Cochrane · systematic review · CD013070

Stem cell transplantation for induction of remission in medically refractory Crohn’s disease

El-Nakeep, S, Shawky, A, Abbas, SF, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library

GutAMSTAR 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 3 · 42.9%Low 4 · 57.1%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

Summary of findings table ‐ Stem Cell compared to Placebo or Control for Induction of Remission in Medically Refractory Crohn?s Disease

Population: Induction of Remission in Medically Refractory Crohn's Disease
7 questions
OutcomeEffectEvidenceStatus / GRADE
Clinical remission
Summary of findings table ‐ Stem Cell vs Placebo or Control
RR 1.88 [0.8, 4.41]3 studies · 301 participantsLow
Downgraded: risk of bias, inconsistency
CDAI <150 at 24 weeks
Summary of findings table ‐ Stem Cell vs Placebo or Control
RR 1.02 [0.67, 1.56]4 studies · 352 participantsVery low
Downgraded: imprecision, inconsistency, publication bias
Fistula Closure short‐term
Summary of findings table ‐ Stem Cell vs Placebo or Control
RR 1.48 [1.12, 1.96]4 studies · 269 participantsLow
Downgraded: risk of bias, imprecision
Fistula closure in long‐term
Summary of findings table ‐ Stem Cell vs Placebo or Control
RR 1.42 [1.09, 1.87]4 studies · 250 participantsLow
Downgraded: risk of bias, imprecision
Total Adverse Events
Summary of findings table ‐ Stem Cell vs Placebo or Control
RR 0.99 [0.88, 1.13]4 studies · 293 participantsVery low
Downgraded: risk of bias, inconsistency
Serious Adverse Events
Summary of findings table ‐ Stem Cell vs Placebo or Control
RR 1.22 [0.88, 1.67]7 studies · 433 participantsLow
Downgraded: risk of bias
Withdrawal due to adverse events
Summary of findings table ‐ Stem Cell vs Placebo or Control
RR 0.78 [0.32, 1.89]3 studies · 272 participantsVery low
Downgraded: imprecision, indirectness