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. 2021 Apr 19;2021(4):CD011535. doi: 10.1002/14651858.CD011535.pub4

Comparison 5. Secondary outcome ‐ quality of life.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
5.1 Non‐biological treatments versus placebo 2 283 Std. Mean Difference (IV, Random, 95% CI) ‐0.67 [‐1.40, 0.06]
5.1.1 Methotrexate versus placebo 2 283 Std. Mean Difference (IV, Random, 95% CI) ‐0.67 [‐1.40, 0.06]
5.2 Non‐biological treatment 1 versus non‐biological treatment 2 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
5.2.1 Methotrexate versus fumaric acid esters 1 108 Mean Difference (IV, Fixed, 95% CI) ‐7.44 [‐9.47, ‐5.41]
5.3 Anti‐TNF alpha versus placebo 25 8534 Std. Mean Difference (IV, Random, 95% CI) ‐1.08 [‐1.19, ‐0.97]
5.3.1 Etanercept versus placebo 8 3246 Std. Mean Difference (IV, Random, 95% CI) ‐1.11 [‐1.34, ‐0.88]
5.3.2 Adalimumab versus placebo 9 3055 Std. Mean Difference (IV, Random, 95% CI) ‐0.98 [‐1.11, ‐0.85]
5.3.3 Certolizumab versus placebo 3 588 Std. Mean Difference (IV, Random, 95% CI) ‐1.00 [‐1.26, ‐0.74]
5.3.4 Infliximab versus placebo 5 1645 Std. Mean Difference (IV, Random, 95% CI) ‐1.29 [‐1.48, ‐1.10]
5.4 Ustekinumab versus placebo 9 3359 Std. Mean Difference (IV, Random, 95% CI) ‐1.35 [‐1.54, ‐1.16]
5.5 Anti‐IL17 versus placebo 6 3566 Std. Mean Difference (IV, Random, 95% CI) ‐1.46 [‐1.80, ‐1.13]
5.5.1 Ixekizumab versus placebo 3 3126 Std. Mean Difference (IV, Random, 95% CI) ‐1.76 [‐2.09, ‐1.43]
5.5.2 Brodalumab versus placebo 2 349 Std. Mean Difference (IV, Random, 95% CI) ‐0.96 [‐1.44, ‐0.47]
5.5.3 Secukinumab versus placebo 1 91 Std. Mean Difference (IV, Random, 95% CI) ‐1.41 [‐1.87, ‐0.94]
5.6 Anti‐IL23 versus placebo 8 4146 Std. Mean Difference (IV, Random, 95% CI) ‐1.46 [‐1.62, ‐1.30]
5.6.1 Guselkumab versus placebo 3 1444 Std. Mean Difference (IV, Random, 95% CI) ‐1.36 [‐1.54, ‐1.18]
5.6.2 Tildrakizumab versus placebo 3 1904 Std. Mean Difference (IV, Random, 95% CI) ‐1.36 [‐1.48, ‐1.23]
5.6.3 Risankizumab versus placebo 2 798 Std. Mean Difference (IV, Random, 95% CI) ‐1.82 [‐2.04, ‐1.60]
5.7 Biologic versus non‐biological treatment 5   Mean Difference (IV, Fixed, 95% CI) Subtotals only
5.7.1 Adalimumab versus methotrexate 1 218 Mean Difference (IV, Fixed, 95% CI) ‐3.40 [‐5.75, ‐1.05]
5.7.2 Ixekizumab versus fumaric acid esters 1 108 Mean Difference (IV, Fixed, 95% CI) ‐7.71 [‐9.74, ‐5.68]
5.7.3 Ixekizumab versus methotrexate 1 108 Mean Difference (IV, Fixed, 95% CI) ‐0.27 [‐2.31, 1.77]
5.7.4 Guselkumab versus fumaric acid esters 1 119 Mean Difference (IV, Fixed, 95% CI) ‐5.80 [‐8.06, ‐3.54]
5.7.5 Risankizumab versus fumaric acid esters 1 120 Mean Difference (IV, Fixed, 95% CI) ‐7.60 [‐9.97, ‐5.23]
5.7.6 Brodalumab versus fumaric acid esters 1 210 Mean Difference (IV, Fixed, 95% CI) ‐2.57 [‐4.27, ‐0.87]
5.8 Biologic 1 versus biologic 2 8   Mean Difference (IV, Fixed, 95% CI) Subtotals only
5.8.1 Ixekizumab versus etanercept 2 2209 Mean Difference (IV, Fixed, 95% CI) ‐1.99 [‐2.39, ‐1.59]
5.8.2 Guselkumab versus adalimumab 2 1407 Mean Difference (IV, Fixed, 95% CI) ‐1.73 [‐2.50, ‐0.97]
5.8.3 Risankizumab versus ustekinumab 2 799 Mean Difference (IV, Fixed, 95% CI) ‐1.00 [‐1.50, ‐0.50]
5.8.4 Tildrakizumab versus etanercept 1 932 Mean Difference (IV, Fixed, 95% CI) ‐1.40 [‐2.20, ‐0.60]
5.8.5 Infliximab versus etanercept 1 48 Mean Difference (IV, Fixed, 95% CI) ‐1.60 [‐2.93, ‐0.27]
5.9 Small molecules versus placebo 9 5061 Std. Mean Difference (IV, Random, 95% CI) ‐0.79 [‐0.99, ‐0.60]
5.9.1 Apremilast versus placebo 5 2166 Std. Mean Difference (IV, Random, 95% CI) ‐0.59 [‐0.70, ‐0.47]
5.9.2 Tofacitinib versus placebo 4 2895 Std. Mean Difference (IV, Random, 95% CI) ‐1.08 [‐1.23, ‐0.93]
5.10 Biologic versus small molecules 1   Std. Mean Difference (IV, Random, 95% CI) Subtotals only
5.10.1 Etanercept versus tofacitinib 1 998 Std. Mean Difference (IV, Random, 95% CI) ‐0.06 [‐0.19, 0.07]