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)

1,105 questions in 84 reviews · Metabolic and Endocrine Disorders

current versions
No studies 434 · 39.3%Ungraded 32 · 2.9%Very low 246 · 22.3%Low 237 · 21.4%Moderate 132 · 11.9%High 24 · 2.2%

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
Summary of findings of metformin monotherapy for adults with type 2 diabetes mellitus: metformin vs sulphonylureas
Serious adverse events (SAE)
Metformin monotherapy for adults with type 2 diabetes mellitus (2020) · Cochrane
no estimate extracted3 studies · 3081 participantsVery low
Summary of findings: pioglitazone monotherapy vs another pharmacological glucose‐lowering monotherapy
All‐cause mortality · people at increased risk of developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
no estimate extractedNRNo studies
Summary of findings: pioglitazone monotherapy vs another pharmacological glucose‐lowering monotherapy
Metformin · people at increased risk of developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
no estimate extracted2 studies · 201 participantsLow
Summary of findings: pioglitazone monotherapy vs another pharmacological glucose‐lowering monotherapy
Acarbose · people at increased risk of developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
no estimate extracted1 study · 96 participantsVery low
Summary of findings: pioglitazone monotherapy vs another pharmacological glucose‐lowering monotherapy
Repaglinide · people at increased risk of developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
no estimate extracted1 study · 103 participantsLow
Summary of findings: pioglitazone monotherapy vs another pharmacological glucose‐lowering monotherapy
Cardiovascular mortality · people at increased risk of developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
no estimate extractedNRNo studies
Summary of findings: pioglitazone monotherapy vs another pharmacological glucose‐lowering monotherapy
Socioeconomic effects · people at increased risk of developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
no estimate extractedNRNo studies
Summary of findings: pioglitazone monotherapy vs intensive behaviour‐changing intervention
All‐cause mortality · people at increased risk for developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
no estimate extractedNRNo studies
Summary of findings: pioglitazone monotherapy vs intensive behaviour‐changing intervention
Incidence of T2DM (N) · people at increased risk for developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
no estimate extracted1 study · 96 participantsLow
Summary of findings: pioglitazone monotherapy vs intensive behaviour‐changing intervention
Serious adverse events (N) · people at increased risk for developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
no estimate extracted1 study · 103 participantsLow
Summary of findings: pioglitazone monotherapy vs intensive behaviour‐changing intervention
Cardiovascular mortality · people at increased risk for developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
no estimate extractedNRNo studies
Summary of findings: pioglitazone monotherapy vs intensive behaviour‐changing intervention
Non‐fatal myocardial infarction/stroke · people at increased risk for developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
no estimate extractedNRNo studies
Summary of findings: pioglitazone monotherapy vs another pharmacological glucose‐lowering monotherapy
Metformin · people at increased risk of developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
no estimate extractedNRNo studies
Summary of findings: pioglitazone monotherapy vs intensive behaviour‐changing intervention
Health‐related quality of life · people at increased risk for developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
no estimate extractedNRNo studies
Summary of findings: pioglitazone monotherapy vs intensive behaviour‐changing intervention
Socioeconomic effects · people at increased risk for developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
no estimate extractedNRNo studies
Summary of findings: pioglitazone monotherapy vs placebo
All‐cause mortality (N) · people at increased risk for developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
2.38 [0.54, 10.5]4 studies · 1156 participantsVery low
Summary of findings: pioglitazone monotherapy vs placebo
Incidence of T2DM (N) Diagnostic criteria: 3 studies applied the WHO 1999 criteria for 'prediabetes' (FPG > 6.1 mmol/L and < 7.0 mmol/L and/or a 2‐h glucose < 11.1 mmol/L after a 75 g OGTT; Attallah 2007; IDPP‐2; Xu 2011) · people at increased risk for developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
RR 0.4 [0.17, 0.95]6 studies · 1395 participantsLow
Summary of findings: pioglitazone monotherapy vs placebo
Serious adverse events (N) · people at increased risk for developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
3 [0.32, 28.22]2 studies · 187 participantsVery low
Summary of findings: pioglitazone monotherapy vs placebo
Cardiovascular mortality (N) · people at increased risk for developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
