Cochrane · systematic review · CD009883

Thrombopoietin mimetics for patients with myelodysplastic syndromes

Dodillet, H, Kreuzer, KA, Monsef, I, et al. · Cochrane Database of Systematic Reviews · 2017 · 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
6
No studies
1
Included studies
NR
No studies 1 · 12.5%Ungraded 1 · 12.5%Very low 2 · 25%Low 2 · 25%Moderate 2 · 25%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

Thrombopoietin mimetics compared to placebo for patients with myelodysplastic syndromes

Population: Adult patients with myelodysplastic syndromes and thrombocytopenia
8 questions
OutcomeEffectEvidenceStatus / GRADE
Overall survival
Thrombopoietin mimetics vs placebo
no estimate extracted2 studies · 282 participantsUngraded
Mortality during study
Thrombopoietin mimetics vs placebo
RR 0.97 [0.73, 1.27]6 studies · 746 participantsLow
Downgraded: imprecision
Transformation to AML
Thrombopoietin mimetics vs placebo
RR 1.02 [0.59, 1.77]5 studies · 372 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Incidence of bleeding events
Thrombopoietin mimetics vs placebo
RR 0.92 [0.86, 0.98]5 studies · 390 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency
Transfusion requirement
Thrombopoietin mimetics vs placebo
RR 0.83 [0.66, 1.05]4 studies · 358 participantsLow
Downgraded: imprecision
Health‐related quality of life
Thrombopoietin mimetics vs placebo
no estimate extractedNRNo studies
All adverse events
Thrombopoietin mimetics vs placebo
RR 1.01 [0.96, 1.07]5 studies · 390 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency
Serious adverse events
Thrombopoietin mimetics vs placebo
RR 0.89 [0.54, 1.46]4 studies · 356 participantsVery low
Downgraded: imprecision