Cochrane · systematic review · CD008146

Interventions for fatigue in peripheral neuropathy

White, CM, van Doorn, PA, Garssen, MPJ, et al. · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library

NeuromuscularAMSTAR 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
15
current version
GRADE rated
8
No studies
5
Included studies
NR
No studies 5 · 33.3%Ungraded 2 · 13.3%Very low 0 · 0%Low 2 · 13.3%Moderate 6 · 40%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

Amantadine versus placebo for fatigue in Guillain‐Barré syndrome

Population: people with fatigue in Guillain‐Barré syndrome
6 questions
OutcomeEffectEvidenceStatus / GRADE
Reduction in fatigue of at least 1‐point on the Fatigue Severity Scale between 4 to 12 weeks after commencement of intervention Fatigue Severity Scale (FSS) from 1 to 7 (higher score is worse)
Amantadine vs placebo
OR 0.56 [0.22, 1.35]74 participantsLow
Downgraded: imprecision
Change in fatigue 12 or more weeks after commencement of intervention (not measured)
Amantadine vs placebo
no estimate extractedNRNo studies
Change in activity limitation 12 or more weeks after commencement of intervention (not measured)
Amantadine vs placebo
no estimate extractedNRNo studies
Change in participation 12 or more weeks after commencement of intervention using the Rotterdam Handicap Scale. Scale from: 0 to 36.
Amantadine vs placebo
no estimate extracted74 participantsLow
Downgraded: imprecision
Health related quality of life after 12 or more weeks or more after commencement of intervention (not reported)
Amantadine vs placebo
no estimate extractedNRNo studies
Serious adverse events
Amantadine vs placebo
no estimate extracted80 participantsUngraded

Ascorbic acid versus placebo for fatigue in peripheral neuropathy

Population: people with fatigue in peripheral neuropathy
9 questions
OutcomeEffectEvidenceStatus / GRADE
Reduction in fatigue of at least 1 point on the Fatigue Severity Scale (FSS) between 4 to 12 weeks after commencement of intervention (not measured)
Ascorbic acid vs placebo
no estimate extractedNRNo studies
Change in fatigue 12 or more weeks after commencement of intervention Visual Analogue Scale (VAS) of fatigue
Ascorbic acid vs placebo
no estimate extracted2 studies · 404 participantsModerate
Change in activity limitation (ODSS/ONLS)
Ascorbic acid vs placebo
no estimate extracted2 studies · 406 participantsUngraded
Change in 10 metre timed walk 12 or more weeks after commencement of intervention Time taken to walk 10 metres in seconds
Ascorbic acid vs placebo
no estimate extracted2 studies · 406 participantsModerate
Change in speed of completion of 9‐hole peg test (in seconds)
Ascorbic acid vs placebo
no estimate extracted1 study · 224 participantsModerate
Health‐related quality of life 12 or more weeks after commencement of the intervention Change in SF‐36 physical function score SF‐36 Physical Functioning Scale and Physical Component Score
Ascorbic acid vs placebo
no estimate extracted2 studies · 400 participantsModerate
Change in participation 12 or more weeks after commencement of intervention (not measured)
Ascorbic acid vs placebo
no estimate extractedNRNo studies
Health‐related quality of life 12 or more weeks after commencement of the intervention Change in mental function score of SF‐36 SF‐36 Mental Component Score
Ascorbic acid vs placebo
no estimate extracted1 study · 123 participantsModerate
Serious adverse events
Ascorbic acid vs placebo
RR 0.7 [0.39, 1.27]2 studies · 450 participantsModerate