Cochrane · systematic review · CD006349

Percutaneous vertebroplasty for osteoporotic vertebral compression fracture

Buchbinder, R, Johnston, RV, Rischin, KJ, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library

Musculoskeletal3 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 0 · 0%Low 2 · 28.6%Moderate 2 · 28.6%High 3 · 42.9%

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

Current version only

Vertebroplasty for osteoporotic vertebral compression fracture

Population: people with osteoporotic vertebral compression fracture
CD006349.PUB4 (current) · 7 questions
OutcomeEffectEvidenceStatus / GRADE
Pain Scale from: 0 to 10, 0 is no pain.
no estimate extracted5 studies · 535 participantsHigh
Disability (Roland‐Morris Disability Questionnaire) Scale from: 0 to 23; 0 is no disability.
no estimate extracted4 studies · 472 participantsHigh
Disease‐specific quality of Life (QUALEFFO) Scale from: 0 to 100; 0 is best.
no estimate extracted3 studies · 351 participantsHigh
Overall quality of Life (EQ5D) Scale from: 0 to 1; 1 is best.
no estimate extracted3 studies · 285 participantsModerate
Downgraded: risk of bias, imprecision, publication bias
Participant global assessment of success (People perceived their pain as better)
RR 1.4 [0.67, 2.95]1 study · 78 participantsModerate
Downgraded: risk of bias, imprecision, publication bias
Incident symptomatic vertebral fractures
RR 1.29 [0.46, 3.62]6 studies · 840 participantsLow
Downgraded: risk of bias, imprecision, publication bias
Other serious adverse events
RR 0.61 [0.33, 1.1]5 studies · 821 participantsLow
Downgraded: risk of bias, imprecision, publication bias

Vertebroplasty for osteoporotic vertebral compression fracture

Population: people with osteoporotic vertebral compression fracture
CD006349.PUB3 · 7 questions
OutcomeEffectEvidenceStatus / GRADE
Pain Scale from: 0 to 10, 0 is no pain.
no estimate extracted5 studies · 535 participantsHigh
Disability (Roland‐Morris Disability Questionnaire) Scale from: 0 to 23; 0 is no disability.
no estimate extracted3 studies · 296 participantsHigh
Disease‐specific quality of Life (QUALEFFO) Scale from: 0 to 100; 0 is best.
no estimate extracted2 studies · 175 participantsModerate
Downgraded: imprecision, publication bias
Overall quality of Life (EQ5D) Scale from: 0 to 1; 1 is best.
no estimate extracted3 studies · 285 participantsModerate
Downgraded: imprecision, publication bias
Participant global assessment of success (People perceived their pain as better)
RR 1.4 [0.67, 2.95]1 study · 78 participantsModerate
Downgraded: imprecision, publication bias
Incident symptomatic vertebral fractures
RR 1.08 [0.62, 1.87]7 studies · 1020 participantsModerate
Downgraded: imprecision, publication bias
Other serious adverse events
RR 0.64 [0.36, 1.12]5 studies · 821 participantsModerate
Downgraded: imprecision, publication bias

Vertebroplasty for osteoporotic vertebral compression fracture

Population: people with osteoporotic vertebral compression fracture
CD006349.PUB2 · 7 questions
OutcomeEffectEvidenceStatus / GRADE
Pain Scale from: 0 to 10, 0 is best.
no estimate extracted2 studies · 201 participantsModerate
Downgraded: imprecision
Disability (Roland‐Morris Disability Questionnaire) Scale from: 0 to 23; 0 is best.
no estimate extracted2 studies · 201 participantsModerate
Downgraded: imprecision
Disease‐specific quality of Life (QUALEFFO) Scale from: 0 to 100; 0 is best.
no estimate extracted1 study · 73 participantsModerate
Downgraded: imprecision
Overall quality of Life (EQ5D) Scale from: 0 to 1; 1 is best.
no estimate extracted2 studies · 201 participantsModerate
Downgraded: imprecision
Participant global assessment of success (People perceived their pain as better)
RR 1.4 [0.67, 2.95]1 study · 78 participantsModerate
Downgraded: imprecision
Incident vertebral fractures
RR 1.47 [0.39, 5.5]3 studies · 281 participantsModerate
Downgraded: imprecision
Other serious adverse events
RR 1.01 [0.21, 4.85]2 studies · 209 participantsModerate
Downgraded: imprecision