Cochrane · systematic review · CD004314

Botulinum toxin type A versus botulinum toxin type B for cervical dystonia

Duarte, GS, Castelão, M, Rodrigues, FB, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library

Movement DisordersAMSTAR 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
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 5 · 83.3%Moderate 1 · 16.7%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

Botulinum toxin type A versus botulinum toxin type B for adults with cervical dystonia

Population: adults with cervical dystonia
6 questions
OutcomeEffectEvidenceStatus / GRADE
Overall cervical dystonia improvement: change from baseline to week 4
Botulinum toxin type A vs botulinum toxin type B
no estimate extractedNRLow
Downgraded: imprecision
Participants with adverse events № of participants: 111 (1 RCT)
Botulinum toxin type A vs botulinum toxin type B
RR 1.4 [1, 1.96]NRLow
Downgraded: risk of bias, imprecision, inconsistency
Subjective change as assessed by the patient at week 4
Botulinum toxin type A vs botulinum toxin type B
no estimate extractedNRLow
Downgraded: risk of bias, imprecision, inconsistency
Cervical dystonia associated pain: change from baseline to week 2‐4
Botulinum toxin type A vs botulinum toxin type B
no estimate extractedNRLow
Downgraded: risk of bias, imprecision, inconsistency
Adverse events: sore throat/dry mouth № of participants: 212 (2 RCTs)
Botulinum toxin type A vs botulinum toxin type B
RR 4.39 [2.43, 7.91]NRModerate
Downgraded: risk of bias, imprecision, inconsistency
Adverse events: dysphagia № of participants: 249 (3 RCTs)
Botulinum toxin type A vs botulinum toxin type B
RR 2.89 [0.8, 10.41]NRLow
Downgraded: risk of bias, imprecision, inconsistency