Cochrane · systematic review · CD006407

First‐line allogeneic hematopoietic stem cell transplantation of HLA‐matched sibling donors compared with first‐line ciclosporin and/or antithymocyte or antilymphocyte globulin for acquired severe aplastic anemia

Peinemann, F, Bartel, C, Grouven, U · Cochrane Database of Systematic Reviews · 2013 · Cochrane Library

HaematologyAMSTAR 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
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 1 · 14.3%Very low 4 · 57.1%Low 2 · 28.6%Moderate 0 · 0%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

First‐line allogeneic hematopoietic stem cell transplantation of HLA‐matched sibling donors compared with first‐line ciclosporin and/or antithymocyte or antilymphocyte globulin for acquired severe aplastic anemia

Population: patients with acquired SAA
7 questions
OutcomeEffectEvidenceStatus / GRADE
Overall mortality
First‐line allogeneic hematopoietic stem cell transplantation of HLA‐matched sibling donors vs first‐line ciclosporin and/or antithymocyte or antilymphocyte globulin
HR 0.95 [0.45, 1.91]3 studies · 203 participantsLow
Downgraded: imprecision
Treatment‐related mortality
First‐line allogeneic hematopoietic stem cell transplantation of HLA‐matched sibling donors vs first‐line ciclosporin and/or antithymocyte or antilymphocyte globulin
no estimate extracted2 studies · 54 participantsVery low
Health‐related quality of life
First‐line allogeneic hematopoietic stem cell transplantation of HLA‐matched sibling donors vs first‐line ciclosporin and/or antithymocyte or antilymphocyte globulin
no estimate extracted0 studies · 0 participantsUngraded
Graft failure
First‐line allogeneic hematopoietic stem cell transplantation of HLA‐matched sibling donors vs first‐line ciclosporin and/or antithymocyte or antilymphocyte globulin
no estimate extracted2 studies · 54 participantsVery low
No response to IST
First‐line allogeneic hematopoietic stem cell transplantation of HLA‐matched sibling donors vs first‐line ciclosporin and/or antithymocyte or antilymphocyte globulin
no estimate extracted2 studies · 35 participantsVery low
Graft‐versus‐host disease
First‐line allogeneic hematopoietic stem cell transplantation of HLA‐matched sibling donors vs first‐line ciclosporin and/or antithymocyte or antilymphocyte globulin
no estimate extracted2 studies · 52 participantsVery low
Secondary clonal disease or malignancies
First‐line allogeneic hematopoietic stem cell transplantation of HLA‐matched sibling donors vs first‐line ciclosporin and/or antithymocyte or antilymphocyte globulin
Peto OR 0.54 [0.07, 4]2 studies · 170 participantsLow
Downgraded: imprecision