Figure S1. Risk of bias summary. Green (+), yellow (?), and red (-) circle represents low, unclear, and a high risk of bias, respectively.

(1)

Figure S1. Risk of bias summary. Green (+), yellow (?), and red (-) circle represents

low, unclear, and a high risk of bias, respectively.

(2)

Figure S2. Funnel plot of clinical success.

(3)

Figure S3. Funnel plot of microbiological success.

(4)

Table S1.

PRISMA NMA Checklist of Items to Include When Reporting A Systematic Review Involving a Network Meta-analysis

Section/Topic Item

#

Checklist Item Reported

on Page # TITLE

Title 1 Identify the report as a systematic review

incorporating a network meta-analysis (or related form of meta-analysis).

1

ABSTRACT Structured summary

2 Provide a structured summary including, as applicable:

Background: main objectives

Methods: data sources; study eligibility criteria, participants, and interventions; study appraisal;

and synthesis methods, such as network meta- analysis.

Results: number of studies and participants identified; summary estimates with corresponding confidence/credible intervals; treatment rankings may also be discussed. Authors may choose to summarize pairwise comparisons against a chosen treatment included in their analyses for brevity.

Discussion/Conclusions: limitations; conclusions and implications of findings.

Other: primary source of funding; systematic review registration number with registry name.

3

INTRODUCTION

Rationale 3 Describe the rationale for the review in the context of what is already known, including mention of why a network meta-analysis has been conducted.

4 Objectives 4 Provide an explicit statement of questions being

addressed, with reference to participants,

interventions, comparisons, outcomes, and study design (PICOS).

4

METHODS Protocol and registration

5 Indicate whether a review protocol exists and if and where it can be accessed (e.g., Web address); and, if available, provide registration information, including

5

(5)

registration number.

Eligibility criteria 6 Specify study characteristics (e.g., PICOS, length of follow-up) and report characteristics (e.g., years considered, language, publication status) used as criteria for eligibility, giving rationale. Clearly describe eligible treatments included in the

treatment network, and note whether any have been clustered or merged into the same node (with justification).

5-6

Information sources

7 Describe all information sources (e.g., databases with dates of coverage, contact with study authors to identify additional studies) in the search and date last searched.

5, Table S2 Search 8 Present full electronic search strategy for at least one

database, including any limits used, such that it could be repeated.

5, Table S2 Study selection 9 State the process for selecting studies (i.e.,

screening, eligibility, included in systematic review, and, if applicable, included in the meta-analysis).

5-6

Data collection process

10 Describe method of data extraction from reports (e.g., piloted forms, independently, in duplicate) and any processes for obtaining and confirming data from investigators.

6

Data items 11 List and define all variables for which data were sought (e.g., PICOS, funding sources) and any assumptions and simplifications made.

6

Geometry of the network

S1 Describe methods used to explore the geometry of the treatment network under study and potential biases related to it. This should include how the evidence base has been graphically summarized for presentation, and what characteristics were compiled and used to describe the evidence base to readers.

7

Risk of bias within individual studies

12 Describe methods used for assessing risk of bias of individual studies (including specification of whether this was done at the study or outcome level), and how this information is to be used in any data synthesis.

6-7

Summary measures

13 State the principal summary measures (e.g., risk ratio, difference in means). Also describe the use of additional summary measures assessed, such as treatment rankings and surface under the

cumulative ranking curve (SUCRA) values, as well as modified approaches used to present summary findings from meta-analyses.

7-8

(6)

Planned methods of analysis

14 Describe the methods of handling data and

combining results of studies for each network meta- analysis. This should include, but not be limited to:



Handling of multi-arm trials;



Selection of variance structure;



Selection of prior distributions in Bayesian analyses; and

 Assessment of model fit.

7-8

Assessment of Inconsistency

S2 Describe the statistical methods used to evaluate the agreement of direct and indirect evidence in the treatment network(s) studied. Describe efforts taken to address its presence when found.

8

Risk of bias across studies

15 Specify any assessment of risk of bias that may affect the cumulative evidence (e.g., publication bias, selective reporting within studies).

8 Additional

analyses

16 Describe methods of additional analyses if done, indicating which were pre-specified. This may include, but not be limited to, the following:

 Sensitivity or subgroup analyses;

 Meta-regression analyses;



Alternative formulations of the treatment network; and



Use of alternative prior distributions for Bayesian analyses (if applicable).

n.a.

RESULTS†

Study selection 17 Give numbers of studies screened, assessed for eligibility, and included in the review, with reasons for exclusions at each stage, ideally with a flow diagram.

8, Figure 1 Presentation of

network structure

S3 Provide a network graph of the included studies to enable visualization of the geometry of the treatment network.

9, Figure 2 Summary of

network geometry

S4 Provide a brief overview of characteristics of the treatment network. This may include commentary on the abundance of trials and randomized patients for the different interventions and pairwise comparisons in the network, gaps of evidence in the treatment network, and potential biases reflected by the

9

(7)

network structure.

Study

characteristics

18 For each study, present characteristics for which data were extracted (e.g., study size, PICOS, follow-up period) and provide the citations.

9 Risk of bias within

studies

19 Present data on risk of bias of each study and, if

available, any outcome level assessment. 9 Results of

individual studies

20 For all outcomes considered (benefits or harms), present, for each study: 1) simple summary data for each intervention group, and 2) effect estimates and confidence intervals. Modified approaches may be needed to deal with information from larger networks.

Figure S2-S5

Synthesis of results 21 Present results of each meta-analysis done, including confidence/credible intervals. In larger networks, authors may focus on comparisons versus a particular comparator (e.g. placebo or standard care), with full findings presented in an appendix.

League tables and forest plots may be considered to summarize pairwise comparisons. If additional summary measures were explored (such as treatment rankings), these should also be presented.

9-12

Exploration for inconsistency

S5 Describe results from investigations of

inconsistency. This may include such information as measures of model fit to compare consistency and inconsistency models, P values from statistical tests, or summary of inconsistency estimates from

different parts of the treatment network.

12

Risk of bias across studies

22 Present results of any assessment of risk of bias across studies for the evidence base being studied.

9, Figure S1 Results of

additional analyses

23 Give results of additional analyses, if done (e.g., sensitivity or subgroup analyses, meta-regression analyses, alternative network geometries studied, alternative choice of prior distributions for Bayesian analyses, and so forth).

n.a.

DISCUSSION Summary of evidence

24 Summarize the main findings, including the strength of evidence for each main outcome; consider their relevance to key groups (e.g., healthcare providers, users, and policy-makers).

12

Limitations 25 Discuss limitations at study and outcome level (e.g., risk of bias), and at review level (e.g., incomplete retrieval of identified research, reporting bias).

13-14

(8)

Comment on the validity of the assumptions, such as transitivity and consistency. Comment on any concerns regarding network geometry (e.g., avoidance of certain comparisons).

Conclusions 26 Provide a general interpretation of the results in the context of other evidence, and implications for future research.

14

FUNDING

Funding 27 Describe sources of funding for the systematic review and other support (e.g., supply of data); role of funders for the systematic review. This should also include information regarding whether funding has been received from manufacturers of treatments in the network and/or whether some of the authors are content experts with professional conflicts of interest that could affect use of treatments in the network.

14

PICOS = population, intervention, comparators, outcomes, study design.

* Text in italics indicateS wording specific to reporting of network meta-analyses that has been added to guidance from the PRISMA statement.

† Authors may wish to plan for use of appendices to present all relevant information in full detail for items in this section.

(9)

Table S2. Search strings of all databases.

1. Search string of PubMed

Search

number Query Results

11

((((((("Soft Tissue Infections"[Mesh]) OR "Skin Diseases,

Infectious"[Mesh]) OR "Cellulitis"[Mesh]) OR "Abscess"[Mesh]) OR "Erysipelas"[Mesh]) OR ((((((((((Soft Tissue

Infections[Title/Abstract]) OR (Soft Tissue Infection[Title/Abstract])) OR (Infectious Skin Diseases[Title/Abstract])) OR (Infectious Skin

Disease[Title/Abstract])) OR (Cellulitis[Title/Abstract])) OR (Phlegmon[Title/Abstract])) OR (Abscess[Title/Abstract])) OR (Abscesses[Title/Abstract])) OR (Erysipelas[Title/Abstract])) OR ((cutaneous AND infection*)))) AND ((((("Daptomycin"[Mesh]) OR "Linezolid"[Mesh]) OR "Vancomycin"[Mesh]) OR "tedizolid"

