with hydrocephalus Ventriculo‐peritoneal shunting devices for hydrocephalus (2020) · Cochrane | no estimate extracted | 1 study · 229 participants | Low |
Standard valve vs self‐adjusting CSF flow‐regulating valve Mortality In the early postoperative period (≤ 30 days) · participants with hydrocephalus Ventriculo‐peritoneal shunting devices for hydrocephalus (2020) · Cochrane | no estimate extracted | 1 study · 229 participants | Low |
Standard valve vs self‐adjusting CSF flow‐regulating valve Mortality Beyond the early postoperative period (> 30 days) · participants with hydrocephalus Ventriculo‐peritoneal shunting devices for hydrocephalus (2020) · Cochrane | no estimate extracted | 1 study · 229 participants | Low |
Standard valve vs self‐adjusting CSF flow‐regulating valve Quality of life · participants with hydrocephalus Ventriculo‐peritoneal shunting devices for hydrocephalus (2020) · Cochrane | no estimate extracted | NR | No studies |
External differential programmable pressure valve vs non‐programmable valves Treatment failure: morbidity associated with shunt placement that led to shunt revision · participants with hydrocephalus Ventriculo‐peritoneal shunting devices for hydrocephalus (2020) · Cochrane | no estimate extracted | 1 study · 377 participants | Low |
External differential programmable pressure valve vs non‐programmable valves Adverse events: morbidity related to the shunt placement that has not led to shunt revision · participants with hydrocephalus Ventriculo‐peritoneal shunting devices for hydrocephalus (2020) · Cochrane | no estimate extracted | 1 study · 377 participants | Low |
External differential programmable pressure valve vs non‐programmable valves Mortality In the early postoperative period (≤30 days) · participants with hydrocephalus Ventriculo‐peritoneal shunting devices for hydrocephalus (2020) · Cochrane | no estimate extracted | NR | No studies |
External differential programmable pressure valve vs non‐programmable valves Mortality Beyond the early postoperative period (>30 days) · participants with hydrocephalus Ventriculo‐peritoneal shunting devices for hydrocephalus (2020) · Cochrane | no estimate extracted | NR | No studies |
Standard valve vs anti‐syphon valve Adverse events: morbidity related to the shunt placement that has not led to shunt revision · participants with hydrocephalus Ventriculo‐peritoneal shunting devices for hydrocephalus (2020) · Cochrane | no estimate extracted | 1 study · 229 participants | Low |
External differential programmable pressure valve vs non‐programmable valves Quality of life · participants with hydrocephalus Ventriculo‐peritoneal shunting devices for hydrocephalus (2020) · Cochrane | no estimate extracted | NR | No studies |
Standard valve vs anti‐syphon valve Mortality In the early postoperative period (≤ 30 days) · participants with hydrocephalus Ventriculo‐peritoneal shunting devices for hydrocephalus (2020) · Cochrane | no estimate extracted | 1 study · 229 participants | Low |
Standard valve vs anti‐syphon valve Mortality Beyond the early postoperative period (> 30 days) · participants with hydrocephalus Ventriculo‐peritoneal shunting devices for hydrocephalus (2020) · Cochrane | no estimate extracted | 1 study · 229 participants | Low |
Standard valve vs anti‐syphon valve Quality of life · participants with hydrocephalus Ventriculo‐peritoneal shunting devices for hydrocephalus (2020) · Cochrane | no estimate extracted | NR | No studies |
Intervention NR Treatment failure: morbidity associated with shunt placement that led to shunt revision · participants with hydrocephalus Ventriculo‐peritoneal shunting devices for hydrocephalus (2020) · Cochrane | no estimate extracted | 2 studies · 174 participants | Very low |
Intervention NR Adverse events: morbidity related to the shunt placement that has not led to shunt revision · participants with hydrocephalus Ventriculo‐peritoneal shunting devices for hydrocephalus (2020) · Cochrane | no estimate extracted | 0 studies · 0 participants | Ungraded |
Intervention NR Mortality In the early postoperative period (≤ 30 days) · participants with hydrocephalus Ventriculo‐peritoneal shunting devices for hydrocephalus (2020) · Cochrane | no estimate extracted | 2 studies · 174 participants | Very low |
Intervention NR Mortality Beyond the early postoperative period (> 30 days) · participants with hydrocephalus Ventriculo‐peritoneal shunting devices for hydrocephalus (2020) · Cochrane | no estimate extracted | 1 study · 90 participants | Very low |
Intervention NR Proportion of participants who experienced operative or postoperative serious adverse events · patients with multiple sclerosis and chronic cerebrospinal venous insufficiency (CCSVI) Percutaneous transluminal angioplasty for treatment of chronic cerebrospinal venous insufficiency (CCSVI) in… (2019) · Cochrane | RR 3.33 [0.36, 30.44] | 3 studies · 238 participants | Moderate |
Intervention NR Proportion of participants who experienced improvement of composite functional endpoint over 12 months · patients with multiple sclerosis and chronic cerebrospinal venous insufficiency (CCSVI) Percutaneous transluminal angioplasty for treatment of chronic cerebrospinal venous insufficiency (CCSVI) in… (2019) · Cochrane | RR 0.84 [0.55, 1.3] | 1 study · 110 participants | Moderate |
Intervention NR Proportion of participants who experienced new relapses over 12 months · patients with multiple sclerosis and chronic cerebrospinal venous insufficiency (CCSVI) Percutaneous transluminal angioplasty for treatment of chronic cerebrospinal venous insufficiency (CCSVI) in… (2019) · Cochrane | RR 0.87 [0.51, 1.49] | 3 studies · 235 participants | Moderate |
Exercise vs control (post‐intervention) Falls rate Falls were measured using prospective daily diaries, prospective monthly calendars or retrospectively. Falls rate calculation= number of falls/number in group * (number of days/365) The timing of measurement was post‐intervention for al... · people with multiple sclerosis (including people with relapsing‐remitting, secondary progressive or primary… Interventions for preventing falls in people with multiple sclerosis (2019) · Cochrane | Rate ratio 0.68 [0.43, 1.06] | 5 studies · 399 participants | Very low |
Exercise vs control (post‐intervention) Number of fallers Falls were measured using prospective daily diaries, prospective monthly calendars or retrospectively The timing of measurement was post‐intervention for all studies · people with multiple sclerosis (including people with relapsing‐remitting, secondary progressive or primary… Interventions for preventing falls in people with multiple sclerosis (2019) · Cochrane | RR 0.85 [0.51, 1.43] | 5 studies · 355 participants | Low |
Exercise vs control (post‐intervention) Adverse events The timing of measurement was post‐intervention for all studies · people with multiple sclerosis (including people with relapsing‐remitting, secondary progressive or primary… Interventions for preventing falls in people with multiple sclerosis (2019) · Cochrane | RR 1.25 [0.26, 6.03] | 3 studies · 97 participants | Low |