Cochrane · systematic review · CD005134

Pentasaccharides for the prevention of venous thromboembolism

Dong, K, Song, Y, Li, X, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library

VascularAMSTAR 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
42
current version
GRADE rated
41
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 1 · 2.4%Very low 20 · 47.6%Low 8 · 19%Moderate 10 · 23.8%High 3 · 7.1%

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

Fondaparinux versus placebo for the prevention of venous thromboembolism

Population: people requiring prevention of venous thromboembolism
7 questions
OutcomeEffectEvidenceStatus / GRADE
Total VTE
Fondaparinux vs placebo
RR 0.24 [0.15, 0.38]8 studies · 5717 participantsModerate
Downgraded: inconsistency, publication bias
Symptomatic VTE
Fondaparinux vs placebo
RR 0.15 [0.06, 0.36]8 studies · 6503 participantsHigh
Total DVT
Fondaparinux vs placebo
RR 0.25 [0.15, 0.4]8 studies · 5715 participantsModerate
Downgraded: inconsistency, publication bias
Proximal DVT
Fondaparinux vs placebo
RR 0.12 [0.04, 0.39]7 studies · 2746 participantsModerate
Downgraded: imprecision, inconsistency, publication bias
Total PE
Fondaparinux vs placebo
RR 0.16 [0.04, 0.62]8 studies · 6412 participantsHigh
Major bleeding
Fondaparinux vs placebo
RR 2.56 [1.48, 4.44]8 studies · 6659 participantsModerate
Downgraded: imprecision, publication bias
All causes of death
Fondaparinux vs placebo
RR 0.76 [0.48, 1.22]8 studies · 6674 participantsModerate
Downgraded: imprecision, publication bias

Fondaparinux versus LMWH for the prevention of venous thromboembolism

Population: people requiring prevention of venous thromboembolism
7 questions
OutcomeEffectEvidenceStatus / GRADE
Total VTE
Fondaparinux vs LMWH
RR 0.55 [0.42, 0.73]11 studies · 9339 participantsModerate
Downgraded: inconsistency, publication bias
Symptomatic VTE
Fondaparinux vs LMWH
RR 1.03 [0.65, 1.63]9 studies · 12240 participantsModerate
Downgraded: imprecision, publication bias
Total DVT
Fondaparinux vs LMWH
RR 0.54 [0.4, 0.71]10 studies · 9356 participantsModerate
Downgraded: inconsistency, publication bias
Proximal DVT
Fondaparinux vs LMWH
RR 0.58 [0.33, 1.02]9 studies · 8361 participantsLow
Downgraded: imprecision, inconsistency, publication bias
Total PE
Fondaparinux vs LMWH
RR 1.24 [0.65, 2.34]10 studies · 12350 participantsModerate
Downgraded: imprecision, publication bias
Major bleeding
Fondaparinux vs LMWH
RR 1.38 [1.09, 1.75]11 studies · 12501 participantsHigh
All causes of death
Fondaparinux vs LMWH
RR 0.88 [0.63, 1.22]11 studies · 12400 participantsModerate
Downgraded: imprecision, publication bias

Fondaparinux versus variable dose warfarin for the prevention of venous thromboembolism

Population: patients requiring prevention of venous thromboembolism
7 questions
OutcomeEffectEvidenceStatus / GRADE
Total VTE
Fondaparinux vs variable dose warfarin
no estimate extracted1 study · 236 participantsVery low
Downgraded: imprecision
Symptomatic VTE
Fondaparinux vs variable dose warfarin
no estimate extracted1 study · 236 participantsVery low
Downgraded: imprecision
Total DVT
Fondaparinux vs variable dose warfarin
no estimate extracted1 study · 236 participantsVery low
Downgraded: imprecision
Proximal DVT
Fondaparinux vs variable dose warfarin
no estimate extracted1 study · 236 participantsVery low
Downgraded: imprecision
Total PE
Fondaparinux vs variable dose warfarin
no estimate extracted1 study · 236 participantsVery low
Downgraded: imprecision
Major bleeding
Fondaparinux vs variable dose warfarin
RR 7 [0.37, 134.05]1 study · 236 participantsVery low
Downgraded: imprecision
All causes of death
Fondaparinux vs variable dose warfarin
no estimate extracted1 study · 236 participantsVery low
Downgraded: imprecision

