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Comparison 1 Pain response, Outcome 1 Proportion of patients with pain response (intention‐to‐treat analysis).
Figuras y tablas -
Analysis 1.1

Comparison 1 Pain response, Outcome 1 Proportion of patients with pain response (intention‐to‐treat analysis).

Comparison 1 Pain response, Outcome 2 Proportion of patients with pain response (evaluable patients as defined by original studies).
Figuras y tablas -
Analysis 1.2

Comparison 1 Pain response, Outcome 2 Proportion of patients with pain response (evaluable patients as defined by original studies).

Comparison 1 Pain response, Outcome 3 Mean pain change.
Figuras y tablas -
Analysis 1.3

Comparison 1 Pain response, Outcome 3 Mean pain change.

Comparison 2 Analgesic consumption, Outcome 1 Proportion of patients with decreased analgesic consumption.
Figuras y tablas -
Analysis 2.1

Comparison 2 Analgesic consumption, Outcome 1 Proportion of patients with decreased analgesic consumption.

Comparison 3 Skeletal events, Outcome 1 Proportion of patients having any skeletal events.
Figuras y tablas -
Analysis 3.1

Comparison 3 Skeletal events, Outcome 1 Proportion of patients having any skeletal events.

Comparison 3 Skeletal events, Outcome 2 Proportion of patients having any skeletal events (evaluable patients as defined by original studies).
Figuras y tablas -
Analysis 3.2

Comparison 3 Skeletal events, Outcome 2 Proportion of patients having any skeletal events (evaluable patients as defined by original studies).

Comparison 3 Skeletal events, Outcome 3 Proportion of patients having any skeletal events (evaluable patients, selecting 8/4mg arm from Saad 2002).
Figuras y tablas -
Analysis 3.3

Comparison 3 Skeletal events, Outcome 3 Proportion of patients having any skeletal events (evaluable patients, selecting 8/4mg arm from Saad 2002).

Comparison 3 Skeletal events, Outcome 4 Proportion of patients having any skeletal events (evaluable patients, selecting 4mg arm from Saad 2002).
Figuras y tablas -
Analysis 3.4

Comparison 3 Skeletal events, Outcome 4 Proportion of patients having any skeletal events (evaluable patients, selecting 4mg arm from Saad 2002).

Comparison 3 Skeletal events, Outcome 5 Proportion of patients having pathologic fractures.
Figuras y tablas -
Analysis 3.5

Comparison 3 Skeletal events, Outcome 5 Proportion of patients having pathologic fractures.

Comparison 3 Skeletal events, Outcome 6 Proportion of patients having vertebral fractures.
Figuras y tablas -
Analysis 3.6

Comparison 3 Skeletal events, Outcome 6 Proportion of patients having vertebral fractures.

Comparison 3 Skeletal events, Outcome 7 Proportion of patients having non‐vertebral fractures.
Figuras y tablas -
Analysis 3.7

Comparison 3 Skeletal events, Outcome 7 Proportion of patients having non‐vertebral fractures.

Comparison 3 Skeletal events, Outcome 8 Proportion of patients having spinal cord compression.
Figuras y tablas -
Analysis 3.8

Comparison 3 Skeletal events, Outcome 8 Proportion of patients having spinal cord compression.

Comparison 3 Skeletal events, Outcome 9 Proportion of patients received bone radiotherapy.
Figuras y tablas -
Analysis 3.9

Comparison 3 Skeletal events, Outcome 9 Proportion of patients received bone radiotherapy.

Comparison 3 Skeletal events, Outcome 10 Proportion of patients received bone surgery.
Figuras y tablas -
Analysis 3.10

Comparison 3 Skeletal events, Outcome 10 Proportion of patients received bone surgery.

Comparison 4 Treatment response, Outcome 1 Proportion of patients died of prostate cancer.
Figuras y tablas -
Analysis 4.1

Comparison 4 Treatment response, Outcome 1 Proportion of patients died of prostate cancer.

Comparison 4 Treatment response, Outcome 2 Proportion of patients with disease progression.
Figuras y tablas -
Analysis 4.2

Comparison 4 Treatment response, Outcome 2 Proportion of patients with disease progression.

Comparison 4 Treatment response, Outcome 3 Proportion of patients with radiological response.
Figuras y tablas -
Analysis 4.3

Comparison 4 Treatment response, Outcome 3 Proportion of patients with radiological response.

Comparison 5 Performance status, Outcome 1 Proportion of patients with improvement in performance status.
Figuras y tablas -
Analysis 5.1

Comparison 5 Performance status, Outcome 1 Proportion of patients with improvement in performance status.

Comparison 6 Adverse events, Outcome 1 Proportion of patients having nausea.
Figuras y tablas -
Analysis 6.1

Comparison 6 Adverse events, Outcome 1 Proportion of patients having nausea.

Comparison 6 Adverse events, Outcome 2 Proportion of patients having vomiting.
Figuras y tablas -
Analysis 6.2

Comparison 6 Adverse events, Outcome 2 Proportion of patients having vomiting.

