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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 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 extracted2 studies · 2400 participantsLow
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 extracted2 studies · 450 participantsVery 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 participantsVery 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 extractedNRNo 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 extractedNRNo 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 extractedNRNo 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 extractedNRNo 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 extracted1 study · 94 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
RR 1.61 [0.5, 5.23]4 studies · 2550 participantsVery 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 extractedNRNo 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 extracted1 study · 89 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 extractedNRNo 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 participantsModerate
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 participantsModerate
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 participantsLow
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 extracted5 studies · 270 participantsModerate
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 participantsLow
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 extractedNRNo 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 extracted0 participantsUngraded
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 extracted1 study · 51 participantsVery 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 extracted1 study · 106 participantsVery low
Intervention NR
All‐cause mortality
Oxandrolone for growth hormone‐treated girls aged up to 18 years with Turner syndrome (2019) · Cochrane
no estimate extractedNRNo 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 extracted10 studies · 956 participantsVery 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 extractedNRNo 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 participantsLow
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 extracted3 studies · 97 participantsVery 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 participantsVery 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 extractedNRNo 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 extractedNRNo 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 extractedNRNo 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 extracted4 participantsUngraded
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 participantsVery 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 participantsVery 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 extracted1 study · 233 participantsVery 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 participantsVery 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 extracted1 study · 64 participantsVery 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 extractedNRNo 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 participantsLow
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 participantsLow
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 participantsLow
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 extracted3 studies · 874 participantsLow
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 participantsVery 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 extracted2 studies · 446 participantsLow
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 participantsLow
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 extractedNRNo 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 participantsVery 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 participantsVery 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 extractedNRNo 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 participantsVery 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 extracted3 studies · 1251 participantsVery low