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Table 2 GRADE quality assessment of direct evidence of each pairwise treatment comparison for treatment success

From: Comparative effectiveness of anti-viral drugs with dual activity for treating hepatitis B and HIV co-infected patients: a network meta-analysis

Treatment comparison

Number of head-to head trials(n)

Study limitations`

Precision

Consistency

Directness

Publication bias

Direct Estimate; OR (95% CI)

Absolute effect per 100 treated (95% CI)

Overall quality of evidence

LMV vs TDF plus LMV

4 (158)

seriousa

very seriousb

very serious (I2: 62%)c

serious

likely to exist

0.37 (0.06–2.41)

218 fewer (from 121 more to 602 fewer)

very low

FTC vs TDF

1 (15)

seriousa

very seriousa

not serious

not serious

likely to exist

0.07 (0.00–1.14)

513 fewer (0 to 11 more)

very low

LMV vs TDF

2 (84)

seriousa

very seriousa

very seriousc(I2: 78%)

serious

likely to exist

0.12 (0.00–5.71)

27 fewer (87 fewer to 141 more)

very low

LMV vs placebo

2 (130)

seriousa

very seriousa

not serious (I2: 0%)

serious

likely to exist

0.73 (0.2–2.69)

432 fewer (0 to 109 more)

very low

TDF vs TDF plus LMV

2 (37)

seriousa

very seriousa

very seriousc(I2: 51%)

serious

likely to exist

1.21 (0.06–23.06)

21 more (127 more to 586 fewer)

very low

TDF vs placebo

1 (12)

seriousa

very seriousb

not serious

not serious

likely to exist

105.00(1.65–6697.38)

0 fewer (0 fewer to 0 fewer)

very low

TDF plus LMV vs placebo

1 (15)

seriousa

very seriousb

not serious

not serious

likely to exist

7.00 (0.24–206.78)

239 more (294 more to 341 fewer)

very low

ADV vs TDF

1 (52)

seriousa

very seriousb

not serious

not serious

likely to exist

3.23 (0.85–12.35)

212 more (19 fewer to 534 more)

very low

  1. For domains “Study Limitations”, “Precision”, “Consistency”, and “Directness”: rated as not serious, serious, or very serious issues. For the domain “Publication bias”: not likely or likely to exist. Reasons are provided when rating down. All direct comparisons begin with a “High” rating. aRated down one level for risk of bias as study limitations;bRated down two levels for imprecision; cRated down two levels for substantial heterogeneity based on I2 values; CI Confidence interval, OR Odds ratio. ADV Adefovir, FTC Emtricitabine, LMV Lamivudine, TDF Tenofovir disoproxil fumarate, TDF plus LMV Combined Tenofovir disoproxil fumarate and Lamivudine