Fondaparinux versus 1 mg warfarin for the prevention of venous thromboembolism

Population: people requiring prevention of venous thromboembolism
7 questions
OutcomeEffectEvidenceStatus / GRADE
Total VTE
Fondaparinux vs 1 mg warfarin
RR 0.2 [0.01, 4.12]1 study · 236 participantsVery low
Downgraded: imprecision
Symptomatic VTE
Fondaparinux vs 1 mg warfarin
no estimate extracted1 study · 236 participantsVery low
Downgraded: imprecision
Total DVT
Fondaparinux vs 1 mg warfarin
RR 0.2 [0.01, 4.12]1 study · 236 participantsVery low
Downgraded: imprecision
Proximal DVT
Fondaparinux vs 1 mg warfarin
no estimate extracted1 study · 236 participantsVery low
Downgraded: imprecision
Total PE
Fondaparinux vs 1 mg warfarin
no estimate extracted1 study · 236 participantsVery low
Downgraded: imprecision
Major bleeding
Fondaparinux vs 1 mg warfarin
RR 3 [0.32, 28.43]1 study · 236 participantsVery low
Downgraded: imprecision
All causes of death
Fondaparinux vs 1 mg warfarin
no estimate extracted1 study · 236 participantsVery low
Downgraded: imprecision

Fondaparinux versus edoxaban for the prevention of venous thromboembolism

Population: people requiring prevention of venous thromboembolism
7 questions
OutcomeEffectEvidenceStatus / GRADE
Total VTE
Fondaparinux vs edoxaban
no estimate extracted1 study · 38 participantsVery low
Downgraded: imprecision
Symptomatic VTE
Fondaparinux vs edoxaban
no estimate extracted1 study · 38 participantsVery low
Downgraded: imprecision
Total DVT
Fondaparinux vs edoxaban
no estimate extracted1 study · 38 participantsVery low
Downgraded: imprecision
Proximal DVT
Fondaparinux vs edoxaban
no estimate extracted1 study · 38 participantsUngraded
Total PE
Fondaparinux vs edoxaban
no estimate extracted1 study · 38 participantsVery low
Downgraded: imprecision
Major bleeding
Fondaparinux vs edoxaban
no estimate extracted1 study · 38 participantsVery low
Downgraded: imprecision
All causes of death
Fondaparinux vs edoxaban
no estimate extracted1 study · 38 participantsVery low
Downgraded: imprecision

Fondaparinux versus mechanical thromboprophylaxis for the prevention of venous thromboembolism

Population: people requiring prevention of venous thromboembolism
7 questions
OutcomeEffectEvidenceStatus / GRADE
Total VTE
Fondaparinux vs mechanical thromboprophylaxis
RR 0.61 [0.22, 1.67]1 study · 99 participantsLow
Downgraded: imprecision
Symptomatic VTE
Fondaparinux vs mechanical thromboprophylaxis
no estimate extracted1 study · 120 participantsLow
Downgraded: imprecision
Total DVT
Fondaparinux vs mechanical thromboprophylaxis
RR 0.63 [0.23, 1.72]1 study · 100 participantsLow
Downgraded: imprecision
Proximal DVT
Fondaparinux vs mechanical thromboprophylaxis
no estimate extracted1 study · 105 participantsLow
Downgraded: imprecision
Total PE
Fondaparinux vs mechanical thromboprophylaxis
no estimate extracted1 study · 120 participantsLow
Downgraded: imprecision
Major bleeding
Fondaparinux vs mechanical thromboprophylaxis
no estimate extracted1 study · 120 participantsLow
Downgraded: imprecision
All causes of death
Fondaparinux vs mechanical thromboprophylaxis
no estimate extracted1 study · 120 participantsLow
Downgraded: imprecision