Table 6.

GRADE summary of findings for thrombolysis followed by AC vs AC alone in patients with CSVT

No. of studiesStudy designNo. of patients (%)EffectCertaintyImportance
Thrombolysis followed by ACAC aloneRelative (95% CI)Absolute (95% CI)
Mortality (assessed with: all-cause mortality; follow-up: mean, 3.5 years) 
129  Nonrandomized studies 0/6 (0.0) 0/4 (0.0) Not estimable Not estimable ⊕○○○
Very low,  
Critical 
Thrombus resolution (complete; follow-up: mean, 3.5 years; assessed with: imaging) 
129  Nonrandomized studies 6/6 (100.0) 3/4 (75.0) RR, 1.33 (0.72-2.44) 248 more per 1000 (210 fewer to 1000 more) ⊕○○○
Very low,  
Critical 
Thrombus resolution (follow-up: mean, 3.5 years; assessed with: complete or partial resolution) 
129  Nonrandomized studies 6/6 (100.0) 4/4 (100.0) RR, 1.00 (0.70-1.43) 0 fewer per 1000 (300 fewer to 430 more) ⊕○○○
Very low,  
Critical 
Thrombus recurrence (follow-up: mean, 3.5 years) 
129  Nonrandomized studies 0/6 (0.0) 0/4 (0.0) Not estimable Not estimable ⊕○○○
Very low,  
Critical 
No. of studiesStudy designNo. of patients (%)EffectCertaintyImportance
Thrombolysis followed by ACAC aloneRelative (95% CI)Absolute (95% CI)
Mortality (assessed with: all-cause mortality; follow-up: mean, 3.5 years) 
129  Nonrandomized studies 0/6 (0.0) 0/4 (0.0) Not estimable Not estimable ⊕○○○
Very low,  
Critical 
Thrombus resolution (complete; follow-up: mean, 3.5 years; assessed with: imaging) 
129  Nonrandomized studies 6/6 (100.0) 3/4 (75.0) RR, 1.33 (0.72-2.44) 248 more per 1000 (210 fewer to 1000 more) ⊕○○○
Very low,  
Critical 
Thrombus resolution (follow-up: mean, 3.5 years; assessed with: complete or partial resolution) 
129  Nonrandomized studies 6/6 (100.0) 4/4 (100.0) RR, 1.00 (0.70-1.43) 0 fewer per 1000 (300 fewer to 430 more) ⊕○○○
Very low,  
Critical 
Thrombus recurrence (follow-up: mean, 3.5 years) 
129  Nonrandomized studies 0/6 (0.0) 0/4 (0.0) Not estimable Not estimable ⊕○○○
Very low,  
Critical 

Risk of bias was assessed using ROBINS-I, we have concerns because of selection bias and confounding.

We downgraded twice for imprecision because of the small sample size and small number of events.

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