Cochrane · systematic review · CD012058

Gene therapy for peripheral arterial disease

Forster, R, Liew, A, Bhattacharya, V, et al. · Cochrane Database of Systematic Reviews · 2018 · 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
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 28.6%Low 2 · 28.6%Moderate 3 · 42.9%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

Gene therapy compared to no gene therapy control for peripheral arterial disease

Population: peripheral arterial disease
7 questions
OutcomeEffectEvidenceStatus / GRADE
Amputation‐free survival
Gene therapy vs no gene therapy control
OR 1.68 [0.75, 3.76]4 studies · 756 participantsModerate
Downgraded: inconsistency
Ulcer healing
Gene therapy vs no gene therapy control
OR 2.16 [1.02, 4.59]5 studies · 238 participantsLow
Downgraded: risk of bias, imprecision
Quality of life
Gene therapy vs no gene therapy control
no estimate extracted6 studies · 699 participantsVery low
Downgraded: inconsistency
Amputation (above‐ankle amputation of the index limb)
Gene therapy vs no gene therapy control
OR 1.06 [0.77, 1.46]11 studies · 1336 participantsModerate
Downgraded: inconsistency
All‐cause mortality
Gene therapy vs no gene therapy control
OR 0.93 [0.66, 1.31]12 studies · 1685 participantsModerate
Downgraded: inconsistency
ABI ‐ change from baseline
Gene therapy vs no gene therapy control
no estimate extracted1 study · 125 participantsLow
Downgraded: imprecision
Pain symptom scores (VAS) ‐ change from baseline
Gene therapy vs no gene therapy control
no estimate extracted2 studies · 152 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency