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. 2017 Mar 28;2017(3):CD011648. doi: 10.1002/14651858.CD011648.pub2

Comparison 1. Main analysis.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Mortality at maximal follow‐up 28   Odds Ratio (M‐H, Fixed, 95% CI) Subtotals only
1.1 Azathioprine versus no intervention 2 224 Odds Ratio (M‐H, Fixed, 95% CI) 0.56 [0.32, 0.98]
1.2 Chlorambucil versus no intervention 1 24 Odds Ratio (M‐H, Fixed, 95% CI) 0.14 [0.01, 3.28]
1.3 Colchicine versus no intervention 2 122 Odds Ratio (M‐H, Fixed, 95% CI) 0.77 [0.32, 1.85]
1.4 Cyclosporin versus no intervention 3 390 Odds Ratio (M‐H, Fixed, 95% CI) 0.88 [0.51, 1.50]
1.5 D‐Penicillamine versus no intervention 5 423 Odds Ratio (M‐H, Fixed, 95% CI) 0.90 [0.57, 1.44]
1.6 Glucocorticosteroids versus no intervention 1 36 Odds Ratio (M‐H, Fixed, 95% CI) 0.64 [0.14, 2.92]
1.7 Malotilate versus no intervention 1 101 Odds Ratio (M‐H, Fixed, 95% CI) 2.0 [0.47, 8.48]
1.8 Methotrexate versus no intervention 1 60 Odds Ratio (M‐H, Fixed, 95% CI) 8.83 [1.01, 76.96]
1.9 UDCA versus no intervention 6 734 Odds Ratio (M‐H, Fixed, 95% CI) 0.99 [0.60, 1.64]
1.10 Bezafibrate plus UDCA versus UDCA 1 27 Odds Ratio (M‐H, Fixed, 95% CI) 9.67 [0.45, 207.78]
1.11 Colchicine plus UDCA versus UDCA 2 158 Odds Ratio (M‐H, Fixed, 95% CI) 1.84 [0.38, 8.91]
1.12 Methotrexate plus UDCA versus UDCA 2 290 Odds Ratio (M‐H, Fixed, 95% CI) 1.17 [0.55, 2.51]
1.13 Obeticholic acid plus UDCA versus UDCA 1 216 Odds Ratio (M‐H, Fixed, 95% CI) 1.55 [0.06, 38.46]
2 Mortality (< 1 year) 8   Odds Ratio (M‐H, Fixed, 95% CI) Subtotals only
2.1 Azathioprine versus no intervention 1 39 Odds Ratio (M‐H, Fixed, 95% CI) 0.58 [0.16, 2.10]
2.2 Colchicine versus no intervention 1 64 Odds Ratio (M‐H, Fixed, 95% CI) 0.86 [0.22, 3.33]
2.3 Cyclosporin versus no intervention 1 12 Odds Ratio (M‐H, Fixed, 95% CI) 0.14 [0.01, 3.63]
2.4 D‐Penicillamine versus no intervention 1 189 Odds Ratio (M‐H, Fixed, 95% CI) 0.71 [0.35, 1.42]
2.5 Ursodeoxycholic acid (UDCA) versus no intervention 1 18 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
2.6 Colchicine plus UDCA versus UDCA 1 84 Odds Ratio (M‐H, Fixed, 95% CI) 1.0 [0.13, 7.45]
2.7 Methotrexate plus UDCA versus UDCA 1 25 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
2.8 Obeticholic acid plus UDCA versus UDCA 1 216 Odds Ratio (M‐H, Fixed, 95% CI) 1.55 [0.06, 38.46]
3 Mortality (1 to 5 years) 20   Odds Ratio (M‐H, Fixed, 95% CI) Subtotals only
3.1 Azathioprine versus no intervention 1 185 Odds Ratio (M‐H, Fixed, 95% CI) 0.56 [0.30, 1.04]
3.2 Chlorambucil versus no intervention 1 24 Odds Ratio (M‐H, Fixed, 95% CI) 0.14 [0.01, 3.28]
3.3 Colchicine versus no intervention 1 58 Odds Ratio (M‐H, Fixed, 95% CI) 0.71 [0.22, 2.25]
3.4 Cyclosporin versus no intervention 2 378 Odds Ratio (M‐H, Fixed, 95% CI) 0.94 [0.54, 1.64]
3.5 D‐Penicillamine versus no intervention 4 234 Odds Ratio (M‐H, Fixed, 95% CI) 1.10 [0.59, 2.08]
3.6 Glucocorticosteroids versus no intervention 1 36 Odds Ratio (M‐H, Fixed, 95% CI) 0.64 [0.14, 2.92]
