Cochrane · systematic review · CD000253

Antioxidant vitamin and mineral supplements for preventing age‐related macular degeneration

Evans, JR, Lawrenson, JG · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

Eyes and Vision2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
28
current version
GRADE rated
15
No studies
13
Included studies
NR
No studies 13 · 46.4%Ungraded 0 · 0%Very low 4 · 14.3%Low 1 · 3.6%Moderate 6 · 21.4%High 4 · 14.3%

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.

Questions and results

Show all 2 versions

Vitamin E versus placebo

Population: general population
7 questions
OutcomeEffectEvidenceStatus / GRADE
Any AMD
Vitamin E vs placebo
RR 0.97 [0.9, 1.06]4 studies · 55614 participantsHigh
Late AMD (either neovascular AMD or geographic atrophy or both)
Vitamin E vs placebo
RR 1.22 [0.89, 1.67]4 studies · 55614 participantsModerate
Downgraded: imprecision
Neovascular AMD
Vitamin E vs placebo
RR 3.62 [0.77, 16.95]1 study · 941 participantsVery low
Downgraded: imprecision, inconsistency, indirectness
Geographic atrophy
Vitamin E vs placebo
RR 2.71 [0.28, 26]1 study · 941 participantsVery low
Downgraded: imprecision, inconsistency, indirectness
Quality of life
Vitamin E vs placebo
no estimate extractedNRNo studies
Adverse effects (AE)
Vitamin E vs placebo
no estimate extractedNRLow
Downgraded: imprecision, inconsistency, indirectness
Resource use and costs
Vitamin E vs placebo
no estimate extractedNRNo studies

Beta‐carotene versus placebo

Population: general population
7 questions
OutcomeEffectEvidenceStatus / GRADE
Any AMD
Beta‐carotene vs placebo
RR 1 [0.88, 1.14]2 studies · 22083 participantsHigh
Late AMD (either neovascular AMD or geographic atrophy or both)
Beta‐carotene vs placebo
RR 0.9 [0.65, 1.24]2 studies · 22083 participantsModerate
Downgraded: imprecision
Neovascular AMD
Beta‐carotene vs placebo
RR 0.61 [0.17, 2.15]1 study · 941 participantsVery low
Downgraded: imprecision, indirectness
Geographic atrophy
Beta‐carotene vs placebo
RR 0.31 [0.03, 2.93]1 study · 941 participantsVery low
Downgraded: imprecision, indirectness
Quality of life
Beta‐carotene vs placebo
no estimate extractedNRNo studies
Adverse effects
Beta‐carotene vs placebo
no estimate extractedNRHigh
Resource use and costs
Beta‐carotene vs placebo
no estimate extractedNRNo studies

Vitamin C versus placebo

Population: general population
7 questions
OutcomeEffectEvidenceStatus / GRADE
Any AMD
Vitamin C vs placebo
RR 0.96 [0.79, 1.18]1 study · 14236 participantsHigh
Late AMD (either neovascular AMD or geographic atrophy or both)
Vitamin C vs placebo
RR 0.94 [0.61, 1.46]1 study · 14236 participantsModerate
Downgraded: imprecision
Neovascular AMD
Vitamin C vs placebo
no estimate extractedNRNo studies
Geographic atrophy
Vitamin C vs placebo
no estimate extractedNRNo studies
Quality of life
Vitamin C vs placebo
no estimate extractedNRNo studies
Adverse effects
Vitamin C vs placebo
no estimate extractedNRNo studies
Resource use and costs
Vitamin C vs placebo
no estimate extractedNRNo studies

Multivitamin versus placebo

Population: general population
7 questions
OutcomeEffectEvidenceStatus / GRADE
Any AMD
Multivitamin vs placebo
RR 1.21 [1.02, 1.43]1 study · 14233 participantsModerate
Downgraded: imprecision
Late AMD
Multivitamin vs placebo
RR 1.22 [0.88, 1.69]1 study · 14233 participantsModerate
Downgraded: imprecision
Neovascular AMD
Multivitamin vs placebo
no estimate extractedNRNo studies
Geographic atrophy
Multivitamin vs placebo
no estimate extractedNRNo studies
Quality of life
Multivitamin vs placebo
no estimate extractedNRNo studies
Adverse effects
Multivitamin vs placebo
no estimate extractedNRModerate
Downgraded: imprecision
Resource use and costs
Multivitamin vs placebo
no estimate extractedNRNo studies