Cochrane · systematic review · CD009498

Transarterial (chemo)embolisation versus no intervention or placebo for liver metastases

Swierz, MJ, Storman, D, Riemsma, RP, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

Hepato-Biliary3 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
21
current version
GRADE rated
12
No studies
9
Included studies
NR
No studies 9 · 42.9%Ungraded 0 · 0%Very low 12 · 57.1%Low 0 · 0%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

Show all 3 versions

Transarterial embolisation and transarterial chemoembolisation compared with no intervention for liver metastases

Population: people with liver metastases
7 questions
OutcomeEffectEvidenceStatus / GRADE
Mortality at 44 months from trial entry Number of participants
Transarterial embolisation and transarterial chemoembolisation vs no intervention
RR 0.88 [0.74, 1.06]1 study · 61 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Survival time Median (range) survival time after trial entry Survival time Median (range) survival time from diagnosis
Transarterial embolisation and transarterial chemoembolisation vs no intervention
no estimate extracted1 study · 61 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Failure to clear liver metastases or recurrence of liver metastases
Transarterial embolisation and transarterial chemoembolisation vs no intervention
no estimate extracted1 study · 61 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Time to progression of liver metastases
Transarterial embolisation and transarterial chemoembolisation vs no intervention
no estimate extractedNRNo studies
Tumour response measures
Transarterial embolisation and transarterial chemoembolisation vs no intervention
no estimate extractedNRNo studies
Health‐related quality of life
Transarterial embolisation and transarterial chemoembolisation vs no intervention
no estimate extractedNRNo studies
Adverse events and complications
Transarterial embolisation and transarterial chemoembolisation vs no intervention
no estimate extracted1 study · 61 participantsVery low
Downgraded: risk of bias, imprecision, indirectness

Transarterial embolisation compared with no intervention for liver metastases

Population: people with liver metastases
7 questions
OutcomeEffectEvidenceStatus / GRADE
Mortality at 44 months from trial entry Number of participants
Transarterial embolisation vs no intervention
RR 0.91 [0.75, 1.1]1 study · 42 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Survival time Median (range) survival time after trial entry Survival time Median (range) survival time from diagnosis
Transarterial embolisation vs no intervention
no estimate extracted1 study · 42 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Failure to clear liver metastases or recurrence of liver metastases
Transarterial embolisation vs no intervention
no estimate extracted1 study · 42 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Time to progression of liver metastases
Transarterial embolisation vs no intervention
no estimate extractedNRNo studies
Tumour response measures
Transarterial embolisation vs no intervention
no estimate extractedNRNo studies
Health‐related quality of life
Transarterial embolisation vs no intervention
no estimate extractedNRNo studies
Adverse events and complications
Transarterial embolisation vs no intervention
no estimate extracted1 study · 42 participantsVery low
Downgraded: risk of bias, imprecision, indirectness

Transarterial chemoembolisation compared with no intervention for liver metastases

Population: people with liver metastases
7 questions
OutcomeEffectEvidenceStatus / GRADE
Mortality at 44 months from trial entry Number of participants
Transarterial chemoembolisation vs no intervention
RR 0.83 [0.65, 1.07]1 study · 39 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Survival time Median (range) survival time after trial entry Survival time Median (range) survival time from diagnosis
Transarterial chemoembolisation vs no intervention
no estimate extracted1 study · 39 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Failure to clear liver metastases or recurrence of liver metastases
Transarterial chemoembolisation vs no intervention
no estimate extracted1 study · 39 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Time to progression of liver metastases
Transarterial chemoembolisation vs no intervention
no estimate extractedNRNo studies
Tumour response measures
Transarterial chemoembolisation vs no intervention
no estimate extractedNRNo studies
Health‐related quality of life
Transarterial chemoembolisation vs no intervention
no estimate extractedNRNo studies
Adverse events and complications
Transarterial chemoembolisation vs no intervention
no estimate extracted1 study · 39 participantsVery low
Downgraded: risk of bias, imprecision, indirectness