Cochrane · systematic review · CD011782

Pentasaccharides for the treatment of deep vein thrombosis

Brandao, GMS, Junqueira, DR, Rollo, HA, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

VascularAMSTAR 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
24
current version
GRADE rated
15
No studies
9
Included studies
NR
No studies 9 · 37.5%Ungraded 0 · 0%Very low 6 · 25%Low 5 · 20.8%Moderate 4 · 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

Fondaparinux plus vitamin K antagonist compared to standard therapy for the treatment of deep vein thrombosis

Population: people > 18 years of age with a diagnosed deep vein thrombosis
6 questions
OutcomeEffectEvidenceStatus / GRADE
Recurrent venous thromboembolism
Fondaparinux plus vitamin K antagonist vs standard therapy
RR 0.8 [0.43, 1.47]2 studies · 2658 participantsModerate
Downgraded: risk of bias, imprecision
Major bleeding during the initial treatment
Fondaparinux plus vitamin K antagonist vs standard therapy
RR 1.15 [0.39, 3.44]2 studies · 2645 participantsModerate
Downgraded: risk of bias
Major bleeding
Fondaparinux plus vitamin K antagonist vs standard therapy
RR 1.05 [0.64, 1.71]2 studies · 2645 participantsModerate
Downgraded: risk of bias
All‐cause mortality
Fondaparinux plus vitamin K antagonist vs standard therapy
RR 0.93 [0.45, 1.91]2 studies · 2645 participantsModerate
Downgraded: risk of bias, imprecision
Heparin‐induced thrombocytopenia ‐ not measured
Fondaparinux plus vitamin K antagonist vs standard therapy
no estimate extractedNRNo studies
All harmful effects
Fondaparinux plus vitamin K antagonist vs standard therapy
RR 0.84 [0.76, 0.93]1 study · 2192 participantsVery low
Downgraded: risk of bias, imprecision

Idrabiotaparinux compared to idraparinux for the treatment of deep vein thrombosis

Population: people > 18 years of age with a diagnosed deep vein thrombosis
6 questions
OutcomeEffectEvidenceStatus / GRADE
Recurrent venous thromboembolism
Idrabiotaparinux vs idraparinux
RR 0.72 [0.31, 1.69]1 study · 757 participantsLow
Downgraded: risk of bias, imprecision
Major bleeding during the initial treatment ‐ not reported
Idrabiotaparinux vs idraparinux
no estimate extractedNRNo studies
Major bleeding
Idrabiotaparinux vs idraparinux
RR 0.21 [0.06, 0.71]1 study · 755 participantsLow
Downgraded: risk of bias, imprecision
All‐cause mortality
Idrabiotaparinux vs idraparinux
RR 0.48 [0.18, 1.27]1 study · 757 participantsLow
Downgraded: risk of bias, imprecision
Heparin‐induced thrombocytopenia ‐ not reported
Idrabiotaparinux vs idraparinux
no estimate extractedNRNo studies
All harmful effects
Idrabiotaparinux vs idraparinux
RR 0.92 [0.83, 1.02]1 study · 757 participantsVery low
Downgraded: risk of bias, imprecision

Low molecular weight heparin and idraparinux compared to standard therapy for the treatment of deep vein thrombosis

Population: people > 18 years of age with a diagnosed deep vein thrombosis
6 questions
OutcomeEffectEvidenceStatus / GRADE
Recurrent venous thromboembolism
Low molecular weight heparin and idraparinux vs standard therapy
RR 1.51 [0.26, 8.9]1 study · 263 participantsVery low
Downgraded: risk of bias, imprecision
Major bleeding during the initial treatment
Low molecular weight heparin and idraparinux vs standard therapy
no estimate extractedNRNo studies
Major bleeding
Low molecular weight heparin and idraparinux vs standard therapy
RR 3.76 [0.5, 28.19]1 study · 659 participantsVery low
Downgraded: risk of bias, imprecision
All‐cause mortality
Low molecular weight heparin and idraparinux vs standard therapy
no estimate extractedNRNo studies
Heparin‐induced thrombocytopenia
Low molecular weight heparin and idraparinux vs standard therapy
no estimate extractedNRNo studies
All harmful effects
Low molecular weight heparin and idraparinux vs standard therapy
no estimate extractedNRNo studies

Idraparinux compared to standard therapy for the treatment of deep vein thrombosis

Population: people > 18 years of age with a diagnosed deep vein thrombosis
6 questions
OutcomeEffectEvidenceStatus / GRADE
Recurrent venous thromboembolism
Idraparinux vs standard therapy
RR 0.98 [0.64, 1.48]1 study · 2904 participantsLow
Downgraded: risk of bias, imprecision
Major bleeding during the initial treatment
Idraparinux vs standard therapy
no estimate extractedNRNo studies
Major bleeding
Idraparinux vs standard therapy
RR 0.71 [0.34, 1.47]1 study · 2904 participantsVery low
Downgraded: risk of bias, imprecision
All‐cause mortality
Idraparinux vs standard therapy
RR 1.14 [0.69, 1.86]1 study · 2904 participantsLow
Downgraded: risk of bias, imprecision
Heparin‐induced thrombocytopenia
Idraparinux vs standard therapy
no estimate extractedNRNo studies
All harmful effects
Idraparinux vs standard therapy
RR 1.03 [1, 1.06]1 study · 2904 participantsVery low
Downgraded: risk of bias, imprecision