Cochrane · systematic review · CD003633

Botulinum toxin type A therapy for cervical dystonia

Rodrigues, FB, Duarte, GS, Marques, RE, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

Movement Disorders2 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
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 14.3%Low 0 · 0%Moderate 4 · 57.1%High 2 · 28.6%

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

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Botulinum toxin type A compared to placebo for cervical dystonia

Population: cervical dystonia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Cervical dystonia‐specific improvement
Botulinum toxin type A vs placebo
no estimate extractedNRModerate
Downgraded: risk of bias
Adverse events at 4 weeks; 1085 participants (8 RCTs)
Botulinum toxin type A vs placebo
RR 1.23 [1.05, 1.43]NRModerate
Downgraded: risk of bias
Subjective participant assessment at 4 weeks; 755 participants(6 RCTs)
Botulinum toxin type A vs placebo
RR 2.19 [1.78, 2.7]NRHigh
Cervical dystonia‐specific pain
Botulinum toxin type A vs placebo
no estimate extractedNRModerate
Downgraded: risk of bias
Tolerability assessed as dropouts at 4 to 6 weeks: 705 participants (5 RCTs)
Botulinum toxin type A vs placebo
RR 0.48 [0.32, 0.73]NRHigh
Health‐related quality of life
Botulinum toxin type A vs placebo
no estimate extractedNRModerate
Downgraded: risk of bias
Duration of effect 618 participants (5 RCTs)
Botulinum toxin type A vs placebo
no estimate extractedNRVery low
Downgraded: risk of bias