Comparison 6 Adverse events, Outcome 3 Proportion of patients having anaemia.
Figuras y tablas -
Analysis 6.3

Comparison 6 Adverse events, Outcome 3 Proportion of patients having anaemia.

Comparison 6 Adverse events, Outcome 4 Proportion of patients having bone pain.
Figuras y tablas -
Analysis 6.4

Comparison 6 Adverse events, Outcome 4 Proportion of patients having bone pain.

Comparison 1. Pain response

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Proportion of patients with pain response (intention‐to‐treat analysis) Show forest plot

4

416

Odds Ratio (M‐H, Fixed, 95% CI)

1.54 [0.97, 2.44]

2 Proportion of patients with pain response (evaluable patients as defined by original studies) Show forest plot

4

374

Odds Ratio (M‐H, Fixed, 95% CI)

1.64 [1.02, 2.61]

3 Mean pain change Show forest plot

2

723

Std. Mean Difference (IV, Fixed, 95% CI)

‐1.58 [‐1.75, ‐1.41]

Figuras y tablas -
Comparison 1. Pain response
Comparison 2. Analgesic consumption

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Proportion of patients with decreased analgesic consumption Show forest plot

4

416

Odds Ratio (M‐H, Fixed, 95% CI)

1.27 [0.82, 1.98]

Figuras y tablas -
Comparison 2. Analgesic consumption
Comparison 3. Skeletal events

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Proportion of patients having any skeletal events Show forest plot

3

1332

Odds Ratio (M‐H, Fixed, 95% CI)

0.79 [0.62, 1.00]

2 Proportion of patients having any skeletal events (evaluable patients as defined by original studies) Show forest plot

3

1304

Odds Ratio (M‐H, Fixed, 95% CI)

0.79 [0.62, 1.00]

3 Proportion of patients having any skeletal events (evaluable patients, selecting 8/4mg arm from Saad 2002) Show forest plot

3

1090

Odds Ratio (M‐H, Fixed, 95% CI)

0.84 [0.65, 1.08]

4 Proportion of patients having any skeletal events (evaluable patients, selecting 4mg arm from Saad 2002) Show forest plot

3

1083

Odds Ratio (M‐H, Fixed, 95% CI)

0.76 [0.59, 0.98]

5 Proportion of patients having pathologic fractures Show forest plot

2

1021

Odds Ratio (M‐H, Fixed, 95% CI)

0.75 [0.53, 1.06]

6 Proportion of patients having vertebral fractures Show forest plot

2

1021

Odds Ratio (M‐H, Fixed, 95% CI)

0.65 [0.38, 1.13]

7 Proportion of patients having non‐vertebral fractures Show forest plot

2

1021

Odds Ratio (M‐H, Fixed, 95% CI)

0.74 [0.49, 1.12]

8 Proportion of patients having spinal cord compression Show forest plot

2

1021

Odds Ratio (M‐H, Fixed, 95% CI)

0.82 [0.44, 1.55]

9 Proportion of patients received bone radiotherapy Show forest plot

3

1248

Odds Ratio (M‐H, Fixed, 95% CI)

0.83 [0.62, 1.11]

10 Proportion of patients received bone surgery Show forest plot

2

1021

Odds Ratio (M‐H, Fixed, 95% CI)

0.80 [0.38, 1.70]

Figuras y tablas -
Comparison 3. Skeletal events
Comparison 4. Treatment response

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Proportion of patients died of prostate cancer Show forest plot

4

991

Odds Ratio (M‐H, Fixed, 95% CI)

0.82 [0.61, 1.11]

2 Proportion of patients with disease progression Show forest plot

2

538

Odds Ratio (M‐H, Fixed, 95% CI)

0.76 [0.53, 1.08]

3 Proportion of patients with radiological response Show forest plot

2

700

Odds Ratio (M‐H, Fixed, 95% CI)

1.26 [0.87, 1.83]

Figuras y tablas -
Comparison 4. Treatment response
Comparison 5. Performance status

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Proportion of patients with improvement in performance status Show forest plot

2

368

Odds Ratio (M‐H, Fixed, 95% CI)

1.53 [0.81, 2.91]

Figuras y tablas -
Comparison 5. Performance status
Comparison 6. Adverse events

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Proportion of patients having nausea Show forest plot

2

1021

Odds Ratio (M‐H, Fixed, 95% CI)

1.35 [1.02, 1.77]

2 Proportion of patients having vomiting Show forest plot

2

1021

Odds Ratio (M‐H, Fixed, 95% CI)

1.22 [0.89, 1.69]

3 Proportion of patients having anaemia Show forest plot

3

1037

Odds Ratio (M‐H, Fixed, 95% CI)

1.04 [0.76, 1.41]

4 Proportion of patients having bone pain Show forest plot

2

1021

Odds Ratio (M‐H, Fixed, 95% CI)

0.93 [0.72, 1.21]

Figuras y tablas -
Comparison 6. Adverse events