Cochrane · systematic review · CD011353

Omega‐3 fatty acids for dialysis vascular access outcomes in patients with chronic kidney disease

Tam, KW, Wu, MY, Siddiqui, FJ, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library

Kidney and TransplantAMSTAR 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
11
current version
GRADE rated
9
No studies
2
Included studies
NR
No studies 2 · 18.2%Ungraded 0 · 0%Very low 5 · 45.5%Low 2 · 18.2%Moderate 2 · 18.2%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

Omega‐3 fatty acids versus placebo for dialysis vascular access outcomes in AVF patients with ESKD

Population: Dialysis vascular access outcomes in AVF patients with ESKD
5 questions
OutcomeEffectEvidenceStatus / GRADE
Loss of patency:
Omega‐3 fatty acids vs placebo
RR 1.01 [0.84, 1.21]1 study · 536 participantsModerate
Serious adverse events: death
Omega‐3 fatty acids vs placebo
RD 01 study · 567 participantsModerate
Downgraded: risk of bias
Serious adverse events: hospitalisation
Omega‐3 fatty acids vs placebo
RD 01 study · 567 participantsLow
Serious adverse events: cardiovascular events
Omega‐3 fatty acids vs placebo
no estimate extractedNRNo studies
Serious adverse events: major bleeding
Omega‐3 fatty acids vs placebo
no estimate extractedNRNo studies

Omega‐3 fatty acids compared to Placebo for dialysis vascular access outcomes in AVG patients with ESKD

Population: dialysis vascular access outcomes in AVG patients with ESKD
6 questions
OutcomeEffectEvidenceStatus / GRADE
Loss of patency by 6 months
Omega‐3 fatty acids vs Placebo
RR 0.91 [0.36, 2.28]2 studies · 41 participantsVery low
Downgraded: risk of bias
Loss of patency by 12 months
Omega‐3 fatty acids vs Placebo
RR 0.59 [0.27, 1.31]2 studies · 220 participantsVery low
Downgraded: risk of bias
Serious adverse events: death
Omega‐3 fatty acids vs Placebo
RD 0.014 studies · 261 participantsLow
Downgraded: risk of bias
Serious adverse events: hospitalisation
Omega‐3 fatty acids vs Placebo
RD 0.083 studies · 65 participantsVery low
Downgraded: risk of bias
Serious adverse events: cardiovascular events
Omega‐3 fatty acids vs Placebo
no estimate extracted4 studies · 261 participantsVery low
Downgraded: risk of bias
Serious adverse events: major bleeding
Omega‐3 fatty acids vs Placebo
RD 0.083 studies · 65 participantsVery low
Downgraded: risk of bias