Cochrane · systematic review · CD011645

Pharmacological interventions for acute hepatitis B infection

Mantzoukis, K, Rodríguez‐Perálvarez, M, Buzzetti, E, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

Hepato-BiliaryAMSTAR 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
8
No studies
6
Included studies
NR
No studies 6 · 42.9%Ungraded 0 · 0%Very low 7 · 50%Low 1 · 7.1%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

Lamivudine versus no intervention for acute hepatitis B virus infection

Population: people with acute HBV infection
7 questions
OutcomeEffectEvidenceStatus / GRADE
Short‐term mortality (< 1 year)
Lamivudine vs no intervention
OR 1.29 [0.33, 4.99]2 studies · 250 participantsVery low
Downgraded: risk of bias, imprecision
Progression to chronic HBV infection (6 to 12 months)
Lamivudine vs no intervention
OR 1.99 [1.05, 3.77]3 studies · 285 participantsVery low
Downgraded: risk of bias, imprecision
Progression to fulminant HBV infection
Lamivudine vs no intervention
no estimate extractedNRNo studies
Serious adverse events (6 to 12 months)
Lamivudine vs no intervention
no estimate extracted2 studies · 250 participantsVery low
Downgraded: risk of bias, imprecision
Adverse events (proportion) (12 months)
Lamivudine vs no intervention
OR 1.42 [0.34, 5.94]1 study · 35 participantsVery low
Downgraded: risk of bias, imprecision
Adverse events (number of events) (12 months)
Lamivudine vs no intervention
Rate ratio 1.72 [1.01, 2.91]1 study · 35 participantsVery low
Downgraded: risk of bias, imprecision
Health‐related quality of life (1 week)
Lamivudine vs no intervention
no estimate extractedNRNo studies

Interferon versus no intervention for acute hepatitis B virus infection

Population: people with acute HBV infection
7 questions
OutcomeEffectEvidenceStatus / GRADE
Short‐term mortality
Interferon vs no intervention
no estimate extractedNRNo studies
Progression to chronic HBV infection
Interferon vs no intervention
no estimate extractedNRNo studies
Progression to fulminant HBV infection
Interferon vs no intervention
no estimate extractedNRNo studies
Serious adverse events
Interferon vs no intervention
no estimate extracted1 study · 100 participantsVery low
Downgraded: risk of bias, imprecision
Adverse events (proportion) (4 to 6 months)
Interferon vs no intervention
OR 348.16 [45.39, 2670.26]2 studies · 200 participantsLow
Downgraded: risk of bias, imprecision
Adverse events (number of events)
Interferon vs no intervention
no estimate extractedNRNo studies
Health‐related quality of life (1 week)
Interferon vs no intervention
no estimate extracted1 study · 100 participantsVery low
Downgraded: risk of bias, imprecision