Cochrane · systematic review · CD009435

Oral isotretinoin for acne

Costa, CS, Bagatin, E, Martimbianco, ALC, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library

SkinAMSTAR 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
3
current version
GRADE rated
3
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 66.7%Low 1 · 33.3%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

Comparison

Population: participants with moderate and severe acne
3 questions
OutcomeEffectEvidenceStatus / GRADE
Improvement in acne severity assessed by a decrease in total inflammatory lesion count, measured in participants who were treated for a minimum period of 16 weeks (Changes from baseline in total inflammatory lesion count and number of participants...
no estimate extracted3 studies · 400 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Frequency of serious adverse effects 20 to 24 weeks
RR 3 [0.12, 72.98]3 studies · 400 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Improvement in acne severity assessed by physician's global evaluation 20 to 24 weeks
no estimate extracted2 studies · 351 participantsLow
Downgraded: risk of bias, imprecision, indirectness