Cochrane · systematic review · CD006419

Antihelminthics in helminth‐endemic areas: effects on HIV disease progression

Means, AR, Burns, P, Sinclair, D, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library

Infectious DiseasesAMSTAR 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
8
current version
GRADE rated
8
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 3 · 37.5%Low 5 · 62.5%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

Summary of findings for participants with unknown helminth infection status

Population: HIV‐positive people
2 questions
OutcomeEffectEvidenceStatus / GRADE
Viral load
no estimate extracted1 study · 166 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness
CD4+ cell count
no estimate extracted1 study · 917 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness

Summary of findings for participants with confirmed helminth infections

Population: HIV‐positive people with proven helminth infection
2 questions
OutcomeEffectEvidenceStatus / GRADE
Viral load
no estimate extracted4 studies · 445 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness
CD4+ cell count
no estimate extracted3 studies · 358 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness

Summary of findings for secondary outcomes

Population: HIV‐positive people
4 questions
OutcomeEffectEvidenceStatus / GRADE
Iron deficiency (serum ferritin)
no estimate extracted1 study · 16 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Anaemia (serum haemoglobin)
no estimate extracted1 study · 130 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Mortality
RR 0.77 [0.52, 1.14]5 studies · 1627 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Adverse events
RR 1.23 [0.53, 2.83]7 studies · 1649 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness