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. 2020 Jan 13;2020(1):CD003232. doi: 10.1002/14651858.CD003232.pub4

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