[Supplementary Concept]) OR

((((((((((((((((Daptomycin[Title/Abstract]) OR

(Deptomycin[Title/Abstract])) OR (Cubicin[Title/Abstract])) OR (Linezolid[Title/Abstract])) OR (Linezolide[Title/Abstract])) OR (Zyvox[Title/Abstract])) OR (Vancomycin[Title/Abstract])) OR (Vancomycin-ratiopharm[Title/Abstract])) OR (AB-

Vancomycin[Title/Abstract])) OR (Vanco

Azupharma[Title/Abstract])) OR (Diatracin[Title/Abstract])) OR (Vancocin[Title/Abstract])) OR (Vancocine[Title/Abstract])) OR (Vancomicina[Title/Abstract])) OR (tedizolid[Title/Abstract])) OR (torezolid[Title/Abstract])))) AND (((((((("Randomized Controlled Trial" [Publication Type]) OR "Randomized Controlled Trials as Topic"[Mesh]) OR "Random Allocation"[Mesh]) OR "Double- Blind Method"[Mesh]) OR "Single-Blind Method"[Mesh]) OR

"Placebos"[Mesh]) OR ((random*[Text Word]) OR (placebo[Title/Abstract]))) OR (((((singl*[Text Word]) OR (doubl*[Text Word])) OR (trebl*[Text Word])) OR (tripl*[Text Word])) AND (((mask*[Text Word]) OR (blind*[Text Word])) OR (dumm*[Text Word]))))

246

10 ((((((("Randomized Controlled Trial" [Publication Type]) OR

"Randomized Controlled Trials as Topic"[Mesh]) OR "Random Allocation"[Mesh]) OR "Double-Blind Method"[Mesh]) OR

"Single-Blind Method"[Mesh]) OR "Placebos"[Mesh]) OR ((random*[Text Word]) OR (placebo[Title/Abstract]))) OR

(((((singl*[Text Word]) OR (doubl*[Text Word])) OR (trebl*[Text Word])) OR (tripl*[Text Word])) AND (((mask*[Text Word]) OR

#######

#

(10)

(blind*[Text Word])) OR (dumm*[Text Word])))

9

(((("Daptomycin"[Mesh]) OR "Linezolid"[Mesh]) OR

"Vancomycin"[Mesh]) OR "tedizolid" [Supplementary Concept]) OR ((((((((((((((((Daptomycin[Title/Abstract]) OR

Azupharma[Title/Abstract])) OR (Diatracin[Title/Abstract])) OR (Vancocin[Title/Abstract])) OR (Vancocine[Title/Abstract])) OR (Vancomicina[Title/Abstract])) OR (tedizolid[Title/Abstract])) OR (torezolid[Title/Abstract]))

35,998

8

(((((((((((((((Daptomycin[Title/Abstract]) OR

Azupharma[Title/Abstract])) OR (Diatracin[Title/Abstract])) OR (Vancocin[Title/Abstract])) OR (Vancocine[Title/Abstract])) OR (Vancomicina[Title/Abstract])) OR (tedizolid[Title/Abstract])) OR (torezolid[Title/Abstract])

33,029

7 ((("Daptomycin"[Mesh]) OR "Linezolid"[Mesh]) OR

"Vancomycin"[Mesh]) OR "tedizolid" [Supplementary Concept] 17,822

6

((((("Soft Tissue Infections"[Mesh]) OR "Skin Diseases,

Infectious"[Mesh]) OR "Cellulitis"[Mesh]) OR "Abscess"[Mesh]) OR "Erysipelas"[Mesh]) OR ((((((((((Soft Tissue

Infections[Title/Abstract]) OR (Soft Tissue Infection[Title/Abstract])) OR (Infectious Skin Diseases[Title/Abstract])) OR (Infectious Skin

Disease[Title/Abstract])) OR (Cellulitis[Title/Abstract])) OR (Phlegmon[Title/Abstract])) OR (Abscess[Title/Abstract])) OR (Abscesses[Title/Abstract])) OR (Erysipelas[Title/Abstract])) OR ((cutaneous AND infection*)))

232,992

5

(((((((((Soft Tissue Infections[Title/Abstract]) OR (Soft Tissue Infection[Title/Abstract])) OR (Infectious Skin

Diseases[Title/Abstract])) OR (Infectious Skin

Disease[Title/Abstract])) OR (Cellulitis[Title/Abstract])) OR (Phlegmon[Title/Abstract])) OR (Abscess[Title/Abstract])) OR (Abscesses[Title/Abstract])) OR (Erysipelas[Title/Abstract])) OR ((cutaneous AND infection*))

