Cochrane · systematic review · CD009310

Granulocyte and granulocyte‐macrophage colony stimulating factors for newly diagnosed patients with myelodysplastic syndromes

Hutzschenreuter, F, Monsef, I, Kreuzer, KA, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library

HaematologyAMSTAR 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
14
current version
GRADE rated
10
No studies
4
Included studies
NR
No studies 4 · 28.6%Ungraded 0 · 0%Very low 5 · 35.7%Low 5 · 35.7%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

G‐CSF compared to placebo for newly diagnosed patients with myelodysplastic syndromes

Population: newly diagnosed patients with myelodysplastic syndromes
7 questions
OutcomeEffectEvidenceStatus / GRADE
Overall survival
G‐CSF vs placebo
HR 0.8 [0.44, 1.46]1 study · 64 participantsVery low
Downgraded: imprecision
Progression‐free survival
G‐CSF vs placebo
no estimate extracted1 study · 64 participantsVery low
Downgraded: imprecision
Time to progression to AML
G‐CSF vs placebo
no estimate extracted2 studies · 111 participantsVery low
Downgraded: imprecision
Quality of life
G‐CSF vs placebo
no estimate extractedNRNo studies
Infections
G‐CSF vs placebo
no estimate extracted2 studies · 167 participantsVery low
Downgraded: imprecision
Severe adverse events
G‐CSF vs placebo
no estimate extractedNRNo studies
Blood transfusions
G‐CSF vs placebo
no estimate extracted1 study · 64 participantsVery low
Downgraded: imprecision

GM‐CSF compared to placebo for newly diagnosed patients with myelodysplastic syndromes

Population: newly diagnosed patients with myelodysplastic syndromes
7 questions
OutcomeEffectEvidenceStatus / GRADE
Mortality (12 months
GM‐CSF vs placebo
HR 0.88 [0.62, 1.26]2 studies · 149 participantsLow
Downgraded: imprecision
Progression‐free survival
GM‐CSF vs placebo
no estimate extracted2 studies · 149 participantsLow
Downgraded: imprecision
Time to progression to AML
GM‐CSF vs placebo
no estimate extractedNRNo studies
Quality of life
GM‐CSF vs placebo
no estimate extractedNRNo studies
Infections
GM‐CSF vs placebo
no estimate extracted1 study · 118 participantsLow
Downgraded: imprecision
Serious adverse events
GM‐CSF vs placebo
no estimate extracted2 studies · 149 participantsLow
Downgraded: imprecision
Blood transfusions
GM‐CSF vs placebo
no estimate extracted1 study · 31 participantsLow
Downgraded: imprecision