3.7 Malotilate versus no intervention 1 101 Odds Ratio (M‐H, Fixed, 95% CI) 2.0 [0.47, 8.48]
3.8 Methotrexate versus no intervention 1 60 Odds Ratio (M‐H, Fixed, 95% CI) 8.83 [1.01, 76.96]
3.9 UDCA versus no intervention 5 716 Odds Ratio (M‐H, Fixed, 95% CI) 0.99 [0.60, 1.64]
3.10 Bezafibrate plus UDCA versus UDCA 1 27 Odds Ratio (M‐H, Fixed, 95% CI) 9.67 [0.45, 207.78]
3.11 Colchicine plus UDCA versus UDCA 1 74 Odds Ratio (M‐H, Fixed, 95% CI) 5.28 [0.24, 113.87]
3.12 Methotrexate plus UDCA versus UDCA 1 265 Odds Ratio (M‐H, Fixed, 95% CI) 1.17 [0.55, 2.51]
4 Serious adverse events (proportion) 11   Odds Ratio (M‐H, Fixed, 95% CI) Subtotals only
4.1 Colchicine versus no intervention 1 64 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
4.2 D‐Penicillamine versus no intervention 1 52 Odds Ratio (M‐H, Fixed, 95% CI) 28.77 [1.57, 526.67]
4.3 Obeticholic acid versus no intervention 1 165 Odds Ratio (M‐H, Fixed, 95% CI) 1.83 [0.21, 15.73]
4.4 UDCA versus no intervention 3 380 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
4.5 UDCA versus bezafibrate 1 24 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
4.6 Bezafibrate plus UDCA versus UDCA 1 22 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
4.7 Colchicine plus UDCA versus UDCA 1 74 Odds Ratio (M‐H, Fixed, 95% CI) 3.08 [0.12, 78.14]
4.8 Lamivudine plus zidovudine plus UDCA versus UDCA 1 59 Odds Ratio (M‐H, Fixed, 95% CI) 0.47 [0.04, 5.43]
4.9 Obeticholic acid plus UDCA versus UDCA 1 216 Odds Ratio (M‐H, Fixed, 95% CI) 3.58 [1.02, 12.51]
5 Serious adverse events (number of events) 1   Rate Ratio (Fixed, 95% CI) Subtotals only
5.1 Obeticholic acid plus UDCA versus UDCA 1 216 Rate Ratio (Fixed, 95% CI) 1.66 [0.75, 3.66]
6 Adverse events (proportion) 19   Odds Ratio (M‐H, Fixed, 95% CI) Subtotals only
6.1 Cyclosporin versus no intervention 3 390 Odds Ratio (M‐H, Fixed, 95% CI) 3.04 [1.98, 4.68]
6.2 D‐Penicillamine versus no intervention 2 287 Odds Ratio (M‐H, Fixed, 95% CI) 4.51 [2.56, 7.93]
6.3 Malotilate versus no intervention 1 101 Odds Ratio (M‐H, Fixed, 95% CI) 11.43 [1.40, 93.04]
6.4 Obeticholic acid versus no intervention 1 165 Odds Ratio (M‐H, Fixed, 95% CI) 4.58 [1.31, 15.95]
6.5 UDCA versus no intervention 3 380 Odds Ratio (M‐H, Fixed, 95% CI) 1.45 [0.50, 4.25]
6.6 Azathioprine plus UDCA versus UDCA 1 42 Odds Ratio (M‐H, Fixed, 95% CI) 19.67 [0.94, 413.50]
6.7 Bezafibrate versus UDCA 1 24 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
6.8 Bezafibrate plus UDCA versus UDCA 1 22 Odds Ratio (M‐H, Fixed, 95% CI) 3.29 [0.12, 89.81]
6.9 Colchicine plus UDCA versus UDCA 2 42 Odds Ratio (M‐H, Fixed, 95% CI) 6.20 [0.63, 60.80]
6.10 Colestilan plus UDCA versus UDCA 1 11 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
6.11 Glucocorticosteroids plus UDCA versus UDCA 2 135 Odds Ratio (M‐H, Fixed, 95% CI) 5.54 [1.35, 22.84]
6.12 Methotrexate plus UDCA versus UDCA 1 25 Odds Ratio (M‐H, Fixed, 95% CI) 115.0 [4.98, 2657.48]
6.13 TauroUDCA versus UDCA 1 30 Odds Ratio (M‐H, Fixed, 95% CI) 21.0 [2.16, 204.61]