RR 5.14 [0.25, 106.28]4 studies · 1156 participantsVery low
Summary of findings: pioglitazone monotherapy vs placebo
Non‐fatal myocardial infarction/stroke (N) · people at increased risk for developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
RR 1.97 [0.18, 21.65]3 studies · 789 participantsVery low
Summary of findings: pioglitazone monotherapy vs placebo
Health‐related quality of life · people at increased risk for developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
no estimate extractedNRNo studies
Summary of findings: pioglitazone monotherapy vs placebo
Socioeconomic effects · people at increased risk for developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
no estimate extractedNRNo studies
Summary of findings: pioglitazone monotherapy vs no intervention
All‐cause mortality (N) · people at increased risk of developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
RR 0.85 [0.38, 1.91]3 studies · 866 participantsVery low
Summary of findings: pioglitazone monotherapy vs another pharmacological glucose‐lowering monotherapy
Acarbose · people at increased risk of developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
no estimate extractedNRNo studies
Summary of findings: pioglitazone monotherapy vs no intervention
Incidence of T2DM (N) Diagnostic criteria: 9 studies applied the WHO 1999 criteria for 'prediabetes' (FPG > 6.1 mmol/L and < 7.0 mmol/L and/or a 2‐h glucose < 11.1 mmol/L after a 75 g OGTT; Che 2014; Chen 2007a; Gao 2011; Ke 2006; Liang 2004; Xiu ... · people at increased risk of developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
RR 0.31 [0.23, 0.4]16 studies · 2053 participantsModerate
Summary of findings: pioglitazone monotherapy vs no intervention
Serious adverse events (N) · people at increased risk of developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
RR 0.71 [0.38, 1.32]7 studies · 1211 participantsLow
Summary of findings: pioglitazone monotherapy vs no intervention
Cardiovascular mortality · people at increased risk of developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
no estimate extractedNRNo studies
Summary of findings: pioglitazone monotherapy vs no intervention
Non‐fatal myocardial infarction/stroke · people at increased risk of developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
no estimate extractedNRNo studies
Summary of findings: pioglitazone monotherapy vs no intervention
Health‐related quality of life · people at increased risk of developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
no estimate extractedNRNo studies
Summary of findings: pioglitazone monotherapy vs no intervention
Socioeconomic effects · people at increased risk of developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
no estimate extractedNRNo studies
Summary of findings: pioglitazone monotherapy vs another pharmacological glucose‐lowering monotherapy
Repaglinide · people at increased risk of developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
no estimate extractedNRNo studies
Summary of findings: pioglitazone monotherapy vs another pharmacological glucose‐lowering monotherapy
Incidence of T2DM (N) · people at increased risk of developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
no estimate extracted2 participantsUngraded
Summary of findings: pioglitazone monotherapy vs another pharmacological glucose‐lowering monotherapy
Metformin Diagnostic criteria: 2 studies applied the WHO 1999 criteria for 'prediabetes' (FPG > 6.1 mmol/L and < 7.0 mmol/L and/or a 2‐h glucose < 11.1 mmol/L after a 75 g OGTT; Chen 2007a; Zeng 2013) · people at increased risk of developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
RR 0.98 [0.4, 2.38]3 studies · 331 participantsLow
Summary of findings: pioglitazone monotherapy vs another pharmacological glucose‐lowering monotherapy
Acarbose Diagnostic criteria: 1 study applied the WHO 1999 criteria for prediabetes (FPG > 6.1 mmol/L and < 7.0 mmol/L and/or a 2‐h glucose < 11.1 mmol/L after a 75 g OGTT; Chen 2007a) · people at increased risk of developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
no estimate extracted1 study · 96 participantsVery low
Summary of findings: pioglitazone monotherapy vs another pharmacological glucose‐lowering monotherapy
Repaglinide Diagnostic criteria: 1 study applied the ADA 2010 criteria (FPG ≥ 5.6 mmol/L and < 6.9 mmol/L and 2‐h glucose ≥ 7.8 mmol/L or < 11.0 mmol/L after a 75 g OGTT; Zhang 2007) · people at increased risk of developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
no estimate extracted1 study · 96 participantsLow
Summary of findings: pioglitazone monotherapy vs another pharmacological glucose‐lowering monotherapy
Serious adverse events (N) · people at increased risk of developing T2DM
Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people… (2020) · Cochrane
no estimate extractedNRNo studies
Summary of findings table for metformin vs diet and exercise or another antidiabetic drug
All‐cause mortality (N) · people at increased risk for developing type 2 diabetes
