Cochrane · systematic review · CD011014

Polyunsaturated fatty acid supplementation for drug‐resistant epilepsy

Sarmento Vasconcelos, V, Macedo, CR, de Souza Pedrosa, A, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library

EpilepsyAMSTAR 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
6
current version
GRADE rated
5
No studies
1
Included studies
NR
No studies 1 · 16.7%Ungraded 0 · 0%Very low 0 · 0%Low 4 · 66.7%Moderate 1 · 16.7%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

PUFA compared to Placebo for drug‐resistant epilepsy

Population: patients with drug‐resistant epilepsy
6 questions
OutcomeEffectEvidenceStatus / GRADE
Seizure freedom
PUFA vs Placebo
RR 20 [2.84, 140.99]1 study · 70 participantsLow
Downgraded: risk of bias, imprecision
50% reduction in seizures frequency (12 weeks) ‐ Per protocol data ‐ Older (19 years or more)
PUFA vs Placebo
RR 0.57 [0.19, 1.75]2 studies · 78 participantsLow
Downgraded: risk of bias, imprecision
50% reduction in seizures frequency (12 weeks) ‐ Per protocol data ‐ Younger (< 19 years)
PUFA vs Placebo
RR 33 [4.77, 228.15]1 study · 70 participantsLow
Downgraded: risk of bias, imprecision
50% reduction in seizures frequency (6 weeks)
PUFA vs Placebo
RR 4.67 [0.58, 37.52]1 study · 58 participantsModerate
Downgraded: imprecision
Potential adverse effects ‐ not reported
PUFA vs Placebo
no estimate extractedNRNo studies
Gastrointestinal effects
PUFA vs Placebo
RR 0.78 [0.32, 1.89]2 studies · 85 participantsLow
Downgraded: risk of bias, imprecision