Table 3.
Effect estimate (proportion of R+V difference) | 95% CI | Number of comparisons | Overall effect (Z tests) | Heterogeneity (χ2) | |
---|---|---|---|---|---|
Cisplatin dose and duration of the observation period | |||||
5 mg/kg (24 h) | −0.61 | −0.87 to −0.35 | 5 | P < 0.001*** | P = 0.800 |
10 mg/kg (24 h) | −0.41 | −0.95 to 0.13 | 4 | P = 0.13 | P = 0.004** |
10 mg/kg (6 h) | −0.68 | −1.09 to −0.26 | 3 | P = 0.001** | P = 0.140 |
10 mg/kg (4 h) | −0.70 | −0.94 to −0.46 | 8 | P < 0.001*** | P = 0.100 |
10 mg/kg (2 h) | −0.93 | −1.15 to −0.70 | 4 | P < 0.001*** | P = 0.750 |
Ondansetron dose | |||||
0.01 mg kg−1 | −0.71 | −1.16 to −0.26 | 1 | P = 0.002** | N/A |
0.1–0.5 mg kg−1 | −0.40 | −0.69 to −0.10 | 8 | P = 0.009** | P = 0.030* |
1–10 mg kg−1 | −0.83 | −0.95 to −0.70 | 15 | P < 0.001*** | P = 0.600 |
Mode of delivery of ondansetron | |||||
i.v. | −0.77 | −0.95 to −0.60 | 11 | P < 0.001*** | P = 0.130 |
i.p. | −0.59 | −0.81 to −0.37 | 11 | P < 0.001*** | P = 0.030* |
s.c. | −0.74 | −1.45 to −0.03 | 2 | P = 0.040* | P = 0.710 |
Treatment time | |||||
With cisplatin | −0.67 | −0.86 to −0.48 | 15 | P < 0.001*** | P = 0.010* |
30 min before | −0.68 | −1.09 to −0.26 | 3 | P = 0.001** | P = 0.140 |
Twice daily | −0.74 | −1.45 to −0.03 | 4 | P = 0.04* | P = 0.710 |
Three times daily | −0.72 | −0.98 to −0.48 | 2 | P < 0.001*** | P = 0.26 |
Mode of administration of cisplatin | |||||
i.v. | −0.77 | −0.97 to −0.57 | 9 | P < 0.001*** | P = 0.100 |
i.p. | −0.62 | −0.81 to −0.44 | 15 | P < 0.001*** | P = 0.080 |
Animal origin | |||||
UK | −0.70 | −0.88 to −0.53 | 15 | P < 0.001*** | P = 0.020* |
USA | −0.67 | −0.91 to −0.44 | 7 | P < 0.001*** | P = 0.330 |
NZ | −1.00 | −0.83 to −0.17 | 1 | P = 0.020* | N/A |
Quality score | |||||
Less that 5/9 | −0.65 | −0.95 to −0.34 | 5 | P < 0.001*** | P = 0.060 |
5 to 7/9 | −0.76 | −0.97 to −0.56 | 9 | P < 0.001*** | P = 0.260 |
7.5 to 9/9 | −0.65 | −0.88 to −0.42 | 10 | P < 0.001*** | P = 0.050 |
The effect estimate was computed as the weighted mean difference (WMD) and expressed as the proportion of retches and vomits in the control group. An effect estimate of −1 indicates that emesis was abolished in the treatment group, 0 indicates that the treatment had no effect on the R+V response and an effect estimate >0 indicates that the treatment increased the number of R+V. The variables examined were the variant of the cisplatin model (5 or 10 mg kg−1 cisplatin and the duration of the observation period), the mode of administration of cisplatin, the dose of ondansetron, the regimen of ondansetron administration (mode of delivery and timing relative to cisplatin administration), the animal origin (country animals were bred) and the quality score assigned to the study where comparisons were extracted