Cochrane · systematic review · CD008927

Antibody induction therapy for lung transplant recipients

Penninga, L, Møller, CH, Penninga, EI, et al. · Cochrane Database of Systematic Reviews · 2013 · Cochrane Library

Kidney and TransplantAMSTAR 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
15
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 15 · 100%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

T‐cell antibody induction compared with no antibody induction for lung transplant recipients

Population: lung transplant recipients
4 questions
OutcomeEffectEvidenceStatus / GRADE
Mortality
T‐cell antibody induction vs no antibody induction
RR 0.99 [0.69, 1.41]3 studies · 140 participantsModerate
Downgraded: risk of bias
Acute rejection grade II or higher
T‐cell antibody induction vs no antibody induction
RR 0.66 [0.43, 1.02]3 studies · 140 participantsModerate
Downgraded: risk of bias
Infection
T‐cell antibody induction vs no antibody induction
RR 1.4 [0.97, 2.01]2 studies · 104 participantsModerate
Downgraded: risk of bias
Bronchiolitis obliterans syndrome
T‐cell antibody induction vs no antibody induction
RR 0.77 [0.55, 1.09]3 studies · 140 participantsModerate
Downgraded: risk of bias

Polyclonal T‐cell antibody compared with no antibody induction for lung transplant recipients

Population: lung transplant recipients
4 questions
OutcomeEffectEvidenceStatus / GRADE
Mortality
Polyclonal T‐cell antibody vs no antibody induction
RR 1.02 [0.71, 1.47]3 studies · 125 participantsModerate
Downgraded: risk of bias
Acute rejection grade II or higher
Polyclonal T‐cell antibody vs no antibody induction
RR 0.68 [0.44, 1.04]3 studies · 125 participantsModerate
Downgraded: risk of bias
Infection
Polyclonal T‐cell antibody vs no antibody induction
RR 1.4 [0.97, 2.01]2 studies · 104 participantsModerate
Downgraded: risk of bias
Bronchiolitis obliterans syndrome
Polyclonal T‐cell antibody vs no antibody induction
RR 0.81 [0.57, 1.16]3 studies · 125 participantsModerate
Downgraded: risk of bias

IL‐2 receptor antagonist induction compared with no antibody induction for lung transplant recipients

Population: lung transplant recipients
3 questions
OutcomeEffectEvidenceStatus / GRADE
Mortality
IL‐2 receptor antagonist induction vs no antibody induction
RR 0.67 [0.22, 2.07]1 study · 25 participantsModerate
Downgraded: risk of bias
Acute rejection
IL‐2 receptor antagonist induction vs no antibody induction
RR 1.07 [0.49, 2.33]1 study · 25 participantsModerate
Downgraded: risk of bias
Bronchiolitis obliterans syndrome
IL‐2 receptor antagonist induction vs no antibody induction
RR 0.33 [0.07, 1.49]1 study · 25 participantsModerate
Downgraded: risk of bias

Polyclonal T‐cell antibody induction compared with interleukin‐2 receptor antagonist induction for lung transplant recipients

Population: lung transplant recipients
4 questions
OutcomeEffectEvidenceStatus / GRADE
Mortality
Polyclonal T‐cell antibody induction vs interleukin‐2 receptor antagonist induction
RR 1.41 [0.55, 3.64]3 studies · 100 participantsModerate
Downgraded: risk of bias
Acute rejection
Polyclonal T‐cell antibody induction vs interleukin‐2 receptor antagonist induction
RR 1.33 [0.93, 1.92]2 studies · 76 participantsModerate
Downgraded: risk of bias
Infection
Polyclonal T‐cell antibody induction vs interleukin‐2 receptor antagonist induction
RR 0.91 [0.71, 1.16]1 study · 50 participantsModerate
Downgraded: risk of bias
Bronchiolitis obliterans syndrome
Polyclonal T‐cell antibody induction vs interleukin‐2 receptor antagonist induction
RR 1.66 [0.42, 6.53]2 studies · 76 participantsModerate
Downgraded: risk of bias