Cochrane · systematic review · CD012111

Alvimopan for recovery of bowel function after radical cystectomy

Sultan, S, Coles, B, Dahm, P · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

UrologyAMSTAR 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
5
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 5 · 100%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

Alvimopan compared to placebo for recovery of bowel function after radical cystectomy

5 questions
OutcomeEffectEvidenceStatus / GRADE
Time‐to‐tolerance of a solid diet and documented bowel movements
Alvimopan vs placebo
HR 1.77 [1.41, 2.23]1 study · 277 participantsModerate
Downgraded: imprecision
Time‐to‐hospital discharge
Alvimopan vs placebo
HR 1.67 [1.38, 2.01]1 study · 277 participantsModerate
Downgraded: imprecision
Major adverse events
Alvimopan vs placebo
RR 0.28 [0.18, 0.44]1 study · 277 participantsModerate
Downgraded: imprecision, indirectness
Readmission
Alvimopan vs placebo
RR 0.89 [0.59, 1.33]1 study · 277 participantsModerate
Downgraded: imprecision, indirectness
Any cardiovascular event
Alvimopan vs placebo
RR 0.54 [0.27, 1.05]1 study · 277 participantsModerate
Downgraded: imprecision, indirectness