Cochrane · systematic review · CD009266

Non‐steroidal antiandrogen monotherapy compared with luteinising hormone–releasing hormone agonists or surgical castration monotherapy for advanced prostate cancer

Kunath, F, Grobe, HR, Rücker, G, et al. · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library

UrologyAMSTAR 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
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 6 · 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

Non‐steroidal antiandrogen monotherapy versus LHRH agonists or surgical castration monotherapy for advanced prostate cancer

Population: men with advanced prostate cancer
6 questions
OutcomeEffectEvidenceStatus / GRADE
Overall survival
Non‐steroidal antiandrogen monotherapy vs LHRH agonists or surgical castration monotherapy
HR 1.24 [1.05, 1.48]6 studies · 2712 participantsModerate
Downgraded: risk of bias, inconsistency
Clinical progression
Non‐steroidal antiandrogen monotherapy vs LHRH agonists or surgical castration monotherapy
RR 1.26 [1.08, 1.45]6 studies · 2373 participantsModerate
Downgraded: risk of bias, inconsistency
Treatment failure
Non‐steroidal antiandrogen monotherapy vs LHRH agonists or surgical castration monotherapy
RR 1.27 [1.05, 1.52]5 studies · 1845 participantsModerate
Downgraded: risk of bias, inconsistency
Breast pain
Non‐steroidal antiandrogen monotherapy vs LHRH agonists or surgical castration monotherapy
RR 22.97 [14.79, 35.67]8 studies · 2670 participantsModerate
Downgraded: risk of bias
Gynaecomastia
Non‐steroidal antiandrogen monotherapy vs LHRH agonists or surgical castration monotherapy
RR 8.43 [3.19, 22.28]9 studies · 2774 participantsModerate
Downgraded: risk of bias, inconsistency
Hot flashes
Non‐steroidal antiandrogen monotherapy vs LHRH agonists or surgical castration monotherapy
RR 0.23 [0.19, 0.27]9 studies · 2774 participantsModerate
Downgraded: risk of bias