Cochrane · systematic review · CD000467

Calcium channel blockers for primary and secondary Raynaud's phenomenon

Rirash, F, Tingey, PC, Harding, SE, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

MusculoskeletalAMSTAR 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
7
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 1 · 14.3%Very low 0 · 0%Low 3 · 42.9%Moderate 3 · 42.9%High 0 · 0%

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

Calcium channel blockers compared with placebo for treatment of Raynaud's phenomenon

Population: patients with Raynaud's phenomenon
7 questions
OutcomeEffectEvidenceStatus / GRADE
Frequency of attacks Average number of attacks/week
Calcium channel blockers vs placebo
no estimate extracted23 studies · 528 participantsModerate
Downgraded: inconsistency
Duration of attacks Average duration per attack measured in minutes
Calcium channel blockers vs placebo
no estimate extracted6 studies · 69 participantsLow
Downgraded: imprecision, inconsistency
Severity of attacks Average severity per attack assessed on a 10‐cm visual analogue scale (0 = no symptoms, 10 = maximal severity)
Calcium channel blockers vs placebo
no estimate extracted18 studies · 415 participantsModerate
Downgraded: inconsistency
Pain Average pain per attack, measured on a 10‐cm visual analogue scale (0 = no pain, 10 = maximal pain)
Calcium channel blockers vs placebo
no estimate extracted4 studies · 62 participantsLow
Downgraded: imprecision, inconsistency
Patient global Disability due to Raynaud's assessed on a 10‐cm visual analogue scale (0 = no disability, 10 = maximal disability)
Calcium channel blockers vs placebo
no estimate extracted2 studies · 92 participantsModerate
Downgraded: imprecision
Number of withdrawals due to adverse events Number of participants who dropped out of studies owing to adverse treatment effects
Calcium channel blockers vs placebo
RR 1.3 [0.51, 3.33]2 studies · 63 participantsLow
Downgraded: risk of bias, imprecision
Serious adverse events Number of participants who died or withdrew and were hospitalized as a result of adverse effects of treatment
Calcium channel blockers vs placebo
no estimate extracted0 studies · 0 participantsUngraded