Cochrane · systematic review · CD007107

Prophylactic antibiotics or G(M)‐CSF for the prevention of infections and improvement of survival in cancer patients receiving myelotoxic chemotherapy

Skoetz, N, Bohlius, J, Engert, A, et al. · Cochrane Database of Systematic Reviews · 2015 · 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
12
current version
GRADE rated
5
No studies
7
Included studies
NR
No studies 7 · 58.3%Ungraded 0 · 0%Very low 2 · 16.7%Low 3 · 25%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

Comparison

Population: cancer patients receiving myelotoxic chemotherapy
6 questions
OutcomeEffectEvidenceStatus / GRADE
All cause mortality
no estimate extractedNRNo studies
Infection‐related mortality
no estimate extracted1 study · 40 participantsVery low
Downgraded: risk of bias, imprecision
Quality of life
no estimate extractedNRNo studies
Incidence of febrile neutropenia
RR 1.22 [0.53, 2.84]1 study · 40 participantsVery low
Downgraded: risk of bias, imprecision
Incidence of severe infections
no estimate extractedNRNo studies
Adverse events
no estimate extractedNRNo studies

Comparison

Population: cancer patients receiving myelotoxic chemotherapy
6 questions
OutcomeEffectEvidenceStatus / GRADE
All cause mortality
no estimate extracted1 study · 115 participantsLow
Downgraded: imprecision
Infection‐related mortality
no estimate extractedNRNo studies
Quality of life
no estimate extractedNRNo studies
Incidence of febrile neutropenia
no estimate extractedNRNo studies
Incidence of severe infections (Grade III or IV)
RR 1.55 [0.86, 2.8]1 study · 115 participantsLow
Downgraded: imprecision
Adverse events Toxic deaths
RR 1.32 [0.3, 5.69]1 study · 115 participantsLow
Downgraded: imprecision