Cochrane · systematic review · CD013316

Prognostic value of test(s) for O6‐methylguanine–DNA methyltransferase (MGMT) promoter methylation for predicting overall survival in people with glioblastoma treated with temozolomide

McAleenan, A, Kelly, C, Spiga, F, 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
10
current version
GRADE rated
10
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 7 · 70%Low 2 · 20%Moderate 1 · 10%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

Methods for measuring MGMT promoter methylation status

Population: people with glioblastoma undergoing treatment with temozolomide Outcome being predicted: overall survival (time to death)
10 questions
OutcomeEffectEvidenceStatus / GRADE
MSP compared with IHC
no estimate extracted7 studies · 913 participantsModerate
Downgraded: imprecision
PSQ compared with IHC
no estimate extracted5 studies · 871 participantsLow
Downgraded: imprecision, indirectness
PSQ compared with MSP
no estimate extracted9 studies · 1119 participantsLow
Downgraded: imprecision, indirectness
Variants of PSQ
no estimate extracted11 studies · 876 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
qMSP (against MSP or PSQ)
no estimate extracted7 studies · 765 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Bead array (against MSP or PSQ)
no estimate extracted2 studies · 81 participantsVery low
Downgraded: imprecision, inconsistency, indirectness
PCR‐mRNA (against MSP or PSQ)
no estimate extracted2 studies · 148 participantsVery low
Downgraded: imprecision, inconsistency, indirectness
MS‐MLPA (against MSP or PSQ)
no estimate extracted1 study · 48 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
PCR‐HRM (against MSP or PSQ)
no estimate extracted3 studies · 309 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Other techniques (against MSP or PSQ)
no estimate extracted7 studies · 1209 participantsVery low
Downgraded: imprecision, inconsistency, indirectness