Metformin for prevention or delay of type 2 diabetes mellitus and its associated complications in persons at… (2019) · Cochrane
no estimate extractedNRNo studies
Summary of findings table for metformin vs diet and exercise or another antidiabetic drug
Thiazolidinediones Diagnostic criteria: 2 trials applied the WHO 1999 criteria (FPG ≥ 7.0 mmol/L and/or a 2‐hour glucose ≥ 11.1 mmol/L after a 75 g OGTT) (Jin 2009; Zeng 2013). No medical association recommended the cut‐off points applied in Maji ... · people at increased risk for developing type 2 diabetes
Metformin for prevention or delay of type 2 diabetes mellitus and its associated complications in persons at… (2019) · Cochrane
RR 0.99 [0.41, 2.4]3 studies · 320 participantsLow
Summary of findings table for metformin vs diet and exercise or another antidiabetic drug
Intensive diet plus exercises · people at increased risk for developing type 2 diabetes
Metformin for prevention or delay of type 2 diabetes mellitus and its associated complications in persons at… (2019) · Cochrane
no estimate extracted2 studies · 139 participantsVery low
Summary of findings table for metformin vs diet and exercise or another antidiabetic drug
Acarbose · people at increased risk for developing type 2 diabetes
Metformin for prevention or delay of type 2 diabetes mellitus and its associated complications in persons at… (2019) · Cochrane
no estimate extracted1 study · 101 participantsVery low
Summary of findings table for metformin vs diet and exercise or another antidiabetic drug
Thiazolidinediones · people at increased risk for developing type 2 diabetes
Metformin for prevention or delay of type 2 diabetes mellitus and its associated complications in persons at… (2019) · Cochrane
no estimate extracted1 study · 86 participantsVery low
Summary of findings table for metformin vs diet and exercise or another antidiabetic drug
Cardiovascular mortality · people at increased risk for developing type 2 diabetes
Metformin for prevention or delay of type 2 diabetes mellitus and its associated complications in persons at… (2019) · Cochrane
no estimate extractedNRNo studies
Summary of findings table for metformin vs diet and exercise or another antidiabetic drug
Placebo or diet and exercise · people at increased risk for developing type 2 diabetes
Metformin for prevention or delay of type 2 diabetes mellitus and its associated complications in persons at… (2019) · Cochrane
no estimate extracted2 studies · 2416 participantsVery low
Summary of findings table for metformin vs diet and exercise or another antidiabetic drug
Intensive diet plus exercise · people at increased risk for developing type 2 diabetes
Metformin for prevention or delay of type 2 diabetes mellitus and its associated complications in persons at… (2019) · Cochrane
no estimate extracted2 studies · 2400 participantsVery low
Summary of findings table for metformin vs diet and exercise or another antidiabetic drug
Acarbose · people at increased risk for developing type 2 diabetes
Metformin for prevention or delay of type 2 diabetes mellitus and its associated complications in persons at… (2019) · Cochrane
no estimate extractedNRNo studies
Summary of findings table for metformin vs diet and exercise or another antidiabetic drug
Placebo or diet and exercise Description: SF‐36 to evaluate the health utility index SF‐6D (physical component summaries and mental component summaries) Minimal important difference: difference in scores between groups of at least 3% · people at increased risk for developing type 2 diabetes
Metformin for prevention or delay of type 2 diabetes mellitus and its associated complications in persons at… (2019) · Cochrane
no estimate extracted1 study · 2144 participantsVery low
Summary of findings table for metformin vs diet and exercise or another antidiabetic drug
Intensive diet plus exercise · people at increased risk for developing type 2 diabetes
Metformin for prevention or delay of type 2 diabetes mellitus and its associated complications in persons at… (2019) · Cochrane
no estimate extractedNRNo studies
Summary of findings table for metformin vs diet and exercise or another antidiabetic drug
Placebo or diet and exercise · people at increased risk for developing type 2 diabetes
Metformin for prevention or delay of type 2 diabetes mellitus and its associated complications in persons at… (2019) · Cochrane
RR 1.11 [0.41, 3.01]5 studies · 2833 participantsVery low
Summary of findings table for metformin vs diet and exercise or another antidiabetic drug
Socioeconomic effects · people at increased risk for developing type 2 diabetes
Metformin for prevention or delay of type 2 diabetes mellitus and its associated complications in persons at… (2019) · Cochrane
no estimate extractedNRNo studies
Summary of findings table for metformin vs diet and exercise or another antidiabetic drug
Placebo or diet and exercise Description: direct medical costs · people at increased risk for developing type 2 diabetes
Metformin for prevention or delay of type 2 diabetes mellitus and its associated complications in persons at… (2019) · Cochrane
no estimate extracted2 studies · 2416 participantsLow