What do systematic reviews say?

Low vs standard dose valganciclovir

Low showed no clear difference in all‐cause death compared with standard dose valganciclovir (low certainty).

• Antiviral medications for preventing cytomegalovirus disease in solid organ transplant recipients 2024 · Cochrane Headline outcomes only
  RR 0.2 [0.11, 4.11]
  1 study · 196 participants
  Low

Low vs standard dose valganciclovir

Low showed no clear difference in CMV infection compared with standard dose valganciclovir (low certainty).

• Antiviral medications for preventing cytomegalovirus disease in solid organ transplant recipients 2024 · Cochrane Headline outcomes only
  RR 0.37 [0.11, 1.22]
  2 studies · 256 participants
  Low

Low vs standard dose valganciclovir

Low showed no clear difference in acute rejection compared with standard dose valganciclovir (low certainty).

• Antiviral medications for preventing cytomegalovirus disease in solid organ transplant recipients 2024 · Cochrane Headline outcomes only
  RR 0.33 [0.07, 1.61]
  1 study · 196 participants
  Low

Low vs standard dose valganciclovir

Low showed no clear difference in graft loss compared with standard dose valganciclovir (low certainty).

• Antiviral medications for preventing cytomegalovirus disease in solid organ transplant recipients 2024 · Cochrane Headline outcomes only
  RR 1 [0.06, 15.76]
  1 study · 196 participants
  Low

Low vs standard dose valganciclovir

The review found no eligible studies for this question.

• Antiviral medications for preventing cytomegalovirus disease in solid organ transplant recipients 2024 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found

Low vs standard dose valganciclovir

The review found no eligible studies for this question.

• Antiviral medications for preventing cytomegalovirus disease in solid organ transplant recipients 2024 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found

Low vs higher dose target of rapamycin inhibitor (TOR‐ I): secondary outcomes

Low showed no clear difference in death (all causes) compared with higher dose target of rapamycin inhibitor (TOR‐I): primary outcomes (moderate certainty).

• Target of rapamycin inhibitors (TOR‐I; sirolimus and everolimus) for primary immunosuppression in kidney transplant… 2019 · Cochrane Headline outcomes only
  RR 0.89 [0.63, 1.25]
  13 studies · 3894 participants
  Moderate

Low vs higher dose target of rapamycin inhibitor (TOR‐ I): secondary outcomes

Low showed no clear difference in total graft loss (with death) compared with higher dose target of rapamycin inhibitor (TOR‐I): primary outcomes (moderate certainty).

• Target of rapamycin inhibitors (TOR‐I; sirolimus and everolimus) for primary immunosuppression in kidney transplant… 2019 · Cochrane Headline outcomes only
  RR 0.84 [0.67, 1.06]
  11 studies · 3476 participants
  Moderate

Low vs higher dose target of rapamycin inhibitor (TOR‐ I): secondary outcomes

Low probably leads to higher biopsy‐proven acute rejection compared with higher dose target of rapamycin inhibitor (TOR‐I): primary outcomes (moderate certainty).

• Target of rapamycin inhibitors (TOR‐I; sirolimus and everolimus) for primary immunosuppression in kidney transplant… 2019 · Cochrane Headline outcomes only
  RR 1.26 [1.1, 1.43]
  11 studies · 3731 participants
  Moderate

Low vs higher dose target of rapamycin inhibitor (TOR‐ I): secondary outcomes

Low showed no clear difference in CMV infection compared with higher dose target of rapamycin inhibitor (TOR‐I): primary outcomes (moderate certainty).

• Target of rapamycin inhibitors (TOR‐I; sirolimus and everolimus) for primary immunosuppression in kidney transplant… 2019 · Cochrane Headline outcomes only
  RR 0.87 [0.63, 1.21]
  9 studies · 3099 participants
  Moderate

Low vs higher dose target of rapamycin inhibitor (TOR‐ I): secondary outcomes

Low showed no clear difference in all malignancy compared with higher dose target of rapamycin inhibitor (TOR‐I): primary outcomes (moderate certainty).

