Summary of findings 5. Intravenous immunoglobulin versus placebo for renal vasculitis in adults.
Intravenous immunoglobulin (IVIg) compared to placebo for renal vasculitis in adults | |||||
Patient or population: adults with renal vasculitis Settings: inpatients then outpatients Intervention: IVIg Comparison: placebo | |||||
Outcomes | Illustrative comparative risks* (95% CI) | Relative effect (95% CI) | No. of participants (studies) | Quality of the evidence (GRADE) | |
Assumed risk | Corresponding risk | ||||
Placebo | IVIg | ||||
Death | 118 per 1000 |
24 per 1000 (1 to 456) |
RR 0.20 (0.01 to 3.88) |
34 (1) | ⊕⊕⊝⊝ low1,2 |
Kidney function | not reported | not reported | ‐‐ | ‐‐ | ‐‐ |
Dialysis | not reported | not reported | ‐‐ | ‐‐ | ‐‐ |
Response at 3 months | 353 per 1000 | 822 per 1000 (416 to 1000) | RR 2.33 (1.18 to 4.61) | 34 (1) | ⊕⊕⊝⊝ low1,2 |
Relapse at 3 months | 267 per 1000 |
312 per 1000 (104 to 949) |
RR 1.17 (0.39 to 3.56) |
34 (1) | ⊕⊕⊝⊝ low1,2 |
Adverse events | 235 per 1000 |
706 per 1000 (285 to 1000) |
RR 3.00 1.21 to 7.45) |
34 (1) | ⊕⊕⊝⊝ low1,2 |
Serious infection | not reported | not reported | ‐‐ | ‐‐ | ‐‐ |
*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; 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 Small sample size; single study results 2 Wide CI