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Comparison 2 Prespecified duration versus duration determined by clinical response (remission induction), Outcome 1 Overall survival.
Figuras y tablas -
Analysis 2.1

Comparison 2 Prespecified duration versus duration determined by clinical response (remission induction), Outcome 1 Overall survival.

Comparison 2 Prespecified duration versus duration determined by clinical response (remission induction), Outcome 2 Event‐free survival.
Figuras y tablas -
Analysis 2.2

Comparison 2 Prespecified duration versus duration determined by clinical response (remission induction), Outcome 2 Event‐free survival.

Comparison 2 Prespecified duration versus duration determined by clinical response (remission induction), Outcome 3 Remission rate.
Figuras y tablas -
Analysis 2.3

Comparison 2 Prespecified duration versus duration determined by clinical response (remission induction), Outcome 3 Remission rate.

Comparison 2 Prespecified duration versus duration determined by clinical response (remission induction), Outcome 4 Toxicity and adverse events.
Figuras y tablas -
Analysis 2.4

Comparison 2 Prespecified duration versus duration determined by clinical response (remission induction), Outcome 4 Toxicity and adverse events.

Comparison 4 C versus combination chemotherapy (remission induction), Outcome 1 Overall survival.
Figuras y tablas -
Analysis 4.1

Comparison 4 C versus combination chemotherapy (remission induction), Outcome 1 Overall survival.

Comparison 4 C versus combination chemotherapy (remission induction), Outcome 3 Remission rate.
Figuras y tablas -
Analysis 4.3

Comparison 4 C versus combination chemotherapy (remission induction), Outcome 3 Remission rate.

Comparison 4 C versus combination chemotherapy (remission induction), Outcome 4 Relapse.
Figuras y tablas -
Analysis 4.4

Comparison 4 C versus combination chemotherapy (remission induction), Outcome 4 Relapse.

Comparison 5 Long versus short duration chemotherapy (remission induction), Outcome 1 Overall survival.
Figuras y tablas -
Analysis 5.1

Comparison 5 Long versus short duration chemotherapy (remission induction), Outcome 1 Overall survival.

Comparison 5 Long versus short duration chemotherapy (remission induction), Outcome 2 Event‐free survival.
Figuras y tablas -
Analysis 5.2

Comparison 5 Long versus short duration chemotherapy (remission induction), Outcome 2 Event‐free survival.

Comparison 5 Long versus short duration chemotherapy (remission induction), Outcome 5 Toxicity and adverse events.
Figuras y tablas -
Analysis 5.5

Comparison 5 Long versus short duration chemotherapy (remission induction), Outcome 5 Toxicity and adverse events.

Comparison 6 Two month versus six month maintenance regimen (remission induction), Outcome 2 Event‐free survival.
Figuras y tablas -
Analysis 6.2

Comparison 6 Two month versus six month maintenance regimen (remission induction), Outcome 2 Event‐free survival.

Comparison 7 C versus TRIKE (remission induction), Outcome 1 Overall survival.
Figuras y tablas -
Analysis 7.1

Comparison 7 C versus TRIKE (remission induction), Outcome 1 Overall survival.

Comparison 7 C versus TRIKE (remission induction), Outcome 4 Relapse.
Figuras y tablas -
Analysis 7.4

Comparison 7 C versus TRIKE (remission induction), Outcome 4 Relapse.

Comparison 8 CCNU versus no treatment (remission maintenance), Outcome 4 Relapse.
Figuras y tablas -
Analysis 8.4

Comparison 8 CCNU versus no treatment (remission maintenance), Outcome 4 Relapse.

Comparison 9 BCG versus no treatment (remission maintenance), Outcome 1 Overall survival.
Figuras y tablas -
Analysis 9.1

Comparison 9 BCG versus no treatment (remission maintenance), Outcome 1 Overall survival.

Comparison 9 BCG versus no treatment (remission maintenance), Outcome 4 Relapse.
Figuras y tablas -
Analysis 9.4

Comparison 9 BCG versus no treatment (remission maintenance), Outcome 4 Relapse.

