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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.
1,105 questions in 84 reviews · Metabolic and Endocrine Disorders
current versionsNo 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.
| Question | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Summary of findings table for metformin vs diet and exercise or another antidiabetic drug Intensive diet plus exercise Description: direct medical costs per participant · 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 extracted | 2 studies · 2400 participants | Low |
Summary of findings table for metformin plus intensive diet and exercise vs intensive diet and exercise 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 extracted | 2 studies · 450 participants | Very low |
Summary of findings table for metformin plus intensive diet and exercise vs intensive diet and exercise Incidence of type 2 diabetes mellitus (N) 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) (IDPP‐1 2006; Zhao 2013) · 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 0.55 [0.1, 2.92] | 2 studies · 332 participants | Very low |
Summary of findings table for metformin plus intensive diet and exercise vs intensive diet and exercise Serious adverse events · 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 extracted | NR | No studies |
Summary of findings table for metformin plus intensive diet and exercise vs intensive diet and exercise 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 extracted | NR | No studies |
Summary of findings table for metformin plus intensive diet and exercise vs intensive diet and exercise Non‐fatal myocardial infarction/stroke · 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 extracted | NR | No studies |
Summary of findings table for metformin plus intensive diet and exercise vs intensive diet and exercise Health‐related quality of life · 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 extracted | NR | No studies |
Summary of findings table for metformin plus intensive diet and exercise vs intensive diet and exercise Socioeconomic effects Description: direct medical costs per participant · 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 extracted | 1 study · 94 participants | Very 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 | RR 1.61 [0.5, 5.23] | 4 studies · 2550 participants | Very low |
Summary of findings table for metformin vs diet and exercise or another antidiabetic drug Sulphonylurea · 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 extracted | NR | No studies |
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 extracted | 1 study · 89 participants | Very 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 extracted | NR | No studies |
Summary of findings table for metformin vs diet and exercise or another antidiabetic drug Placebo or diet and exercise Diagnostic criteria: 3 trials applied the WHO 1985 criteria (FPG <7.8 mmol/L and 2‐hour glucose ≥7.8 mmol/L and <11.1 mmol/L after a 75 g OGTT) (Fang 2004; Li 1999; Lu 2002). 5 trials applied the WHO 1999 criteria (FPG... · 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 0.5 [0.38, 0.65] | 12 studies · 3632 participants | Moderate |
Summary of findings table for metformin vs diet and exercise or another antidiabetic drug Intensive diet plus exercise Diagnostic criteria: 1 trial applied the WHO 1985 criteria (FPG < 7.8 mmol/L and 2‐hour glucose ≥ 7.8 mmol/L and < 11.1 mmol/L) (Fang 2004) · 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 0.8 [0.47, 1.37] | 7 studies · 2960 participants | Moderate |
Summary of findings table for metformin vs diet and exercise or another antidiabetic drug Acarbose Diagnostic criteria: 1 trial applied the WHO 1985 criteria (FPG < 7.8 mmol/L and 2‐hour glucose ≥ 7.8 mmol/L and < 11.1 mmol/L) (Fang 2004). 1 trial applied the WHO 1999 criteria (FPG ≥ 7.0 mmol/L and/or a 2‐hpur glucose ≥ 11.1 mmol/L aft... · 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 1.72 [0.72, 4.14] | 3 studies · 295 participants | Low |
Intervention NR Improvement in final adult height (cm) Oxandrolone for growth hormone‐treated girls aged up to 18 years with Turner syndrome (2019) · Cochrane | no estimate extracted | 5 studies · 270 participants | Moderate |
Intervention NR Adverse events (N) Oxandrolone for growth hormone‐treated girls aged up to 18 years with Turner syndrome (2019) · Cochrane | RR 1.81 [0.83, 3.96] | 2 studies · 170 participants | Low |
Intervention NR Health‐related quality of life Oxandrolone for growth hormone‐treated girls aged up to 18 years with Turner syndrome (2019) · Cochrane | no estimate extracted | NR | No studies |
