Cochrane · systematic review · CD009012

Early versus delayed antiretroviral treatment in HIV‐positive people with cryptococcal meningitis

Eshun‐Wilson, I, Okwen, MP, Richardson, M, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library

Infectious Diseases2 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
4
current version
GRADE rated
4
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 50%Low 2 · 50%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

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Early ART compared to delayed ART initiation in HIV‐positive people with cryptococcal meningitis

Population: HIV‐positive people with cryptococcal meningitis
4 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortality at 6 to 12 months
Early ART vs delayed ART initiation
RR 1.42 [1.02, 1.97]4 studies · 294 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Cryptococcal meningitis relapse
Early ART vs delayed ART initiation
RR 0.27 [0.07, 1.04]2 studies · 205 participantsLow
Downgraded: imprecision
Cryptococcal IRIS
Early ART vs delayed ART initiation
RR 3.56 [0.51, 25.02]2 studies · 205 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
HIV virological suppression at 6 months (viral load < 400 copies/mL)
Early ART vs delayed ART initiation
RR 0.93 [0.72, 1.22]2 studies · 205 participantsVery low
Downgraded: risk of bias, imprecision