Cochrane · systematic review · CD006495

Antiretroviral resistance testing in HIV‐positive people

Aves, T, Tambe, J, Siemieniuk, RAC, et al. · Cochrane Database of Systematic Reviews · 2018 · 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
6
No studies
2
Included studies
NR
No studies 2 · 25%Ungraded 0 · 0%Very low 0 · 0%Low 2 · 25%Moderate 4 · 50%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

Resistance testing versus no resistance testing in HIV‐positive people

Population: HIV‐positive people
8 questions
OutcomeEffectEvidenceStatus / GRADE
Mortality
Resistance testing vs no resistance testing
OR 0.89 [0.36, 2.22]5 studies · 1140 participantsModerate
Downgraded: risk of bias, imprecision, indirectness
Virological failure
Resistance testing vs no resistance testing
OR 0.7 [0.56, 0.87]10 studies · 1728 participantsLow
Downgraded: risk of bias, imprecision, indirectness, publication bias
Change in CD4 cell count
Resistance testing vs no resistance testing
no estimate extracted7 studies · 1349 participantsModerate
Downgraded: risk of bias, indirectness, publication bias
Progression to AIDS
Resistance testing vs no resistance testing
OR 0.64 [0.31, 1.29]3 studies · 809 participantsModerate
Downgraded: risk of bias, imprecision, indirectness
Adverse events
Resistance testing vs no resistance testing
OR 0.89 [0.51, 1.55]4 studies · 808 participantsLow
Downgraded: risk of bias, imprecision, indirectness, publication bias
Change in viral load
Resistance testing vs no resistance testing
no estimate extracted10 studies · 1837 participantsModerate
Downgraded: risk of bias, indirectness, publication bias
Quality of life ‐ not reported
Resistance testing vs no resistance testing
no estimate extractedNRNo studies
New opportunistic infection ‐ not reported
Resistance testing vs no resistance testing
no estimate extractedNRNo studies