Cochrane · systematic review · CD011717
Surgical portosystemic shunts versus devascularisation procedures for prevention of variceal rebleeding in people with hepatosplenic schistosomiasis
Ede, CJ, Nikolova, D, Brand, M · Cochrane Database of Systematic Reviews · 2018 · 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
7
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 1 · 14.3%Very low 6 · 85.7%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
Surgical portosystemic shunts compared to devascularisation with splenectomy for prevention of variceal rebleeding in people with hepatosplenic schistosomiasis
Population: people with hepatosplenic schistosomiasis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
All‐cause mortality Surgical portosystemic shunts vs devascularisation with splenectomy | RR 2.35 [0.55, 9.92] | 2 studies · 154 participants | Very low Downgraded: risk of bias, imprecision |
Serious adverse events Surgical portosystemic shunts vs devascularisation with splenectomy | RR 2.26 [0.44, 11.7] | 2 studies · 154 participants | Very low Downgraded: risk of bias, imprecision |
Quality of life Surgical portosystemic shunts vs devascularisation with splenectomy | no estimate extracted | 2 studies · 154 participants | Ungraded |
Variceal rebleeding rate Surgical portosystemic shunts vs devascularisation with splenectomy | RR 0.39 [0.13, 1.23] | 2 studies · 154 participants | Very low Downgraded: risk of bias, imprecision |
Encephalopathy Surgical portosystemic shunts vs devascularisation with splenectomy | RR 7.51 [1.45, 38.89] | 2 studies · 154 participants | Very low Downgraded: risk of bias, imprecision |
Ascites Surgical portosystemic shunts vs devascularisation with splenectomy | RR 0.11 [0.01, 1.98] | 1 study · 60 participants | Very low Downgraded: risk of bias, imprecision |
Any re‐intervention Surgical portosystemic shunts vs devascularisation with splenectomy | RR 3 [0.13, 70.83] | 1 study · 60 participants | Very low Downgraded: risk of bias, imprecision |