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. 2015 Dec 21;2015(12):CD007107. doi: 10.1002/14651858.CD007107.pub3

for the main comparison.

G‐CSF compared with antibiotics for the prevention of infections and improvement of survival in cancer patients receiving myelotoxic chemotherapy
Patient or population: cancer patients receiving myelotoxic chemotherapy
Intervention: G‐CSF
Comparison: antibiotics
Outcomes Illustrative comparative risks* (95% CI) Relative effect
 (95% CI) No of Participants
 (studies) Quality of the evidence
 (GRADE) Comments
Assumed risk Corresponding risk
Antibiotics G‐CSF
All cause mortality see comment         not reported
Infection‐related mortality see comment     40
(1 RCT)
⊕⊝⊝⊝1,2very low no patient died of infectious causes during the 18‐week duration of the trial
Quality of life see comment         not reported
Incidence of febrile neutropenia 318 per 1000 388 per 1000
(169 to 904)
RR 1.22
(0.53 to 2.84)
40
(1 RCT)
⊕⊝⊝⊝1,2very low  
Incidence of severe infections see comment         not reported
Adverse events see comment         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 due to the low number of very low number of events, the result is highly imprecise (downgraded by 2 points)

2 high risk of performance bias (neither patients nor physicians blinded) and detection bias (no intention to treat analysis) (downgraded by 1 point)