Cochrane · systematic review · CD012756

Bisphosphonate use in children with cerebral palsy

Hurley, T, Zareen, Z, Stewart, P, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

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
6
current version
GRADE rated
3
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 3 · 50%Very low 3 · 50%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

Bisphosphonate treatment (oral or intravenous) compared to placebo or no treatment for children under the age of 18 with cerebral palsy (GMFCS levels III to V)

Population: children under the age of 18 with cerebral palsy (GMFCS levels III to V)
6 questions
OutcomeEffectEvidenceStatus / GRADE
Change in BMD lumbar spine (%, assessed at 6 months post‐intervention)
Bisphosphonate treatment (oral or intravenous) vs placebo or no treatment
no estimate extracted1 study · 12 participantsVery low
Downgraded: risk of bias, imprecision
Change in volumetric BMD of distal radius or tibia
Bisphosphonate treatment (oral or intravenous) vs placebo or no treatment
no estimate extracted0 studies · 0 participantsUngraded
Change in fracture frequency
Bisphosphonate treatment (oral or intravenous) vs placebo or no treatment
no estimate extracted0 studies · 0 participantsUngraded
Adverse events (ongoing reporting, up to 6 months post‐intervention)
Bisphosphonate treatment (oral or intravenous) vs placebo or no treatment
no estimate extracted1 study · 12 participantsUngraded
Change in NTX (assessed 4 to 6 months post‐intervention)
Bisphosphonate treatment (oral or intravenous) vs placebo or no treatment
no estimate extracted2 studies · 32 participantsVery low
Downgraded: risk of bias, imprecision
Change in BAP (assessed 4 to 6 months post‐intervention)
Bisphosphonate treatment (oral or intravenous) vs placebo or no treatment
no estimate extracted2 studies · 32 participantsVery low
Downgraded: risk of bias, imprecision