Cochrane · systematic review · CD006618

Methotrexate for induction of remission in ulcerative colitis

Chande, N, Wang, Y, MacDonald, JK, et al. · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library

GutAMSTAR 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
3
current version
GRADE rated
3
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 66.7%Low 1 · 33.3%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

Methotrexate compared to placebo for induction of remission in ulcerative colitis

Population: patients with induction of remission in ulcerative colitis
1 question
OutcomeEffectEvidenceStatus / GRADE
Remission and complete withdrawal from steroids
Methotrexate vs placebo
RR 0.96 [0.58, 1.59]1 study · 67 participantsLow
Downgraded: imprecision

Methotrexate compared to 6‐mercaptopurine for induction of remission in ulcerative colitis

Population: patients with induction of remission in ulcerative colitis
1 question
OutcomeEffectEvidenceStatus / GRADE
Proportion of patients achieved clinical remission
Methotrexate vs 6‐mercaptopurine
RR 0.74 [0.43, 1.29]1 study · 26 participantsVery low
Downgraded: risk of bias, imprecision

Methotrexate compared to 5‐aminosalicylic acid (5‐ASA) for induction of remission in ulcerative colitis

Population: patients with induction of remission in ulcerative colitis
1 question
OutcomeEffectEvidenceStatus / GRADE
Proportion of patients achieved clinical remission
Methotrexate vs 5‐aminosalicylic acid (5‐ASA)
RR 2.33 [0.66, 3.64]1 study · 20 participantsVery low
Downgraded: risk of bias, imprecision