Cochrane · systematic review · CD013226

Granulocyte‐colony stimulating factor administration for subfertile women undergoing assisted reproduction

Kamath, MS, Kirubakaran, R, Sunkara, SK · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

Gynaecology and FertilityAMSTAR 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
8
current version
GRADE rated
6
No studies
1
Included studies
NR
No studies 1 · 12.5%Ungraded 1 · 12.5%Very low 3 · 37.5%Low 3 · 37.5%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

G‐CSF compared to no treatment or placebo in subfertile women undergoing assisted reproduction

Population: subfertile women undergoing assisted reproduction
8 questions
OutcomeEffectEvidenceStatus / GRADE
Ongoing pregnancy rate per woman randomised
G‐CSF vs no treatment or placebo
RR 1.62 [0.86, 3.08]1 study · 150 participantsVery low
Downgraded: imprecision, indirectness
Miscarriage rate per woman randomised
G‐CSF vs no treatment or placebo
Peto OR 0.4 [0.09, 1.77]2 studies · 291 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Clinical pregnancy rate per woman randomised
G‐CSF vs no treatment or placebo
RR 1.65 [1.32, 2.06]12 studies · 1050 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Clinical pregnancy rate ‐ unselected or unstated IVF number
G‐CSF vs no treatment or placebo
RR 1.12 [0.75, 1.68]2 studies · 291 participantsLow
Downgraded: risk of bias, imprecision
Clinical pregnancy rate ‐ 2 or more IVF failures
G‐CSF vs no treatment or placebo
RR 2.1 [1.53, 2.89]6 studies · 553 participantsLow
Downgraded: risk of bias, imprecision
Clinical pregnancy rate ‐ women with thin endometrium
G‐CSF vs no treatment or placebo
RR 1.58 [0.95, 2.63]4 studies · 206 participantsLow
Downgraded: risk of bias, imprecision
Multiple pregnancy rate
G‐CSF vs no treatment or placebo
no estimate extractedNRNo studies
Adverse events per woman randomised
G‐CSF vs no treatment or placebo
no estimate extracted4 studies · 410 participantsUngraded