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. 2013 Jun 29;2013(6):CD007414. doi: 10.1002/14651858.CD007414.pub3

Summary of findings 3. Doxorubicin‐based maintenance chemotherapy versus observation.

Doxorubicin‐based maintenance chemotherapy for epithelial ovarian cancer
Patient or population: patients with epithelial ovarian cancer
Intervention: Doxorubicin‐based maintenance chemotherapy
Outcomes Illustrative comparative risks* (95% CI) Relative effect
(95% CI) No of Participants
(studies) Quality of the evidence
(GRADE) Comments
Assumed risk Corresponding risk
Control Doxorubicin‐based maintenance chemotherapy
3‐year OS
Follow‐up: median 40 months Study population RR 1.00 
(0.86 to 1.15) 204
(2 studies) ⊕⊕⊕⊝
moderate1 There was no consistent effect for doxorubicin‐based maintenance chemotherapy. Overall survival for three and five years RR was 1.00 (95% CI 0.86 to 1.15 and 0.79 to 1.27, respectively)
781 per 1000 781 per 1000
(672 to 898)
5‐year OS
Follow‐up: median 40 months Study population RR 1.00 
(0.79 to 1.27) 204
(2 studies) ⊕⊕⊕⊝
moderate1
571 per 1000 571 per 1000
(451 to 726)
*The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
CI: Confidence interval; OS: overall survival; RR: Risk ratio;
GRADE Working Group grades of evidence
High quality: Further research is very unlikely to change our confidence in the estimate of effect.
Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate.
Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate.
Very low quality: We are very uncertain about the estimate.

1 Downgraded as allocation concealment is unclear