Cochrane · systematic review · CD000551

Ursodeoxycholic acid for primary biliary cirrhosis

Rudic, JS, Poropat, G, Krstic, MN, et al. · Cochrane Database of Systematic Reviews · 2012 · Cochrane Library

Hepato-BiliaryAMSTAR 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
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 5 · 71.4%Low 2 · 28.6%Moderate 0 · 0%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

Ursodeoxycholic acid compared with placebo or no intervention for primary biliary cirrhosis

Population: patients with primary biliary cirrhosis.
7 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortality
Ursodeoxycholic acid vs placebo or no intervention
RR 0.97 [0.67, 1.42]14 studies · 1391 participantsVery low
All‐cause mortality or liver transplantation
Ursodeoxycholic acid vs placebo or no intervention
RR 0.96 [0.74, 1.25]15 studies · 1419 participantsVery low
Downgraded: imprecision
Serious adverse events
Ursodeoxycholic acid vs placebo or no intervention
RR 0.87 [0.68, 1.12]14 studies · 1382 participantsVery low
Downgraded: imprecision
Non‐serious adverse events
Ursodeoxycholic acid vs placebo or no intervention
RR 1.46 [0.83, 2.56]12 studies · 1277 participantsVery low
Downgraded: imprecision
Pruritus
Ursodeoxycholic acid vs placebo or no intervention
RR 0.96 [0.84, 1.09]6 studies · 630 participantsLow
Downgraded: imprecision
Serum bilirubin (µmol/l)
Ursodeoxycholic acid vs placebo or no intervention
no estimate extracted9 studies · 881 participantsLow
Downgraded: imprecision, indirectness
Liver biopsy findings (worsening of histological stage)
Ursodeoxycholic acid vs placebo or no intervention
RR 0.62 [0.44, 0.88]7 studies · 551 participantsVery low
Downgraded: imprecision, inconsistency