Cochrane · systematic review · CD010858

Vitamin D supplementation for sickle cell disease

Soe, HH, Abas, ABL, Than, NN, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

Cystic Fibrosis and Genetic Disorders2 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
14
current version
GRADE rated
9
No studies
5
Included studies
NR
No studies 5 · 35.7%Ungraded 0 · 0%Very low 0 · 0%Low 5 · 35.7%Moderate 4 · 28.6%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

Vitamin D versus placebo for sickle cell disease

Population: people with sickle cell disease
7 questions
OutcomeEffectEvidenceStatus / GRADE
Serum 25(OH)D level (change from baseline)
Vitamin D vs placebo
no estimate extracted1 study · 37 participantsModerate
Total body BMD measured by DEXA (% change from baseline)
Vitamin D vs placebo
no estimate extractedNRNo studies
Adverse events
Vitamin D vs placebo
RR 3.16 [0.14, 72.84]1 study · 37 participantsLow
Downgraded: imprecision
Frequency of pain (change from baseline)
Vitamin D vs placebo
no estimate extracted1 study · 37 participantsLow
Downgraded: imprecision
Acute chest syndrome
Vitamin D vs placebo
no estimate extractedNRNo studies
Respiratory infections
Vitamin D vs placebo
no estimate extractedNRNo studies
HRQoL score (physical functioning) (change from baseline)
Vitamin D vs placebo
no estimate extracted1 study · 37 participantsLow
Downgraded: imprecision

Vitamin D 100,000 IU/month versus 12,000 IU/month for sickle cell disease

Population: people with sickle cell disease
7 questions
OutcomeEffectEvidenceStatus / GRADE
Serum 25‐hydroxyvitamin D (25(OH)D) level (change from baseline) (ng/mL)
Vitamin D 100,000 IU/month vs 12,000 IU/month
no estimate extracted1 study · 57 participantsLow
Downgraded: imprecision
Total body BMD measured by DEXA (% change from baseline)
Vitamin D 100,000 IU/month vs 12,000 IU/month
no estimate extractedNRNo studies
Adverse events
Vitamin D 100,000 IU/month vs 12,000 IU/month
no estimate extracted1 study · 62 participantsLow
Downgraded: imprecision
Presence of pain
Vitamin D 100,000 IU/month vs 12,000 IU/month
RR 1 [0.62, 1.62]1 study · 62 participantsModerate
Acute chest syndrome
Vitamin D 100,000 IU/month vs 12,000 IU/month
no estimate extracted1 study · 62 participantsModerate
Respiratory infections
Vitamin D 100,000 IU/month vs 12,000 IU/month
no estimate extracted1 study · 62 participantsModerate
HRQoL (using a validated scale)
Vitamin D 100,000 IU/month vs 12,000 IU/month
no estimate extractedNRNo studies