• Target of rapamycin inhibitors (TOR‐I; sirolimus and everolimus) for primary immunosuppression in kidney transplant… 2019 · Cochrane Headline outcomes only
  RR 0.84 [0.54, 1.32]
  10 studies · 3175 participants
  Moderate

Low vs higher dose target of rapamycin inhibitor (TOR‐ I): secondary outcomes

Low showed no clear difference in number needing to change treatment compared with higher dose target of rapamycin inhibitor (TOR‐I): primary outcomes (low certainty).

• Target of rapamycin inhibitors (TOR‐I; sirolimus and everolimus) for primary immunosuppression in kidney transplant… 2019 · Cochrane Headline outcomes only
  RR 0.91 [0.78, 1.05]
  10 studies · 3652 participants
  Low

Low vs higher dose target of rapamycin inhibitor (TOR‐ I): secondary outcomes

Low probably leads to lower diabetes compared with higher dose target of rapamycin inhibitor (TOR‐ I): secondary outcomes (moderate certainty).

• Target of rapamycin inhibitors (TOR‐I; sirolimus and everolimus) for primary immunosuppression in kidney transplant… 2019 · Cochrane Headline outcomes only
  RR 0.69 [0.51, 0.93]
  6 studies · 2125 participants
  Moderate

Low vs higher dose target of rapamycin inhibitor (TOR‐ I): secondary outcomes

Low showed no clear difference in lymphoma/PTLD compared with higher dose target of rapamycin inhibitor (TOR‐ I): secondary outcomes (moderate certainty).

• Target of rapamycin inhibitors (TOR‐I; sirolimus and everolimus) for primary immunosuppression in kidney transplant… 2019 · Cochrane Headline outcomes only
  RR 0.66 [0.25, 1.73]
  7 studies · 2792 participants
  Moderate

Low vs higher dose target of rapamycin inhibitor (TOR‐ I): secondary outcomes

Low showed no clear difference in acne/rash compared with higher dose target of rapamycin inhibitor (TOR‐ I): secondary outcomes (low certainty).

• Target of rapamycin inhibitors (TOR‐I; sirolimus and everolimus) for primary immunosuppression in kidney transplant… 2019 · Cochrane Headline outcomes only
  RR 0.86 [0.62, 1.21]
  6 studies · 2958 participants
  Low

Low vs higher dose target of rapamycin inhibitor (TOR‐ I): secondary outcomes

• Target of rapamycin inhibitors (TOR‐I; sirolimus and everolimus) for primary immunosuppression in kidney transplant… 2019 · Cochrane Headline outcomes only
  no estimate extracted
  7 studies · 1863 participants
  Low

Low vs higher dose target of rapamycin inhibitor (TOR‐ I): secondary outcomes

Low probably leads to lower hypercholesterolaemia compared with higher dose target of rapamycin inhibitor (TOR‐ I): secondary outcomes (moderate certainty).

• Target of rapamycin inhibitors (TOR‐I; sirolimus and everolimus) for primary immunosuppression in kidney transplant… 2019 · Cochrane Headline outcomes only
  RR 0.87 [0.78, 0.98]
  9 studies · 3250 participants
  Moderate

Low vs higher dose target of rapamycin inhibitor (TOR‐ I): secondary outcomes

Low may leads to lower anaemia compared with higher dose target of rapamycin inhibitor (TOR‐ I): secondary outcomes (low certainty).

• Target of rapamycin inhibitors (TOR‐I; sirolimus and everolimus) for primary immunosuppression in kidney transplant… 2019 · Cochrane Headline outcomes only
  RR 0.81 [0.72, 0.91]
  10 studies · 3179 participants
  Low

Low vs higher dose target of rapamycin inhibitor (TOR‐ I): secondary outcomes

Low may leads to lower thrombocytopenia compared with higher dose target of rapamycin inhibitor (TOR‐ I): secondary outcomes (low certainty).

• Target of rapamycin inhibitors (TOR‐I; sirolimus and everolimus) for primary immunosuppression in kidney transplant… 2019 · Cochrane Headline outcomes only
  RR 0.58 [0.44, 0.75]
  9 studies · 2242 participants
  Low

Very low protein diet vs low or normal protein diet

Very low protein diet showed no clear difference in death (all causes) compared with low or normal protein diet (moderate certainty).

• Low protein diets for non‐diabetic adults with chronic kidney disease 2020 · Cochrane Headline outcomes only
  RR 1.26 [0.62, 2.54]
  6 studies · 681 participants
  Moderate