Cochrane · systematic review · CD006121

Whole brain radiation therapy (WBRT) alone versus WBRT and radiosurgery for the treatment of brain metastases

Patil, CG, Pricola, K, Sarmiento, JM, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

Gynaecological, Neuro-oncology and Orphan Cancer3 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
5
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 1 · 20%Moderate 4 · 80%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

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Whole brain radiation therapy (WBRT) + stereotactic radiosurgery (SRS) versus WBRT for the treatment of brain metastases

Population: people with brain metastases
5 questions
OutcomeEffectEvidenceStatus / GRADE
Overall survival
Whole brain radiation therapy (WBRT) + stereotactic radiosurgery (SRS) vs WBRT
HR 0.82 [0.65, 1.02]2 studies · 358 participantsModerate
Downgraded: imprecision
Disease‐specific survival
Whole brain radiation therapy (WBRT) + stereotactic radiosurgery (SRS) vs WBRT
RR 0.92 [0.64, 1.32]1 study · 286 participantsModerate
Downgraded: imprecision
Local tumor control
Whole brain radiation therapy (WBRT) + stereotactic radiosurgery (SRS) vs WBRT
HR 0.27 [0.14, 0.52]2 studies · 129 participantsModerate
Downgraded: imprecision
Functionally independent survival (KPS)
Whole brain radiation therapy (WBRT) + stereotactic radiosurgery (SRS) vs WBRT
RR 0.78 [0.61, 1]1 study · 145 participantsModerate
Downgraded: imprecision
Steroid use
Whole brain radiation therapy (WBRT) + stereotactic radiosurgery (SRS) vs WBRT
RR 0.64 [0.42, 0.97]1 study · 118 participantsLow
Downgraded: imprecision