6.14 Glucocorticosteroids plus UDCA versus azathioprine plus UDCA 1 50 Odds Ratio (M‐H, Fixed, 95% CI) 0.40 [0.08, 2.12]
7 Adverse events (number) 14   Rate Ratio (Random, 95% CI) Subtotals only
7.1 Chlorambucil versus no intervention 1 24 Rate Ratio (Random, 95% CI) 3.67 [1.04, 12.87]
7.2 Cyclosporin versus no intervention 3 390 Rate Ratio (Random, 95% CI) 2.58 [1.26, 5.31]
7.3 D‐Penicillamine versus no intervention 3 303 Rate Ratio (Random, 95% CI) 2.99 [1.04, 8.63]
7.4 Malotilate versus no intervention 1 101 Rate Ratio (Random, 95% CI) 6.13 [1.38, 27.14]
7.5 Obeticholic acid versus no intervention 1 76 Rate Ratio (Random, 95% CI) 1.41 [1.13, 1.75]
7.6 Azathioprine plus glucocorticosteroids plus UDCA versus UDCA 1 50 Rate Ratio (Random, 95% CI) 1.32 [0.88, 1.97]
7.7 Bezafibrate plus UDCA versus UDCA 1 29 Rate Ratio (Random, 95% CI) 11.79 [0.65, 213.14]
7.8 Colchicine plus UDCA versus UDCA 1 24 Rate Ratio (Random, 95% CI) 5.91 [0.28, 123.08]
7.9 Methotrexate plus UDCA versus UDCA 1 27 Rate Ratio (Random, 95% CI) 30.64 [1.84, 510.76]
7.10 TauroUDCA versus UDCA 1 191 Rate Ratio (Random, 95% CI) 1.17 [0.81, 1.71]
8 Liver transplantation 11   Odds Ratio (M‐H, Fixed, 95% CI) Subtotals only
8.1 Cyclosporin versus no intervention 2 378 Odds Ratio (M‐H, Fixed, 95% CI) 0.86 [0.43, 1.72]
8.2 D‐Penicillamine versus no intervention 1 189 Odds Ratio (M‐H, Fixed, 95% CI) 0.93 [0.06, 15.05]
8.3 Methotrexate versus no intervention 1 60 Odds Ratio (M‐H, Fixed, 95% CI) 0.17 [0.02, 1.58]
8.4 UDCA versus no intervention 5 640 Odds Ratio (M‐H, Fixed, 95% CI) 0.90 [0.48, 1.68]
8.5 Bezafibrate plus UDCA versus UDCA 1 27 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
8.6 Methotrexate plus UDCA versus UDCA 1 265 Odds Ratio (M‐H, Fixed, 95% CI) 0.70 [0.35, 1.39]
9 Decompensated liver disease 7   Odds Ratio (M‐H, Fixed, 95% CI) Subtotals only
9.1 D‐Penicillamine versus no active treatment 1 24 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
9.2 UDCA versus no intervention 2 237 Odds Ratio (M‐H, Fixed, 95% CI) 1.60 [0.86, 2.98]
9.3 Azathioprine plus UDCA versus UDCA 1 42 Odds Ratio (M‐H, Fixed, 95% CI) 0.52 [0.05, 5.18]
9.4 Colchicine plus UDCA versus UDCA 1 84 Odds Ratio (M‐H, Fixed, 95% CI) 0.21 [0.04, 1.07]
9.5 Glucocorticosteroids plus UDCA versus UDCA 1 66 Odds Ratio (M‐H, Fixed, 95% CI) 0.55 [0.11, 2.69]
9.6 Methotrexate plus UDCA versus UDCA 1 265 Odds Ratio (M‐H, Fixed, 95% CI) 1.34 [0.77, 2.33]
9.7 Obeticholic acid plus UDCA versus UDCA 1 216 Odds Ratio (M‐H, Fixed, 95% CI) 1.55 [0.06, 38.46]
9.8 Glucocorticosteroids plus UDCA versus azathioprine plus UDCA 1 50 Odds Ratio (M‐H, Fixed, 95% CI) 1.06 [0.10, 11.18]
10 Cirrhosis 3   Odds Ratio (M‐H, Fixed, 95% CI) Subtotals only
10.1 Azathioprine versus no intervention 1 31 Odds Ratio (M‐H, Fixed, 95% CI) 0.79 [0.18, 3.41]
10.2 UDCA versus no intervention 1 22 Odds Ratio (M‐H, Fixed, 95% CI) 0.15 [0.01, 1.53]
10.3 Azathioprine plus glucocorticosteroids plus UDCA versus UDCA 1 50 Odds Ratio (M‐H, Fixed, 95% CI) 0.28 [0.03, 2.90]