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Table 2 Results from meta-analyses conducted independently by Centers A and B examining measures of efficacy and safety associated with rhBMP-2

From: Comparison of two independent systematic reviews of trials of recombinant human bone morphogenetic protein-2 (rhBMP-2): the Yale Open Data Access Medtronic Project

Outcome

Center

Surgical approach

No. of studies (n)

Effect size (95% CI)

Treatment advantage

ODI

A

All

12 (1368)

(0-100) -3.48 (-6.47 to -0.49)

BMP

B

ALIF

5 (423)

(0-50) -7.35 (-14.00 to -0.70)

BMP

PLF

4 (650)

(0-50) -1.98 (-4.86 to 0.90)

Neither

SF-36 PCS

A

All

12 (1303)

(0-100) 1.93 (0.63 to 3.22)

BMP

B

ALIF

5 (421)

(0-100) 3.68 (0.86 to 6.49)

BMP

PLF

4 (644)

(0-100) 1.10 (-0.6 to 2.86)

Neither

Back pain

A

All

12 (1326)

(0-10) -1.58 (-2.65 to -0.51)

BMP

B

ALIF

4 (409)

(0-20) -0.74 (1.49 to 0.00)

BMP

PLF

4 (649)

(0-20) -0.31 (-0.76 to 0.15)

Neither

Leg pain

A

All

12 (1326)

(0-10) -0.59 (-1.27 to 0.09)

Neither

B

ALIF

4 (409)

(0-20) -0.60 (-1.28 to 0.08)

Neither

PLF

4 (648)

(0-20) -0.34 (-0.82 to 0.13)

Neither

Fusion

A

All

10 (1078)

RR 1.14 (1.03 to 1.25)

BMP

B

ALIF

5 (416)

RR 1.05 (0.88 to 1.24)

Neither

PLF

4 (637)

RR 1.16 (0.96 to 1.41)

Neither

Cancer

A

All up to 48 months

11 (1281)

RR 1.98 (0.86 to 4.54)

Neither

B

All 24 months

5 (1450)

RR 3.45 (1.98 to 6.00)

Control

All 48 months

4 (1183)

RR 1.82 (0.84 to 3.95)

Neither

  1. CI Confidence Interval, ODI Oswestry disability index. Lower favors rhBMP-2. ALIF Anterior lumbar interbody fusion, PLF Posterolateral fusion, RR Relative risk, SF-36 PCS Short Form 36 Physical Component Score. Higher favors rhBMP-2. For back and leg pain, Center A used a 0-10 scale and Center B used a 0-20 scale. Lower favors rhBMP-2. Bolded values statistically significant