Comparison 10 TF versus no treatment (remission maintenance), Outcome 1 Overall survival.
Figuras y tablas -
Analysis 10.1

Comparison 10 TF versus no treatment (remission maintenance), Outcome 1 Overall survival.

Comparison 10 TF versus no treatment (remission maintenance), Outcome 4 Relapse.
Figuras y tablas -
Analysis 10.4

Comparison 10 TF versus no treatment (remission maintenance), Outcome 4 Relapse.

Comparison 11 Irradiation versus no treatment (remission maintenance), Outcome 1 Overall survival.
Figuras y tablas -
Analysis 11.1

Comparison 11 Irradiation versus no treatment (remission maintenance), Outcome 1 Overall survival.

Comparison 11 Irradiation versus no treatment (remission maintenance), Outcome 4 Relapse.
Figuras y tablas -
Analysis 11.4

Comparison 11 Irradiation versus no treatment (remission maintenance), Outcome 4 Relapse.

Comparison 12 Intrathecal MTX versus no treatment (remission maintenance), Outcome 4 Relapse.
Figuras y tablas -
Analysis 12.4

Comparison 12 Intrathecal MTX versus no treatment (remission maintenance), Outcome 4 Relapse.

Table 1. Chemotherapy regimens

Study ID

Common treatment

Intervention 1

intervention 2

Anderson 1983

C; 1.2g/m2 IV on D1, O; 2.0mg/m2(max 2mg) IV on D3,10,17 and 24, MTX; 6.25mg/m2 IT on D5, 31,34. P; 15mg/m2 (max 60mg) orally qds on D3‐30 decreasing to zero on D31‐3.

Radiation therapy.

Tumour excision attempted in patients with localised disease. Laparotomy and biopsy in patients with non‐localised disease.

COMP
Induction: MTX 300mg/m2 IV on D12, 7
Maintanance: C; 1g/m2 IV on D1, O; 1.5mg/m2 Iv on D1,4, MTX; 6.25mg/m2 IT on D1 (excluded from ist maintenance cycle), the 300mg/m2 IV on D15. Repeat maintenance cycle every 28 days

LSA2 L2 (modified)
Induction: DAU; 60mg/m2 IV on D12 and 13
Consolidation: CYT; 100mg/m2 IV 5 days on ,2 days off x 2weeks, THIO; 50mg/m2 orally 8‐12 hrs post CYT injection, ASP; 6000IU/m2 IM daily x14 days post CYT and THIO. MTX; 6.25mg/m2 IT x2 3 days apart, 2‐3 days after last dose of ASP, CAR; 60mg/m2 IV single dose given 2‐3 days after completion of MTX
Maintanance: THIO; 300mg/m2 orally on D1‐4, ; 600mg/m2 IV on D5, H; 2.4g/m2 orally on D1‐4, DAU 45mg/m2 orally on D5, CYT; 150mg/m2 IV D1‐5, O; 2.0 mg/m2 (max 2mg) IV on D5, MTX; 6.25 mg/m2 IT x2 doses 3days apart. Repeat maintenance cycles 1‐5

Brecher 1997

None

A
Prespecified duration:
Induction:C on D1 (dose not specified), MTX on D24 and 31 (dose not specified), O: wkly (x5weeks dose not specified), P: daily x4weeks (dose not specified)
Consolidation(22 weeks): C: D52 and 102, MTX on D74,81,124, and 131, O: I hour prior to each MTX
Maintanance(11 weeks): O and MTX on D174 and 216,
CNS prophylaxis: Ara‐C;, MTX and hydrocortisone

B
Duration determined by clinical response:
Induction: fractionated C,O and DOX
Infusion phase: sequential continuous infusion of MTX and Ara‐c (pending mucosal and bone marrow recovery)
Repeat induction and infusion x 4 with dose of Ara‐c being doubled with each course
CNS prophylaxis: MTX and Ara‐c

