Cochrane · systematic review · CD009826

Treatment of Kaposi sarcoma in children with HIV‐1 infection

Anglemyer, A, Agrawal, AK, Rutherford, GW · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library

HIV/AIDSAMSTAR 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
16
current version
GRADE rated
16
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 16 · 100%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

Combination Chemotherapy + ART compared to Single Agent Chemotherapy + ART for Kaposi sarcoma in children with HIV‐1 infection

Population: Kaposi sarcoma in children with HIV‐1 infection
1 question
OutcomeEffectEvidenceStatus / GRADE
Mortality
Combination Chemotherapy + ART vs Single Agent Chemotherapy + ART
RR 0.38 [0.24, 0.58]50 participantsVery low

Vincristine + ART compared to Bleomycin + vincristine + ART for Kaposi sarcoma in children with HIV‐1 infection

Population: Kaposi sarcoma in children with HIV‐1 infection
2 questions
OutcomeEffectEvidenceStatus / GRADE
Complete: Vincristine+ART vs Bleomycin+vincristine+ART
Vincristine + ART vs Bleomycin + vincristine + ART
RR 0.69 [0.33, 1.47]26 participantsVery low
Complete/Partial: Vincristine+ART vs Bleomycin+vincristine+ART
Vincristine + ART vs Bleomycin + vincristine + ART
RR 0.79 [0.52, 1.2]26 participantsVery low

ART alone compared to Vincristine or Bleomycin for Kaposi sarcoma in children with HIV‐1 infection

Population: Kaposi sarcoma in children with HIV‐1 infection
2 questions
OutcomeEffectEvidenceStatus / GRADE
Complete Response
ART alone vs Vincristine or Bleomycin
RR 1.2 [0.13, 11.43]24 participantsVery low
Complete or Partial Response
ART alone vs Vincristine or Bleomycin
RR 0.2 [0.05, 0.79]24 participantsVery low

Chemotherapy + ART compared to ART for Kaposi sarcoma in children with HIV‐1 infection

Population: Kaposi sarcoma in children with HIV‐1 infection
6 questions
OutcomeEffectEvidenceStatus / GRADE
Complete Response to Tx
Chemotherapy + ART vs ART
RR 1.57 [0.22, 11.34]89 participantsVery low
Complete/Partial Response to Tx
Chemotherapy + ART vs ART
RR 5.75 [1.59, 20.73]39 participantsVery low
Complete Among Known Outcome
Chemotherapy + ART vs ART
RR 0.84 [0.48, 1.48]26 participantsVery low
Complete/Partial Among Known Outcome
Chemotherapy + ART vs ART
RR 1.13 [0.67, 1.89]26 participantsVery low
Mean CD4% Increase During Chemo
Chemotherapy + ART vs ART
no estimate extracted48 participantsVery low
Mortality
Chemotherapy + ART vs ART
RR 0.72 [0.37, 1.43]50 participantsVery low

Chemotherapy + ART compared to Chemotherapy Alone for Kaposi sarcoma in children with HIV‐1 infection

Population: Kaposi sarcoma in children with HIV‐1 infection
5 questions
OutcomeEffectEvidenceStatus / GRADE
Complete Response to Tx
Chemotherapy + ART vs Chemotherapy Alone
RR 6.54 [1, 42.86]36 participantsVery low
Downgraded: imprecision
Complete/Partial Response to Tx
Chemotherapy + ART vs Chemotherapy Alone
RR 1.47 [0.87, 2.49]36 participantsVery low
Downgraded: imprecision
Complete Among Known Outcome
Chemotherapy + ART vs Chemotherapy Alone
RR 4.25 [0.7, 25.91]30 participantsVery low
Downgraded: imprecision
Complete/Partial Among Known Outcome
Chemotherapy + ART vs Chemotherapy Alone
RR 1.01 [0.81, 1.27]30 participantsVery low
Downgraded: imprecision
Mortality
Chemotherapy + ART vs Chemotherapy Alone
RR 0.46 [0.29, 0.73]98 participantsVery low
Downgraded: imprecision