Cochrane · systematic review · CD003038

Beta‐lactam versus beta‐lactam‐aminoglycoside combination therapy in cancer patients with neutropenia

Paul, M, Dickstein, Y, Schlesinger, A, et al. · Cochrane Database of Systematic Reviews · 2013 · Cochrane Library

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
4
current version
GRADE rated
4
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 1 · 25%Moderate 1 · 25%High 2 · 50%

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

beta‐lactam monotherapy compared to beta‐lactam‐aminoglycoside combination therapy for Febrile neutropenic cancer patients

Population: febrile neutropenic cancer patients.
4 questions
OutcomeEffectEvidenceStatus / GRADE
All cause mortality
beta‐lactam monotherapy vs beta‐lactam‐aminoglycoside combination therapy
RR 0.87 [0.75, 1.02]44 studies · 7186 participantsHigh
Any nephrotoxicity ‐ Ag dosing regimen (Copy)
beta‐lactam monotherapy vs beta‐lactam‐aminoglycoside combination therapy
RR 0.45 [0.35, 0.57]39 studies · 6608 participantsHigh
Treatment failure ‐ same beta‐lactam
beta‐lactam monotherapy vs beta‐lactam‐aminoglycoside combination therapy
RR 1.11 [1.02, 1.2]16 studies · 2833 participantsModerate
Treatment failure ‐ different beta‐lactam
beta‐lactam monotherapy vs beta‐lactam‐aminoglycoside combination therapy
RR 0.92 [0.88, 0.97]55 studies · 7736 participantsLow
Downgraded: risk of bias