Cairo 2003

Prephase: C: 0.3g/m2 IV, O; 1mg/m2 IV on D1; P: 60mg/m2 IV or orally in 2 fractions on D1‐7, MTX+HYD+Ara‐C: 30mg IT on D1,3 and 5.
Induction:
COPADM 1 (started 1 wk after D1 of prephase)
O: 2mg/m2 (max 2mg) IV, high dose MTX 8g/m2 IV x4 hours on D1, CFR: 15mg/m2 every 6 hrs orally on D2‐4; MTX+HYD+Ara‐C: 30mg IT on D2,4 and 6; DOX: 60mg/m2 IV on D2; C: 0.5g/m2 IV (in 2 fractions) on D2‐4; P: 60mg/m2 IV or orally on D1‐6
COPADM 2 similar to COPADM1 except for: 2nd O dose: 2mg/m2 (max 2mg) IV on D6; C: 1g/m2 IV (in 2 fractions) on D2‐4.

Reduced intensity
Similar to standard dose except for consolidation drugs are given at 2/3 the standard doses and deletion of M2‐4 maintenance.

Standard dose
Consolidation: (x2 courses)
Ara‐C: 50mg/m2 CI x12hrs on D1‐5(8pm‐8am); high dose Ara‐C 3g/m2 IV x3hours on D2‐5(8‐11am); VP‐16: 200mg/m2 IV on D2‐5(2‐4pm).
Maintenance (monthly alternating courses)
M1: O: 2mg/m2(max 2mg) IV, high dose MTX 8g/m2 IVx4hours on D1; CFR: 15mg/m2 every 6hours orally on D2‐4; P: 60mg/m2 orally on D1‐5; MTX+HYD+Ara‐C: 30mg IT on D2; C: 0.5g/m2 IV on D1 and 2; DOX: 60mg/m2 IV on D2.
M2/M4: VP‐16: 150mg/m2 IV on D1‐3; Ara‐C: 100mg/m2 SC(in 2 fractions) on D1‐5.
M3: similar to M1 but without high dose MTX and IT

Olweny 1976

none

C: 40mg/kg IV on D1,repeated after 2 weeks or as soon as toxicity is abated

C: 30mg/kg IV on D1, O: 2mg/m2 IV on D1, MTX 15mg/m2 orally on D1‐3. This is repeated 12‐14 days later.

Patte 1991

Reduction phase: C: 0.3g/m2 IV, O; 1mg/m2 IV on D1; P: 2mg/kg orally on D1‐7, MTX+HYD: 15mg/m2 IT on D1.

Induction:
COPADM 1 (started 1 wk after D1 of prephase)
O: 2mg/m2 IV, high dose MTX 3g/m2 IV x3 hours on D1, CFR: 15mg/m2 every 6 hrs orally on D2‐4; MTX+HYD: 15mg IT on D2 and 6; DOX: 60mg/m2 IV on D2; C: 0.5g/m2 IV (in 2 fractions) on D2‐4; P: 2mg/kg IV or orally on D1‐6
COPADM 2 similar to COPADM1 except for: addition of 2nd O dose: 2mg/m2 IV on D6; C: 1g/m2 IV (in 2 fractions) on D2‐4.
CYM:high dose MTX 3g/m2 IV x3 hours on D1; CFR: 15mg/m2 every 6 hrs orally on D2‐4;
Ara‐C: 100mg/m2 CI on D2‐6; Ara‐C+HYD: 30mg/m2 IT on D6

Maintenance (monthly alternating courses)
M1: O: 2mg/m2 IV, high dose MTX 3g/m2 IVx3hours on D1; CFR: 15mg every 6hours orally on D2‐4; P: 2mg/kg orally on D1‐5; MTX+HYD: 15mg IT on D2; C: 0.5g/m2 IV on D1 and 2; DOX: 60mg/m2 IV on D2.
M2: CCNU: 60mg/m2 orally on D28; Ara‐C: 100mg/m2 SC(in 2 fractions) on D28‐31; Ara‐C+HYD: 30mg/m2 IT on D28; THIO: 150mg/m2 orally on D28‐31

Long arm:
CYM 1,

Mini‐BACT:CCNU: 60mg/m2 orally on D1; Ara‐C: 100mg/m2 CI on D2‐6; THIO: 150mg/m2 orally on D2‐6; C: 0.5g/m2 IV on D2‐4.

