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. 2004 Apr 19;2004(2):CD002904. doi: 10.1002/14651858.CD002904.pub2

Comparison 1. Glucocorticosteroids plus interferon versus interferon plus no intervention/placebo.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Number of patients with positive HVC‐RNA level at end of treatment 1 26 Risk Ratio (M‐H, Fixed, 95% CI) 0.86 [0.42, 1.74]
2 Number of patients with positive HCV‐RNA level 26 weeks after treatment 1 38 Risk Ratio (M‐H, Fixed, 95% CI) 0.85 [0.52, 1.38]
2.1 Short‐term pre‐treatment with glucocorticosteroids followed by interferon 1 38 Risk Ratio (M‐H, Fixed, 95% CI) 0.85 [0.52, 1.38]
2.2 Long‐term treatment with glucocorticosteroids in parallel with interferon 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
3 Number of patients without normalisation of ALT at end of treatment 5 307 Risk Ratio (M‐H, Fixed, 95% CI) 0.92 [0.77, 1.11]
3.1 Short‐term pre‐treatment with glucocorticosteroids followed by interferon 4 281 Risk Ratio (M‐H, Fixed, 95% CI) 0.89 [0.74, 1.08]
3.2 Long‐term treatment with glucocorticosteroids in parallel with interferon 1 26 Risk Ratio (M‐H, Fixed, 95% CI) 1.29 [0.69, 2.39]
4 Number of patients without normalisation of ALT 24 to 26 weeks after treatment 5 307 Risk Ratio (M‐H, Fixed, 95% CI) 0.95 [0.84, 1.06]
4.1 Short‐term pre‐treatment with glucocorticosteroids followed by interferon 4 281 Risk Ratio (M‐H, Fixed, 95% CI) 0.93 [0.83, 1.05]
4.2 Long‐term treatment with glucocorticosteroids in parallel with interferon 1 26 Risk Ratio (M‐H, Fixed, 95% CI) 1.13 [0.64, 1.97]
5 Liver histology (patients without decrease in necroinflammatory activity at end of treatment) 1 26 Risk Ratio (M‐H, Fixed, 95% CI) 0.38 [0.13, 1.11]
6 Liver histology (patients without decrease in necroinflammatory activity at end of follow‐up (26 weeks). 1 26 Risk Ratio (M‐H, Fixed, 95% CI) 0.78 [0.57, 1.07]
7 Serious adverse events 6 342 Risk Ratio (M‐H, Fixed, 95% CI) 4.76 [0.24, 93.19]
7.1 Short‐term pre‐treatment with glucocorticosteroids followed by interferon 4 281 Risk Ratio (M‐H, Fixed, 95% CI) 4.76 [0.24, 93.19]
7.2 Long‐term treatment with glucocorticosteroids in parallel with interferon 2 61 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
8 Adverse events 3 320 Risk Ratio (M‐H, Fixed, 95% CI) 1.01 [0.71, 1.43]
8.1 Fever 1 32 Risk Ratio (M‐H, Fixed, 95% CI) 1.03 [0.44, 2.39]
8.2 Myalgia 1 32 Risk Ratio (M‐H, Fixed, 95% CI) 1.10 [0.36, 3.37]
8.3 headache 1 32 Risk Ratio (M‐H, Fixed, 95% CI) 0.88 [0.27, 2.93]
8.4 Alopecia 1 32 Risk Ratio (M‐H, Fixed, 95% CI) 0.88 [0.06, 12.91]
8.5 Depression 1 32 Risk Ratio (M‐H, Fixed, 95% CI) 0.88 [0.27, 2.93]
8.6 Fatigue 1 32 Risk Ratio (M‐H, Fixed, 95% CI) 1.13 [0.56, 2.29]
8.7 Nausea 1 32 Risk Ratio (M‐H, Fixed, 95% CI) 3.09 [0.75, 12.65]
8.8 Irritability 1 32 Risk Ratio (M‐H, Fixed, 95% CI) 1.06 [0.40, 2.77]
8.9 Flu‐like syndrome 1 26 Risk Ratio (M‐H, Fixed, 95% CI) 0.14 [0.02, 1.00]
8.10 Sleep disturbance 1 38 Risk Ratio (M‐H, Fixed, 95% CI) 3.0 [0.13, 69.31]