Cochrane · systematic review · CD013433

Stem cell therapy for dilated cardiomyopathy

Diaz-Navarro, R, Urrútia, G, Cleland, JGF, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

HeartAMSTAR 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
13
current version
GRADE rated
10
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 3 · 23.1%Very low 6 · 46.2%Low 4 · 30.8%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

Stem cell therapy compared to control for dilated cardiomyopathy

Population: DCM (non‐ischaemic)
7 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortality
Stem cell therapy vs control
RR 0.84 [0.54, 1.31]7 studies · 361 participantsVery low
Downgraded: risk of bias, imprecision
Procedural complications Within 30 days
Stem cell therapy vs control
no estimate extracted7 studies · 361 participantsVery low
Downgraded: risk of bias, inconsistency
Health‐related quality of life
Stem cell therapy vs control
no estimate extracted5 studies · 272 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Performance status – 6MWT (m)
Stem cell therapy vs control
no estimate extracted5 studies · 230 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Performance status – change in functional class (NYHA)
Stem cell therapy vs control
no estimate extracted6 studies · 398 participantsLow
Downgraded: risk of bias, indirectness
MACE
Stem cell therapy vs control
no estimate extracted0 studies · 0 participantsUngraded
Ventricular arrhythmia
Stem cell therapy vs control
no estimate extracted8 studies · 504 participantsLow
Downgraded: risk of bias, indirectness

Stem cell therapy (any type) compared to peripheral therapy with granulocyte colony‐stimulating factor for dilated cardiomyopathy

Population: DCM (non‐ischaemic)
6 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortality
Stem cell therapy (any type) vs peripheral therapy with granulocyte colony‐stimulating factor
RR 0.46 [0.16, 1.31]3 studies · 195 participantsVery low
Downgraded: risk of bias, inconsistency, indirectness
Procedural complications (safety)
Stem cell therapy (any type) vs peripheral therapy with granulocyte colony‐stimulating factor
no estimate extracted1 study · 60 participantsVery low
Downgraded: imprecision, indirectness
Health‐related quality of life
Stem cell therapy (any type) vs peripheral therapy with granulocyte colony‐stimulating factor
no estimate extracted1 study · 22 participantsLow
Downgraded: imprecision
Performance status – functional class (NYHA)
Stem cell therapy (any type) vs peripheral therapy with granulocyte colony‐stimulating factor
no estimate extracted0 studies · 0 participantsUngraded
Performance status – exercise tolerance (6MWT) (m)
Stem cell therapy (any type) vs peripheral therapy with granulocyte colony‐stimulating factor
no estimate extracted2 studies · 155 participantsLow
Downgraded: risk of bias, inconsistency
MACE
Stem cell therapy (any type) vs peripheral therapy with granulocyte colony‐stimulating factor
no estimate extracted0 studies · 0 participantsUngraded