M1, M2, M1, M2

Short arm:

CYM 1 and 2,

M1

Sullivan 1991

Induction: C: 1.2g/m2 Iv on D1, repeat on D1 of weeks 7 and 14; O: 2.0mg/m2(max 2.omg) IV on D2 or 3 weekly x4 then 1.0mg/m2 IV given 1 hour before MTX infusion; P: 60mg/m2(max 60mg) orally daily from D1 x28 days; MTX: 2 6‐hour infusion starting from week 3, starting dose 50mg/kg increasing to 100mg/kg then to 200mg/kg throughout the rest of the treatment, given as 2 doses every 7 weeks during induction and consolidation and every 6 weeks during maintenance; CFR: 15mg IV 3hourly x9 doses then 15mg 6 hourly x8 doses after each MTX infusion;
CNS prophylaxis: CYT: 45mg/m2 on D1 and 2, MTX 15mg/m2 on D3 starting on D2 of induction, subsequently given as triple therapy (CYT 60mg/m2, MTX 15mg/m2 (max 15mg, HYD 30mg/m2) at week 6 and 14, then 24 hours before each pair of MTX infusions.
Maintenance: triple therapy, IV MTX, IV O

Maintenance regimen for 2 months

Maintenance regimen for 6 months

Ziegler 1971

unclear

MTX 25mg/m2 IT alternating with Ara‐C 50mg /m2 IT every 4 days. Two dose of each drug was given

No intrathecal therapy

Ziegler 1972a

none

C: 40mg/kg IV at 2 weekly intervals for 6 doses

TRIKE schedule
C: 4omg/kg followed in two weeks by O: 1.4mg/m2 IV on D1 and MTX 15mg/m2 orally on D1‐4; Ara‐C: two weeks later; 250mg/m2 CI daily x3days.

Figuras y tablas -
Table 1. Chemotherapy regimens
Table 2. Percentage of deaths (remission inducing studies)

Study

Comparison

Rx 1

Rx 2/control

Brecher 1997

Prespecified duration (1) versus duration determined by clinical response (2)

29

21

Olweny 1976

C: 40mg/kg IV on D1,repeated after 2 weeks or as soon as toxicity is abated (1) versus C: 30mg/kg IV on D1, O: 2mg/m2 IV on D1, MTX 15mg/m2 orally on D1‐3. This is repeated 12‐14 days later (2)

58

33

Patte 1991

Long duration chemotherapy (1) versus short duration chemotherapy (2)

10

12

Ziegler 1972a

C (1) versus TRIKE (2)

50

28

Figuras y tablas -
Table 2. Percentage of deaths (remission inducing studies)
Table 3. Percentage of events (remission inducing studies)

Study

Comparison

Rx 1

Rx 2/control

Brecher 1997

Prespecified duration (1) versus duration determined by clinical response (2)

35

21

Patte 1991

Long duration chemotherapy (1) versus short duration chemotherapy (2)

11

13

Sullivan 1991

Two (1) versus six (2) month duration of maintenance chemotherapy.

6

10

Figuras y tablas -
Table 3. Percentage of events (remission inducing studies)
Table 4. Percentage of remission (remission inducing studies)

Study

Comparison

Rx 1

Rx 2/control

Brecher 1997

Prespecified duration (1) versus duration determined by clinical response (2)

81

89

Patte 91

Long duration chemotherapy (1) versus short duration chemotherapy (2)

87

89

Olweny 76

Irradiation (1) versus no treatment (2)

83

84

Figuras y tablas -
Table 4. Percentage of remission (remission inducing studies)
Table 5. Percentage of relapse (remission inducing studies)

Study

Comparison

Rx 1

Rx2/control

Brecher 1997

Prespecified duration (1) versus duration determined by clinical response (2)

15

15

Olweny 1976

C: 40mg/kg IV on D1,repeated after 2 weeks or as soon as toxicity is abated (1) versus C: 30mg/kg IV on D1, O: 2mg/m2 IV on D1, MTX 15mg/m2 orally on D1‐3. This is repeated 12‐14 days later (2)

