Cochrane · systematic review · CD010316

First‐line combination therapy versus first‐line monotherapy for primary hypertension

Garjón, J, Saiz, LC, Azparren, A, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

Hypertension2 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
10
current version
GRADE rated
10
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 10 · 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

Show all 2 versions

Combination therapy compared to monotherapy for primary hypertension

Population: people with primary hypertension
5 questions
OutcomeEffectEvidenceStatus / GRADE
Total mortality
Combination therapy vs monotherapy
RR 1.35 [0.08, 21.72]3 studies · 568 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Cardiovascular mortality
Combination therapy vs monotherapy
no estimate extracted3 studies · 568 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Cardiovascular events
Combination therapy vs monotherapy
RR 0.98 [0.22, 4.41]3 studies · 568 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Serious adverse events
Combination therapy vs monotherapy
RR 0.77 [0.31, 1.92]3 studies · 568 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Withdrawals due to adverse effects
Combination therapy vs monotherapy
RR 0.85 [0.53, 1.35]3 studies · 568 participantsVery low
Downgraded: risk of bias, imprecision, indirectness

Combination with potassium‐sparing diuretics versus monotherapy for primary hypertension

Population: people with primary hypertension
5 questions
OutcomeEffectEvidenceStatus / GRADE
Total mortality
Combination with potassium‐sparing diuretics vs monotherapy
RR 0.24 [0.01, 5.87]1 study · 200 participantsVery low
Downgraded: risk of bias, imprecision
Cardiovascular mortality
Combination with potassium‐sparing diuretics vs monotherapy
no estimate extracted1 study · 200 participantsVery low
Downgraded: risk of bias, imprecision
Cardiovascular events
Combination with potassium‐sparing diuretics vs monotherapy
RR 1.45 [0.13, 15.71]1 study · 200 participantsVery low
Downgraded: risk of bias, imprecision
Serious adverse events
Combination with potassium‐sparing diuretics vs monotherapy
RR 0.72 [0.1, 5.04]1 study · 200 participantsVery low
Downgraded: risk of bias, imprecision
Withdrawals due to adverse effects
Combination with potassium‐sparing diuretics vs monotherapy
no estimate extracted1 study · 200 participantsVery low
Downgraded: risk of bias, imprecision