Cochrane · systematic review · CD001023
Surgical portosystemic shunts versus transjugular intrahepatic portosystemic shunt for variceal haemorrhage in people with cirrhosis
Brand, M, Prodehl, L, Ede, CJ · Cochrane Database of Systematic Reviews · 2018 · 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
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 1 · 14.3%Very low 6 · 85.7%Low 0 · 0%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
Surgical portosystemic shunts compared to transjugular intrahepatic portosystemic shunt (TIPS) for variceal haemorrhage
Population: people with cirrhotic portal hypertension
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
All‐cause mortality at 30 days Surgical portosystemic shunts vs transjugular intrahepatic portosystemic shunt (TIPS) | RR 0.94 [0.44, 1.99] | 4 studies · 496 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
All‐cause mortality at 5 years Surgical portosystemic shunts vs transjugular intrahepatic portosystemic shunt (TIPS) | RR 0.61 [0.42, 0.9] | 4 studies · 496 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Number of participants with Variceal rebleeding episodes at 30 days Surgical portosystemic shunts vs transjugular intrahepatic portosystemic shunt (TIPS) | RR 0.18 [0.07, 0.49] | 4 studies · 496 participants | Very low Downgraded: risk of bias, imprecision, publication bias |
Number of participants with reintervention at 5 years Surgical portosystemic shunts vs transjugular intrahepatic portosystemic shunt (TIPS) | RR 0.13 [0.06, 0.28] | 4 studies · 496 participants | Very low Downgraded: risk of bias, imprecision, publication bias |
Irreversible shunt occlusion at 5 years Surgical portosystemic shunts vs transjugular intrahepatic portosystemic shunt (TIPS) | RR 0.14 [0.04, 0.51] | 4 studies · 496 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Number of participants with encephalopathy at 5 years Surgical portosystemic shunts vs transjugular intrahepatic portosystemic shunt (TIPS) | RR 0.56 [0.27, 1.16] | 4 studies · 496 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Health‐related quality of life Surgical portosystemic shunts vs transjugular intrahepatic portosystemic shunt (TIPS) | no estimate extracted | 2 studies · 210 participants | Ungraded |