Cochrane · systematic review · CD009624

The role of iron in the management of chemotherapy‐induced anemia in cancer patients receiving erythropoiesis‐stimulating agents

Mhaskar, R, Wao, H, Miladinovic, B, 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
8
current version
GRADE rated
7
No studies
1
Included studies
NR
No studies 1 · 12.5%Ungraded 0 · 0%Very low 0 · 0%Low 2 · 25%Moderate 2 · 25%High 3 · 37.5%

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

Benefits and harms of iron supplementation for chemotherapy‐induced anemia

Population: people diagnosed with chemotherapy‐induced anemia
8 questions
OutcomeEffectEvidenceStatus / GRADE
Overall survival
no estimate extractedNRNo studies
Hematopoietic response
RR 1.17 [1.09, 1.26]7 studies · 1712 participantsHigh
Red blood cell transfusion
RR 0.74 [0.6, 0.92]7 studies · 1719 participantsModerate
Downgraded: imprecision
Median time to hematopoietic response
HR 0.93 [0.67, 1.28]5 studies · 1042 participantsLow
Downgraded: imprecision, inconsistency
Mean change in hemoglobin (better indicated by higher values)
MD 0.48 [0.1, 0.86]3 studies · 827 participantsLow
Downgraded: imprecision, inconsistency
Quality of life (better indicated by higher values)
SMD 0.013 studies · 1124 participantsHigh
Thromboembolic events
RR 0.95 [0.54, 1.65]3 studies · 783 participantsModerate
Downgraded: imprecision
Treatment‐related mortality
no estimate extracted4 studies · 997 participantsHigh