Intervention NR Effects on speech (voice frequency) Oxandrolone for growth hormone‐treated girls aged up to 18 years with Turner syndrome (2019) · Cochrane | no estimate extracted | 0 participants | Ungraded |
Intervention NR Effects on cognition(WISC‐R questionnaire) Oxandrolone for growth hormone‐treated girls aged up to 18 years with Turner syndrome (2019) · Cochrane | no estimate extracted | 1 study · 51 participants | Very low |
Intervention NR Effects on psychological status (several questionnaires) Oxandrolone for growth hormone‐treated girls aged up to 18 years with Turner syndrome (2019) · Cochrane | no estimate extracted | 1 study · 106 participants | Very low |
Intervention NR All‐cause mortality Oxandrolone for growth hormone‐treated girls aged up to 18 years with Turner syndrome (2019) · Cochrane | no estimate extracted | NR | No studies |
Summary of findings: fluoxetine vs placebo Weight loss (kg) (a) All fluoxetine dosages (b) Fluoxetine 60 mg/d(c) Fluoxetine 40 mg/d(d) Fluoxetine 20 mg/d · overweight or obese adults Fluoxetine for adults who are overweight or obese (2019) · Cochrane | no estimate extracted | 10 studies · 956 participants | Very low |
Summary of findings: fluoxetine vs placebo Health‐related quality of life · overweight or obese adults Fluoxetine for adults who are overweight or obese (2019) · Cochrane | no estimate extracted | NR | No studies |
Summary of findings: fluoxetine vs placebo Any adverse event (N) · overweight or obese adults Fluoxetine for adults who are overweight or obese (2019) · Cochrane | RR 1.18 [0.99, 1.42] | 9 studies · 1253 participants | Low |
Summary of findings: fluoxetine vs placebo Anthropometric measurements other than weight loss in kg (BMI reduction measured inkg/m²) · overweight or obese adults Fluoxetine for adults who are overweight or obese (2019) · Cochrane | no estimate extracted | 3 studies · 97 participants | Very low |
Summary of findings: fluoxetine vs placebo Morbidity: depression (N) · overweight or obese adults Fluoxetine for adults who are overweight or obese (2019) · Cochrane | RR 1.2 [0.57, 2.52] | 3 studies · 393 participants | Very low |
Summary of findings: fluoxetine vs placebo All‐cause mortality · overweight or obese adults Fluoxetine for adults who are overweight or obese (2019) · Cochrane | no estimate extracted | NR | No studies |
Summary of findings: fluoxetine vs placebo Socioeconomic effects · overweight or obese adults Fluoxetine for adults who are overweight or obese (2019) · Cochrane | no estimate extracted | NR | No studies |
Metformin‐sulphonylurea (second‐ or third‐generation) combination therapy vs metformin plus another antidiabetic drug All‐cause mortality (N) Metformin and second‐ or third‐generation sulphonylurea combination therapy for adults with type 2 diabetes… (2019) · Cochrane | no estimate extracted | NR | No studies |
Metformin‐sulphonylurea (second‐ or third‐generation) combination therapy vs metformin plus another antidiabetic drug M + GLP1‐A Metformin and second‐ or third‐generation sulphonylurea combination therapy for adults with type 2 diabetes… (2019) · Cochrane | no estimate extracted | 4 participants | Ungraded |
Metformin‐sulphonylurea (second‐ or third‐generation) combination therapy vs metformin plus another antidiabetic drug M + DPP4‐I Metformin and second‐ or third‐generation sulphonylurea combination therapy for adults with type 2 diabetes… (2019) · Cochrane | RR 2.21 [0.74, 6.58] | 4 studies · 5093 participants | Very low |
Metformin‐sulphonylurea (second‐ or third‐generation) combination therapy vs metformin plus another antidiabetic drug M + thiazolidinedione Metformin and second‐ or third‐generation sulphonylurea combination therapy for adults with type 2 diabetes… (2019) · Cochrane | RR 1.29 [0.67, 2.47] | 2 studies · 3123 participants | Very low |
Metformin‐sulphonylurea (second‐ or third‐generation) combination therapy vs metformin plus another antidiabetic drug M + nateglinide Metformin and second‐ or third‐generation sulphonylurea combination therapy for adults with type 2 diabetes… (2019) · Cochrane | no estimate extracted | 1 study · 233 participants | Very low |
Metformin‐sulphonylurea (second‐ or third‐generation) combination therapy vs metformin plus another antidiabetic drug M + SGLT2‐I Metformin and second‐ or third‐generation sulphonylurea combination therapy for adults with type 2 diabetes… (2019) · Cochrane | RR 0.87 [0.22, 3.34] | 2 studies · 2775 participants | Very low |
Metformin‐sulphonylurea (second‐ or third‐generation) combination therapy vs metformin plus another antidiabetic drug M + DPP4‐I Metformin and second‐ or third‐generation sulphonylurea combination therapy for adults with type 2 diabetes… (2019) · Cochrane | no estimate extracted | 1 study · 64 participants | Very low |
