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. 2019 Aug 6;2019(8):CD010233. doi: 10.1002/14651858.CD010233.pub3

Comparison 2. Azathioprine or 6‐mercaptopurine versus 5‐aminosalicylic acid.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Clinical relapse at 12 to 24 months (subgroup by drug type) 4 347 Risk Ratio (M‐H, Random, 95% CI) 1.05 [0.89, 1.24]
1.1 Azathioprine 3 256 Risk Ratio (M‐H, Random, 95% CI) 1.13 [0.94, 1.37]
1.2 6‐mercaptopurine 1 91 Risk Ratio (M‐H, Random, 95% CI) 0.91 [0.70, 1.18]
2 Clinical relapse (subgroup by length of follow‐up) 4 347 Risk Ratio (M‐H, Random, 95% CI) 1.05 [0.89, 1.24]
2.1 12 months or less 1 79 Risk Ratio (M‐H, Random, 95% CI) 1.08 [0.84, 1.39]
2.2 Over 12 months 3 268 Risk Ratio (M‐H, Random, 95% CI) 1.07 [0.82, 1.39]
3 Endoscopic relapse at 24 months 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
4 Radiologic relapse at 24 months 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
5 Surgical relapse at 24 months 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
6 Adverse events at 12 to 24 months (subgroup by drug type) 4 346 Risk Ratio (M‐H, Random, 95% CI) 0.89 [0.74, 1.07]
6.1 Azathioprine 3 255 Risk Ratio (M‐H, Random, 95% CI) 0.87 [0.70, 1.09]
6.2 6‐mercaptopurine 1 91 Risk Ratio (M‐H, Random, 95% CI) 1.40 [0.54, 3.62]
7 Adverse events (subgroup by length of follow‐up) 4 346 Risk Ratio (M‐H, Random, 95% CI) 0.89 [0.74, 1.07]
7.1 12 months or less 1 78 Risk Ratio (M‐H, Random, 95% CI) 0.85 [0.70, 1.03]
7.2 Over 12 months 3 268 Risk Ratio (M‐H, Random, 95% CI) 0.94 [0.64, 1.38]
8 Serious adverse events at 12 to 24 months (subgroup by drug type) 3 311 Risk Ratio (M‐H, Random, 95% CI) 3.39 [1.26, 9.13]
8.1 Azathioprine 2 220 Risk Ratio (M‐H, Random, 95% CI) 4.68 [0.64, 34.12]
8.2 6‐mercaptopurine 1 91 Risk Ratio (M‐H, Random, 95% CI) 4.69 [0.23, 95.00]
9 Serious adverse events (subgroup by length of follow‐up) 3 311 Risk Ratio (M‐H, Random, 95% CI) 3.39 [1.26, 9.13]
9.1 12 months or less 1 78 Risk Ratio (M‐H, Random, 95% CI) 19.00 [1.15, 313.35]
9.2 Over 12 months 2 233 Risk Ratio (M‐H, Random, 95% CI) 2.63 [1.12, 6.16]
10 Withdrawal due to adverse events at 12 to 24 months (subgroup by drug type) 5 425 Risk Ratio (M‐H, Random, 95% CI) 2.21 [1.28, 3.81]
10.1 Azathioprine 4 334 Risk Ratio (M‐H, Random, 95% CI) 2.76 [1.41, 5.40]
10.2 6‐mercaptopurine 1 91 Risk Ratio (M‐H, Random, 95% CI) 1.40 [0.54, 3.62]
11 Withdrawal due to adverse events (subgroup by length of follow‐up) 5 425 Risk Ratio (M‐H, Random, 95% CI) 2.21 [1.28, 3.81]
11.1 12 months or less 2 157 Risk Ratio (M‐H, Random, 95% CI) 3.54 [0.83, 15.08]
11.2 Over 12 months 3 268 Risk Ratio (M‐H, Random, 95% CI) 1.95 [1.03, 3.68]
12 HRQoL ‐ IBDQ > 170 at 24 months 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
13 HRQoL ‐ IBDQ at 12 months 1   Mean Difference (IV, Fixed, 95% CI) Totals not selected