53

62

Patte 1991

Long duration chemotherapy (1) versus short duration chemotherapy (2)

11

10

Ziegler 1972a

C (1) versus TRIKE (2)

80

61

Figuras y tablas -
Table 5. Percentage of relapse (remission inducing studies)
Table 6. Percentage of toxicity (remission inducing studies)

Study

Comparisons

Rx1

Rx2/ control

type of toxicity

Brecher 1997

Prespecified duration (1) versus duration determined by clinical response (2)

74

96

Grade 3 and 4 toxicity; haematologic, neurotoxic, infections

Patte 1991

Long duration chemotherapy (1) versus short duration chemotherapy (2)

0

4

haematologic, multiorgan failure, infections

Figuras y tablas -
Table 6. Percentage of toxicity (remission inducing studies)
Table 7. Percentage of deaths (remission maintaining studies)

Study

Comparison

Rx 1

Rx 2/control

Magrath 1976

BCG (1) versus no treatment (2)

29

26

Neequaye 1990

TF (1) versus no treatment (2)

14

31

Olweny 1977

Irradiation (1) versus no treatment (2)

27

9

Figuras y tablas -
Table 7. Percentage of deaths (remission maintaining studies)
Table 8. Percentage of relapse (remission maintaining studies)

Study

Comparison

Rx 1

Rx 2/control

type of relapse

Neequaye 1990

TF (1) versus no treatment (2)

28

54

Not stated

Magrath 1976

BCG (1) versus no treatment (2)

52

58

Central nervous system

Magrath 1973

CCNU (1) versus no treatment (2)

38

38

Central nervous system

Olweny 1977

Irradiation (1) versus no treatment (2)

54

36

Central nervous system

Ziegler 1971

Intrathecal chemotherapy (MTX) (1) versus no treatment (2)

50

40

Central nervous system

Figuras y tablas -
Table 8. Percentage of relapse (remission maintaining studies)
Comparison 1. COMP versus modified LSA2 L2 (remission induction)

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Overall survival

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

2 Event‐free survival

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

3 Remission rate

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

4 Relapse

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

5 Toxicity and adverse events

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

Figuras y tablas -
Comparison 1. COMP versus modified LSA2 L2 (remission induction)
Comparison 2. Prespecified duration versus duration determined by clinical response (remission induction)

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Overall survival Show forest plot

1

123

Odds Ratio (M‐H, Fixed, 95% CI)

1.58 [0.69, 3.63]

2 Event‐free survival Show forest plot

1

123

Odds Ratio (M‐H, Fixed, 95% CI)

2.10 [0.93, 4.74]

3 Remission rate Show forest plot

1

122

Odds Ratio (M‐H, Fixed, 95% CI)

0.24 [0.06, 0.89]

4 Toxicity and adverse events Show forest plot

1

123

Odds Ratio (M‐H, Fixed, 95% CI)

0.10 [0.02, 0.46]

Figuras y tablas -
Comparison 2. Prespecified duration versus duration determined by clinical response (remission induction)
Comparison 3. Standard versus reduced dose chemotherapy (remission inducing)

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Overall survival

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

2 Event‐free survival

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

3 Remission rate

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

4 Relapse

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

5 Toxicity and adverse events

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

Figuras y tablas -
Comparison 3. Standard versus reduced dose chemotherapy (remission inducing)
Comparison 4. C versus combination chemotherapy (remission induction)

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Overall survival Show forest plot

1

40

Odds Ratio (M‐H, Fixed, 95% CI)

2.75 [0.76, 9.95]

2 Event‐free survival

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

3 Remission rate Show forest plot

1

37

Odds Ratio (M‐H, Fixed, 95% CI)

0.94 [0.16, 5.39]

4 Relapse Show forest plot

1

31

Odds Ratio (M‐H, Fixed, 95% CI)

0.69 [0.16, 2.87]

5 Toxicity and adverse events

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

Figuras y tablas -
Comparison 4. C versus combination chemotherapy (remission induction)
Comparison 5. Long versus short duration chemotherapy (remission induction)

