Table 2:
Data synthesis of trials for cisplatin-induced ototoxicity prevention
| Studies (n) | Patients (n) | Effect size* | 95% CI | I2 (%) | p value | |
|---|---|---|---|---|---|---|
| Amifostine vs no treatment | ||||||
| Any ototoxicity | 5 | 465 | RR 0·96 | 0·71 to 1·29 | 49% | 0·78 |
| Severe ototoxicity | 4 | 223 | RR 0·85 | 0·34 to 2·12 | 0% | 0·72 |
| Sodium diethyldithiocarbamate vs no treatment | ||||||
| Severe ototoxicity | 2 | 255 | RR 0·73 | 0·08 to 6·44 | 56% | 0·77 |
| Sodium thiosulfate vs no treatment | ||||||
| Any ototoxicity | 2 | 205 | RR 0·51 | 0·37 to 0·71 | 0% | <0·0001 |
| Intratympanic acetylcysteine vs no treatment | ||||||
| Threshold at 4 kHz | 2 | 62 | MD −2·7 | −14·9 to 9·5 | 0% | 0·66 |
| Threshold at 8 kHz | 2 | 62 | MD −1·6 | −14·8 to 11·6 | 0% | 0·81 |
| Intratympanic dexamethasone vs no treatment | ||||||
| Threshold at 4 kHz | 2 | 92 | MD −0·7 | −5·8 to 4·5 | 0% | 0·80 |
| Threshold at 8 kHz | 2 | 92 | MD −8·7 | −18·1 to 0·7 | 34% | 0·07 |
| Continuous cisplatin infusion vs bolus cisplatin infusion | ||||||
| Any ototoxicity | 2 | 78 | RR 1·60 | 0·62 to 4·13 | 0% | 0·33 |
RR=risk ratio. MD=mean difference.
RR less than 1 and MD less than 0 favour intervention.