Metformin‐sulphonylurea (second‐ or third‐generation) combination therapy vs metformin plus another antidiabetic drug Health‐related quality of life Metformin and second‐ or third‐generation sulphonylurea combination therapy for adults with type 2 diabetes… (2019) · Cochrane | no estimate extracted | NR | No studies |
Metformin‐sulphonylurea (second‐ or third‐generation) combination therapy vs metformin plus another antidiabetic drug M + GLP1‐A Metformin and second‐ or third‐generation sulphonylurea combination therapy for adults with type 2 diabetes… (2019) · Cochrane | RR 1.15 [0.49, 2.67] | 3 studies · 2594 participants | Low |
Metformin‐sulphonylurea (second‐ or third‐generation) combination therapy vs metformin plus another antidiabetic drug M + DPP4‐I Metformin and second‐ or third‐generation sulphonylurea combination therapy for adults with type 2 diabetes… (2019) · Cochrane | RR 1.32 [0.76, 2.28] | 9 studies · 11694 participants | Low |
Metformin‐sulphonylurea (second‐ or third‐generation) combination therapy vs metformin plus another antidiabetic drug M + thiazolidinedione Metformin and second‐ or third‐generation sulphonylurea combination therapy for adults with type 2 diabetes… (2019) · Cochrane | RR 1.09 [0.85, 1.4] | 6 studies · 6654 participants | Low |
Metformin‐sulphonylurea (second‐ or third‐generation) combination therapy vs metformin plus another antidiabetic drug M + nateglinide Metformin and second‐ or third‐generation sulphonylurea combination therapy for adults with type 2 diabetes… (2019) · Cochrane | no estimate extracted | 3 studies · 874 participants | Low |
Metformin‐sulphonylurea (second‐ or third‐generation) combination therapy vs metformin plus another antidiabetic drug M + SGLT2‐I Metformin and second‐ or third‐generation sulphonylurea combination therapy for adults with type 2 diabetes… (2019) · Cochrane | RR 0.96 [0.44, 2.09] | 4 studies · 5134 participants | Very low |
Metformin‐sulphonylurea (second‐ or third‐generation) combination therapy vs metformin plus another antidiabetic drug M + nateglinide Metformin and second‐ or third‐generation sulphonylurea combination therapy for adults with type 2 diabetes… (2019) · Cochrane | no estimate extracted | 2 studies · 446 participants | Low |
Metformin‐sulphonylurea (second‐ or third‐generation) combination therapy vs metformin plus another antidiabetic drug M + nateglinide Metformin and second‐ or third‐generation sulphonylurea combination therapy for adults with type 2 diabetes… (2019) · Cochrane | RR 1.68 [0.54, 5.21] | 3 studies · 874 participants | Low |
Metformin‐sulphonylurea (second‐ or third‐generation) combination therapy vs metformin plus another antidiabetic drug Non‐fatal stroke (N) Metformin and second‐ or third‐generation sulphonylurea combination therapy for adults with type 2 diabetes… (2019) · Cochrane | no estimate extracted | NR | No studies |
Intraoperative neuromonitoring vs visual nerve identification only during thyroidectomy Permanent RILN palsy (nerves) Definition: injury detected clinically, by laryngoscopy or both, in which the motility of the vocal cords did not recover within 6 months after surgery Intraoperative neuromonitoring versus visual nerve identification for prevention of recurrent laryngeal… (2019) · Cochrane | RR 0.77 [0.33, 1.77] | 4 studies · 2895 participants | Very low |
Intraoperative neuromonitoring vs visual nerve identification only during thyroidectomy Transient RILN palsy (nerves) Definition: injury detected clinically, by laryngoscopy or both, in which the motility of the vocal cords recovered within 6 months after surgery Intraoperative neuromonitoring versus visual nerve identification for prevention of recurrent laryngeal… (2019) · Cochrane | RR 0.62 [0.35, 1.08] | 4 studies · 2895 participants | Very low |
Intraoperative neuromonitoring vs visual nerve identification only during thyroidectomy Health‐related quality of life Intraoperative neuromonitoring versus visual nerve identification for prevention of recurrent laryngeal… (2019) · Cochrane | no estimate extracted | NR | No studies |
Intraoperative neuromonitoring vs visual nerve identification only during thyroidectomy Adverse events other than RILN palsy (participants) Definition: transient hypoparathyroidism Intraoperative neuromonitoring versus visual nerve identification for prevention of recurrent laryngeal… (2019) · Cochrane | RR 1.25 [0.45, 3.47] | 2 studies · 286 participants | Very low |
Intraoperative neuromonitoring vs visual nerve identification only during thyroidectomy Operative time (min) Definition: time from the first skin incision to skin closure Intraoperative neuromonitoring versus visual nerve identification for prevention of recurrent laryngeal… (2019) · Cochrane | no estimate extracted | 3 studies · 1251 participants | Very low |