Cochrane · systematic review · CD012936

Palliative care interventions for people with multiple sclerosis

Latorraca, COC, Martimbianco, ALC, Pachito, DV, et al. · Cochrane Database of Systematic Reviews · 2019 · 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
7
current version
GRADE rated
3
No studies
4
Included studies
NR
No studies 4 · 57.1%Ungraded 0 · 0%Very low 1 · 14.3%Low 2 · 28.6%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

Palliative care compared to usual care for people with multiple sclerosis (≥ six months post‐intervention)

Population: Adults people with multiple sclerosis (including RRMS, SPMS, PPMS, PRMS)1
7 questions
OutcomeEffectEvidenceStatus / GRADE
Health‐related quality of life Assessed by: SeiQoL‐DW (higher scores mean better quality of life)
Palliative care vs usual care
no estimate extracted1 study · 58 participantsVery low
Downgraded: risk of bias, imprecision
Serious adverse events Assessed by: number of participants presenting at least one serious adverse event
Palliative care vs usual care
RR 0.97 [0.44, 2.12]1 study · 76 participantsLow
Downgraded: risk of bias, imprecision
Hospital admission Assessed by: number of participants admitted in hospital
Palliative care vs usual care
RR 0.78 [0.24, 2.52]1 study · 76 participantsLow
Downgraded: risk of bias, imprecision
Fatigue ‐ Not reported at long term
Palliative care vs usual care
no estimate extractedNRNo studies
Disability ‐ Not reported at long term
Palliative care vs usual care
no estimate extractedNRNo studies
Anxiety ‐ Not reported at long term
Palliative care vs usual care
no estimate extractedNRNo studies
Depression ‐ Not reported at long term
Palliative care vs usual care
no estimate extractedNRNo studies