117,305

1 (((("Soft Tissue Infections"[Mesh]) OR "Skin Diseases, 173,910

(11)

Infectious"[Mesh]) OR "Cellulitis"[Mesh]) OR "Abscess"[Mesh]) OR "Erysipelas"[Mesh]

(12)

2. Search string of Cochrane Library

ID Search Hits

#1 ("soft tissue infections" OR "soft tissue infection" OR "infectious skin diseases" OR

"infectious skin disease" OR "Cellulitis" OR "Phlegmon" OR "Abscess" OR "Abscesses" OR

"Erysipelas" OR (("cutaneous" OR "cutaneously" OR "cutanous") AND

"infection*")):ti,ab,kw (Word variations have been searched) 6230

#2 MeSH descriptor: [Soft Tissue Infections] explode all trees 99

#3 MeSH descriptor: [Skin Diseases, Infectious] explode all trees 3349

#4 MeSH descriptor: [Cellulitis] explode all trees 174

#5 MeSH descriptor: [Abscess] explode all trees 620

#6 MeSH descriptor: [Erysipelas] explode all trees26

#7 #1 OR #2 OR #3 OR #4 OR #5 OR #6 9093

#8 (Daptomycin OR Deptomycin OR Cubicin OR Linezolid OR Linezolide OR Zyvox OR Vancomycin OR Vancomycin-ratiopharm OR AB-Vancomycin OR Vanco Azupharma OR Diatracin OR Vancocin OR Vancocine OR Vancomicina OR tedizolid OR torezolid):ti,ab,kw

2449

#9 MeSH descriptor: [Daptomycin] explode all trees 96

#10 MeSH descriptor: [Linezolid] explode all trees 229

#11 MeSH descriptor: [Vancomycin] explode all trees 800

#12 MeSH descriptor: [] explode all trees 0

#13 #8 OR #9 OR #10 OR #11 OR #12 2449

#14 (random* OR placebo*):ti,ab,kw 1096896

#15 (singl* OR doubl* OR trebl* OR trip*):ti,ab,kw 471237

#16 (mask* OR blind* OR dumm*):ti,ab,kw 391250

#17 #15 AND #16349280

#18 #14 OR #17 1129133

#19 MeSH descriptor: [Randomized Controlled Trial] explode all trees 118

#20 MeSH descriptor: [Randomized Controlled Trials as Topic] explode all trees 14512

#21 MeSH descriptor: [Random Allocation] explode all trees 20604

#22 MeSH descriptor: [Double-Blind Method] explode all trees 137713

#23 MeSH descriptor: [Single-Blind Method] explode all trees 20810

(13)

#24 MeSH descriptor: [Placebos] explode all trees 24036

#25 #18 OR #19 OR #20 OR #21 OR #22 OR #23 OR #24 1129179

#26 #7 AND #13 AND #25 262

(14)

3. Search string of EMBASE

N

o .

Query Results

# 1 3

#12 AND [embase]/lim 1081

# 1 2

#3 AND #8 AND #11 1117

# 1 1

#9 OR #10 114029

# 1 0

'erysipelas'/exp OR 'daptomycin'/exp OR 'linezolid'/exp OR

'vancomycin'/exp 107333

# 9

daptomycin:ab,ti AND deptomycin:ab,ti OR cubicin:ab,ti OR

linezolid:ab,ti OR linezolide:ab,ti OR zyvox:ab,ti OR vancomycin:ab,ti OR 'vancomycin ratiopharm':ab,ti OR 'ab vancomycin':ab,ti OR 'vanco

azupharma':ab,ti OR diatracin:ab,ti OR vancocin:ab,ti OR vancocine:ab,ti OR vancomicina:ab,ti OR tedizolid:ab,ti OR torezolid:ab,ti

45538

#

8 #6 OR #7 200627

#

7 'soft tissue infection'/exp OR 'cellulitis'/exp OR 'abscess'/exp 140747

#

6 #4 OR #5 142853

#

5 cutaneous:ab,ti AND infection*:ab,ti 26456

# 4

'soft tissue infections':ab,ti OR 'soft tissue infection':ab,ti OR 'infectious skin diseases':ab,ti OR 'infectious skin disease':ab,ti OR cellulitis:ab,ti

