Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

1,324 questions · 1,405 findings · 189 reviews

No studies found 402 · 28.6%GRADE not reported 294 · 20.9%Very low 323 · 23%Low 232 · 16.5%Moderate 117 · 8.3%High 37 · 2.6%

Summary of findings table ‐ Prothrombin complex concentrates vs any comparator

Number of new occurrences of RBC transfusion · patients with vitamin K antagonist‐induced bleeding requiring acute intervention

It is very uncertain whether prothrombin complex concentrate changes number of new occurrences of RBC transfusion compared with any comparator (very low certainty).

1 finding from 1 review

Intervention not reported

Arterial thromboembolic events ( · any patients with conditions outside the marketing license for the intervention, particularly those at risk of bleeding or those whose…

The intervention probably leads to higher arterial thromboembolic events ( (moderate certainty).

1 finding from 1 review

Intervention not reported

Number of patients transfused ( · any patients with conditions outside the marketing license for the intervention, particularly those at risk of bleeding or those whose…

The intervention showed no clear difference in number of patients transfused ( (low certainty).

1 finding from 1 review

Intervention not reported

Total thromboembolic events ( · any patients with conditions outside the marketing license for the intervention, particularly those at risk of bleeding or those whose…

The intervention showed no clear difference in total thromboembolic events ( (moderate certainty).

1 finding from 1 review

Intervention not reported

Numbers of patients with reduced bleeding ( · any patients with conditions outside the marketing license for the intervention, particularly those at risk of bleeding or those whose…

The intervention showed no clear difference in numbers of patients with reduced bleeding ( (low certainty).

1 finding from 1 review

Intervention not reported

Total thromboembolic events ( · any patients with conditions outside the marketing license for the intervention, particularly those at risk of bleeding or those whose…

The intervention showed no clear difference in total thromboembolic events ( (moderate certainty).

1 finding from 1 review

Physiotherapy (tongue-spatula jaw exercises) vs No active treatment (control)

Maximal mouth opening (interincisal distance) · People of any age with a confirmed diagnosis, by clinical examination and biopsy, of oral submucous fibrosis (OSF)

It is very uncertain whether physiotherapy (tongue-spatula jaw exercises) changes maximal mouth opening (interincisal distance) compared with no active treatment (very low certainty).

1 finding from 1 review

Intralesional steroid injection plus adjunctive treatment vs steroid injection

Maximal mouth opening (interincisal distance) · People of any age with a confirmed diagnosis, by clinical examination and biopsy, of oral submucous fibrosis (OSF)

Intralesional steroid injection plus adjunctive treatment showed no clear difference in maximal mouth opening (interincisal distance) compared with intralesional steroid injection alone (low certainty).

2 findings from 1 review

Topical curcumin gel vs Topical aloe vera gel

Maximal mouth opening (interincisal distance) · People of any age with a confirmed diagnosis, by clinical examination and biopsy, of oral submucous fibrosis (OSF)

It is very uncertain whether topical curcumin gel changes maximal mouth opening (interincisal distance) compared with topical aloe vera gel (very low certainty).

1 finding from 1 review

Buccal fat pad pedicle plus placental extract vs Buccal fat pad pedicle alone

Maximal mouth opening (interincisal distance) · People of any age with a confirmed diagnosis, by clinical examination and biopsy, of oral submucous fibrosis (OSF)

It is very uncertain whether buccal fat pad pedicle plus placental extract changes maximal mouth opening (interincisal distance) compared with buccal fat pad pedicle alone (very low certainty).

1 finding from 1 review

Antioxidants (lycopene, curcumin, Oxitard) vs Placebo or no active treatment

Participant-reported resumption of normal eating, chewing and speech · People of any age with a confirmed diagnosis, by clinical examination and biopsy, of oral submucous fibrosis (OSF)

The review found no eligible studies for this question.

1 finding from 1 review

Vasodilator vs Placebo or no active treatment

Maximal mouth opening (interincisal distance) · People of any age with a confirmed diagnosis, by clinical examination and biopsy, of oral submucous fibrosis (OSF)

It is very uncertain whether vasodilators (isoxsuprine, xanthinol nicotinate) changes maximal mouth opening (interincisal distance) compared with placebo or no active treatment (very low certainty).

2 findings from 1 review