Cochrane · systematic review · CD008901

Recombinant growth hormone therapy for cystic fibrosis in children and young adults

Thaker, V, Carter, B, Putman, M · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

Cystic Fibrosis and Genetic Disorders2 versionsAMSTAR 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
28
current version
GRADE rated
27
No studies
1
Included studies
NR
No studies 1 · 3.6%Ungraded 0 · 0%Very low 9 · 32.1%Low 18 · 64.3%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

Show all 2 versions

Standard rhGH compared to placebo for cystic fibrosis in children and young adults

Population: children and young adults with CF
7 questions
OutcomeEffectEvidenceStatus / GRADE
FEV1 (% predicted) change since baseline
Standard rhGH vs placebo
no estimate extracted1 study · 43 participantsLow
Downgraded: risk of bias, imprecision
FVC (% predicted) change since baseline
Standard rhGH vs placebo
no estimate extracted1 study · 43 participantsLow
Downgraded: risk of bias, imprecision
Height velocity (cm/year)
Standard rhGH vs placebo
no estimate extracted1 study · 43 participantsLow
Downgraded: risk of bias, imprecision
Weight (kg) Change from baseline
Standard rhGH vs placebo
no estimate extracted1 study · 43 participantsLow
Downgraded: risk of bias, imprecision
QoL
Standard rhGH vs placebo
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision
Fasting blood glucose (mg/dL)
Standard rhGH vs placebo
no estimate extracted1 study · 43 participantsLow
Downgraded: risk of bias, imprecision
Number of pulmonary exacerbations or hospitalisations
Standard rhGH vs placebo
RR 1.5 [0.49, 4.59]1 study · 44 participantsLow
Downgraded: risk of bias, imprecision

Standard rhGH compared to no treatment for cystic fibrosis in children and young adults

Population: children and young adults with CF
7 questions
OutcomeEffectEvidenceStatus / GRADE
FEV1(% predicted)
Standard rhGH vs no treatment
no estimate extracted1 study · 19 participantsVery low
Downgraded: risk of bias, imprecision
FVC (% predicted)
Standard rhGH vs no treatment
no estimate extracted1 study · 19 participantsVery low
Downgraded: risk of bias, imprecision
Height velocity (cm/year)
Standard rhGH vs no treatment
no estimate extracted4 studies · 156 participantsVery low
Downgraded: risk of bias, imprecision
Weight (kg) Change from baseline
Standard rhGH vs no treatment
no estimate extracted1 study · 62 participantsVery low
Downgraded: risk of bias, imprecision
QoL Change from baseline
Standard rhGH vs no treatment
no estimate extracted1 study · 57 participantsVery low
Downgraded: risk of bias, imprecision
Fasting blood glucose (mg/dL)
Standard rhGH vs no treatment
no estimate extracted3 studies · 92 participantsVery low
Downgraded: risk of bias, imprecision
Number of pulmonary exacerbations or hospitalisations
Standard rhGH vs no treatment
no estimate extracted3 studies · 94 participantsVery low
Downgraded: risk of bias, imprecision

High‐dose rhGH compared to placebo for children and young adults with cystic fibrosis

Population: children and young adults with CF
7 questions
OutcomeEffectEvidenceStatus / GRADE
FEV1 (% predicted) Change from baseline
High‐dose rhGH vs placebo
no estimate extracted1 study · 41 participantsLow
Downgraded: risk of bias, imprecision
FVC (% predicted) Change from baseline
High‐dose rhGH vs placebo
no estimate extracted1 study · 41 participantsLow
Downgraded: risk of bias, imprecision
Height velocity (cm/year)
High‐dose rhGH vs placebo
no estimate extracted1 study · 41 participantsLow
Downgraded: risk of bias, imprecision
Weight (kg) Change from baseline
High‐dose rhGH vs placebo
no estimate extracted1 study · 41 participantsLow
Downgraded: risk of bias, imprecision
QoL
High‐dose rhGH vs placebo
no estimate extracted1 study · 41 participantsVery low
Downgraded: risk of bias, imprecision
Fasting blood glucose (mg/dL)
High‐dose rhGH vs placebo
no estimate extracted1 study · 41 participantsLow
Downgraded: risk of bias, imprecision
Number of pulmonary exacerbations or hospitalisations
High‐dose rhGH vs placebo
RR 1.92 [0.66, 5.61]1 study · 42 participantsLow
Downgraded: risk of bias, imprecision

High‐dose rhGH compared to standard‐dose rhGH for children and young adults with cystic fibrosis

Population: children and young adults with CF
7 questions
OutcomeEffectEvidenceStatus / GRADE
FEV1 (% predicted) Change from baseline
High‐dose rhGH vs standard‐dose rhGH
no estimate extracted1 study · 42 participantsLow
Downgraded: risk of bias, imprecision
FVC (% predicted) Change from baseline
High‐dose rhGH vs standard‐dose rhGH
no estimate extracted1 study · 42 participantsLow
Downgraded: risk of bias, imprecision
Height velocity (cm/year)
High‐dose rhGH vs standard‐dose rhGH
no estimate extracted1 study · 42 participantsLow
Downgraded: risk of bias, imprecision
Weight (kg) Change from baseline
High‐dose rhGH vs standard‐dose rhGH
no estimate extracted1 study · 42 participantsLow
Downgraded: risk of bias, imprecision
QoL
High‐dose rhGH vs standard‐dose rhGH
no estimate extractedNRNo studies
Fasting blood glucose (mg/dL)
High‐dose rhGH vs standard‐dose rhGH
no estimate extracted1 study · 42 participantsLow
Downgraded: risk of bias, imprecision
Number of pulmonary exacerbations or hospitalisations
High‐dose rhGH vs standard‐dose rhGH
RR 1.28 [0.52, 3.18]1 study · 42 participantsLow
Downgraded: risk of bias, imprecision