Cochrane · systematic review · CD009868

Fixed‐dose combination therapy for the prevention of atherosclerotic cardiovascular diseases

Bahiru, E, de Cates, AN, Farr, MRB, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

Heart2 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
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 3 · 42.9%Moderate 4 · 57.1%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 2 versions

Fixed‐dose combination therapy for the prevention of atherosclerotic cardiovascular diseases (ASCVD)

Population: adults older than 18 years, with no restriction regarding presence of ASCVD; participants generally had elevated risk of ASCVD (as estimated by the presence of at least one abnormal cardiovascular risk factor) without prevalent CVD (two studies included > 10% of participants with prior ASCVD)
7 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortality Median
RR 1.1 [0.64, 1.89]5 studies · 5300 participantsLow
Downgraded: risk of bias, imprecision, indirectness
ASCVD event, such as fatal or non‐fatal myocardial infarction or stroke. Median
RR 1.26 [0.95, 1.66]6 studies · 4517 participantsLow
Downgraded: risk of bias, imprecision, indirectness
Any investigator‐defined adverse event Median
RR 1.16 [1.09, 1.25]11 studies · 6906 participantsModerate
Downgraded: indirectness
Systolic blood pressure, mmHg Median
no estimate extracted13 studies · 7638 participantsModerate
Downgraded: inconsistency
Total cholesterol, mmol/L Median
no estimate extracted11 studies · 6565 participantsLow
Downgraded: inconsistency, publication bias
LDL cholesterol, mmol/L Median
no estimate extracted12 studies · 7153 participantsModerate
Downgraded: inconsistency
Adherence, variable definitions Median
RR 1.44 [1.26, 1.65]4 studies · 3835 participantsModerate
Downgraded: risk of bias, indirectness