Evidence map›Paper›PMID 27455288›Full record

SynthesisInternational journal of environmental research and public health2016

A Meta-Analysis of the Efficacy of Interferon Monotherapy or Combined with Different Nucleos(t)ide Analogues for Chronic Hepatitis B.

Jialing Zhou, Xiaoning Wu, Wei Wei, Hong You, Jidong Jia, Yuanyuan Kong

Abstract readMeta-Analysis
In one paragraph

Synthesis in International journal of environmental research and public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jialing ZhouLiver Research Center, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China. zhoujialing11@126.com.
Xiaoning WuLiver Research Center, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China. wuxiaoningbs@126.com.
Wei WeiClinical Epidemiology and Evidence-Based Medicine Unit, National Clinical Research Center for Digestive Diseases, Beijing 100050, China. vivi_0306@126.com.
Hong YouLiver Research Center, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China. youhong30@sina.com.
Jidong JiaLiver Research Center, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China. jia_jd@ccmu.edu.cn.
Yuanyuan KongClinical Epidemiology and Evidence-Based Medicine Unit, National Clinical Research Center for Digestive Diseases, Beijing 100050, China. kongyuanyuan2000@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of the present study was to compare the efficacy of interferon (IFN) with or without different nucleos(t)ide analogues (NAs).

methodsThe PubMed, Wan Fang and CNKI databases were searched to identify relevant trials up to May 2015. Meta-analysis was performed with Review Manager 5.0. The stability and reliability were evaluated by publication bias tests.

resultsFifty-six studies fulfilled the criteria for the meta-analysis. Compared with IFN monotherapy, combination therapy were superior in HBV DNA undetectable rate (Risk Ratio (RR) = 1.55, 95% confidence interval (CI): 1.44-1.66, p < 0.00001), HBeAg and HBsAg loss rate (RR = 1.38, 95% CI: 1.22-1.56, p < 0.00001; RR = 1.69, 95% CI: 1.03-2.78, p = 0.04, respectively) at the end of week 48 treatment. Sub-analysis showed the RRs of virological response for entecavir (ETV), adefovir (ADV), and lamivudine (LAM) were 1.64, 1.61 and 1.52, respectively; RRs of HBeAg loss rate were 1.34, 1.71 and 1.34, respectively. However, at the end of follow-up, IFN plus NAs therapy was better than IFN monotherapy only in terms of HBV DNA undetectable rate (p = 0.0007).

conclusionsCombination therapy was better than IFN monotherapy in virological and serological responses at the end of treatment. After follow-up, only HBV DNA undetectable rate was superior for combination therapy.

Indexed as

AdenineAntiviral AgentsDNA, ViralDrug Therapy, CombinationGuanineHepatitis B, ChronicHepatitis B virusHumansInterferonsLamivudineOdds RatioOrganophosphonatesTreatment OutcomeadefovirAdenineAntiviral AgentsDNA, ViralentecavirGuanineInterferonsLamivudineOrganophosphonateschronic hepatitis Bcombination therapyinterferonmeta-analysisnucleos(t)ide analogues

Identifiers

PMID27455288
PMCPMC4962271

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.