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Overall survival Show forest plot

1

166

Odds Ratio (M‐H, Fixed, 95% CI)

0.8 [0.30, 2.14]

2 Event‐free survival Show forest plot

1

166

Odds Ratio (M‐H, Fixed, 95% CI)

1.17 [0.43, 3.20]

3 Remission rate

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

4 Relapse

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

5 Toxicity and adverse events Show forest plot

1

166

Odds Ratio (M‐H, Fixed, 95% CI)

0.14 [0.01, 2.78]

Figuras y tablas -
Comparison 5. Long versus short duration chemotherapy (remission induction)
Comparison 6. Two month versus six month maintenance regimen (remission induction)

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Overall survival

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

2 Event‐free survival Show forest plot

1

99

Odds Ratio (M‐H, Fixed, 95% CI)

0.59 [0.13, 2.60]

3 Remission rate

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

4 Relapse

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

5 Toxicity and adverse events

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

Figuras y tablas -
Comparison 6. Two month versus six month maintenance regimen (remission induction)
Comparison 7. C versus TRIKE (remission induction)

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Overall survival Show forest plot

1

28

Odds Ratio (M‐H, Fixed, 95% CI)

2.6 [0.52, 13.04]

2 Event‐free survival

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

3 Remission rate

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

4 Relapse Show forest plot

1

28

Odds Ratio (M‐H, Fixed, 95% CI)

2.55 [0.41, 15.65]

5 Toxicity and adverse events

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

Figuras y tablas -
Comparison 7. C versus TRIKE (remission induction)
Comparison 8. CCNU versus no treatment (remission maintenance)

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Overall survival

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

2 Event‐free survival

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

3 Remission rate

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

4 Relapse Show forest plot

1

26

Odds Ratio (M‐H, Fixed, 95% CI)

1.0 [0.21, 4.86]

5 Toxicity and adverse events

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

Figuras y tablas -
Comparison 8. CCNU versus no treatment (remission maintenance)
Comparison 9. BCG versus no treatment (remission maintenance)

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Overall survival Show forest plot

1

40

Odds Ratio (M‐H, Fixed, 95% CI)

1.12 [0.28, 4.51]

2 Event‐free survival

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

3 Remission rate

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

4 Relapse Show forest plot

1

40

Odds Ratio (M‐H, Fixed, 95% CI)

0.8 [0.23, 2.79]

5 Toxicity and adverse events

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

Figuras y tablas -
Comparison 9. BCG versus no treatment (remission maintenance)
Comparison 10. TF versus no treatment (remission maintenance)

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Overall survival Show forest plot

1

27

Odds Ratio (M‐H, Fixed, 95% CI)

0.38 [0.06, 2.52]

2 Event‐free survival

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

3 Remission rate

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

4 Relapse Show forest plot

1

27

Odds Ratio (M‐H, Fixed, 95% CI)

0.34 [0.07, 1.68]

5 Toxicity and adverse events

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

Figuras y tablas -
Comparison 10. TF versus no treatment (remission maintenance)
Comparison 11. Irradiation versus no treatment (remission maintenance)

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Overall survival Show forest plot

1

22

Odds Ratio (M‐H, Fixed, 95% CI)

3.75 [0.32, 43.31]

2 Event‐free survival

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

3 Remission rate

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

4 Relapse Show forest plot

1

22

Odds Ratio (M‐H, Fixed, 95% CI)

2.1 [0.38, 11.59]

5 Toxicity and adverse events

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

Figuras y tablas -
Comparison 11. Irradiation versus no treatment (remission maintenance)
Comparison 12. Intrathecal MTX versus no treatment (remission maintenance)

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Overall survival

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

2 Event‐free survival

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

3 Remission rate

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

4 Relapse Show forest plot

1

20

Odds Ratio (M‐H, Fixed, 95% CI)

1.5 [0.26, 8.82]

5 Toxicity and adverse events

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

Figuras y tablas -
Comparison 12. Intrathecal MTX versus no treatment (remission maintenance)