OR phlegmon:ab,ti OR abscess:ab,ti OR abscesses:ab,ti OR erysipelas:ab,ti

118433

#

3 #1 OR #2 3572152

# 2

'randomized controlled trial (topic)'/exp OR 'randomized controlled trial (topic)' OR 'equivalence trial'/exp OR 'equivalence trial' OR

'randomization'/exp OR 'randomization' OR 'double blind procedure'/exp OR 'double blind procedure' OR 'single blind

procedure'/exp OR 'single blind procedure' OR 'placebo'/exp OR 'placebo' OR 'phase 3 clinical trial'/exp OR 'phase 3 clinical trial' OR 'pragmatic trial'/exp OR 'pragmatic trial' OR 'controlled clinical

1384787

(15)

trial'/exp OR 'controlled clinical trial' OR 'controlled clinical trial (topic)'/exp OR 'controlled clinical trial (topic)'

# 1

'randomized controlled trial':ab,ti AND topic:ab,ti OR 'randomized controlled trial topic':ab,ti OR ('controlled clinical trial':ab,ti AND topic:ab,ti) OR 'controlled clinical trial topic'/exp OR 'controlled clinical trial topic' OR 'randomization'/exp OR 'randomization' OR

'randomization'/exp OR randomization OR 'random allocation'/exp OR 'random allocation' OR (random AND allocation) OR 'double-blind

method'/exp OR 'double-blind method' OR ('double blind' AND ('method'/exp OR 'method' OR 'method'/exp OR method)) OR 'double blind procedure'/exp OR 'double blind procedure' OR (double AND ('blind'/exp OR 'blind' OR 'blind'/exp OR blind) AND ('procedure'/exp

OR 'procedure' OR 'procedure'/exp OR procedure)) OR 'double-blind studies'/exp OR 'double-blind studies' OR ('double blind' AND

('studies'/exp OR 'studies' OR 'studies'/exp OR studies)) OR 'single- blind method'/exp OR 'single-blind method' OR ('single blind' AND

('method'/exp OR 'method' OR 'method'/exp OR method)) OR 'single blind procedure'/exp OR 'single blind procedure' OR (single AND

('blind'/exp OR 'blind' OR 'blind'/exp OR blind) AND ('procedure'/exp OR 'procedure' OR 'procedure'/exp OR procedure)) OR 'single-blind studies'/exp OR 'single-blind studies' OR ('single blind' AND

('studies'/exp OR 'studies' OR 'studies'/exp OR studies)) OR

(('control'/exp OR 'control' OR 'control'/exp OR control) AND group*) OR random* OR sham OR placebo* OR ((singl* OR doubl*) AND adj AND (blind* OR dumm* OR mask*)) OR ((tripl* OR trebl*) AND adj AND (blind* OR dumm* OR mask*)) OR (control* AND adj3 AND ('study'/exp OR 'study' OR 'study'/exp OR study OR 'studies'/exp OR 'studies' OR 'studies'/exp OR studies OR trial* OR group*)) OR ((nonrandom* OR non) AND random*) OR 'non random*' OR 'quasi

random*' OR quasirandom* OR allocated OR ((open AND label OR 'open label') AND adj5 AND ('study'/exp OR 'study' OR 'study'/exp OR

study OR 'studies'/exp OR 'studies' OR 'studies'/exp OR studies OR trial*)) OR ((equivalence OR superiority OR 'non inferiority' OR noninferiority) AND adj3 AND ('study'/exp OR 'study' OR 'study'/exp OR study OR 'studies'/exp OR 'studies' OR 'studies'/exp OR studies OR

trial*)) OR 'pragmatic study' OR (pragmatic AND ('study'/exp OR 'study' OR 'study'/exp OR study)) OR 'pragmatic studies' OR (pragmatic AND ('studies'/exp OR 'studies' OR 'studies'/exp OR studies)) OR ((pragmatic OR practical) AND adj3 AND trial*) OR

((quasiexperimental OR 'quasi experimental') AND adj3 AND ('study'/exp OR 'study' OR 'study'/exp OR study OR 'studies'/exp OR 'studies' OR 'studies'/exp OR studies OR trial*)) OR 'phase adj3 adj3' OR (phase AND (iii OR '3') AND adj3 AND ('study'/exp OR 'study' OR

3428078

(16)

'study'/exp OR study OR 'studies'/exp OR 'studies' OR 'studies'/exp OR studies OR trial*))