Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

2,234 questions · 2,325 findings · 216 reviews · Airways

No studies found 249 · 10.7%GRADE not reported 107 · 4.6%Very low 276 · 11.9%Low 751 · 32.3%Moderate 718 · 30.9%High 224 · 9.6%

Self‐management interventions vs usual care

Respiratory‐related hospital admissions · patients with chronic obstructive pulmonary disease

It is very uncertain whether self‐management interventions changes respiratory‐related hospital admissions compared with usual care (very low certainty).

2 findings from 2 reviews · compare the 2 reviews

Self‐management interventions vs usual care

Respiratory‐related mortality · patients with chronic obstructive pulmonary disease

Self‐management interventions showed no clear difference in respiratory‐related mortality compared with usual care (low certainty).

2 findings from 2 reviews · compare the 2 reviews

Self‐management interventions vs usual care

All‐cause mortality · patients with chronic obstructive pulmonary disease

Self‐management interventions showed no clear difference in all‐cause mortality compared with usual care (low certainty).

2 findings from 2 reviews · compare the 2 reviews

Self‐management interventions vs usual care

Hospital admissions · patients with chronic obstructive pulmonary disease

Self‐management interventions showed no clear difference in all‐cause hospital admissions compared with usual care (moderate certainty).

2 findings from 2 reviews · compare the 2 reviews

Self‐management interventions vs usual care

COPD exacerbations · patients with chronic obstructive pulmonary disease
2 findings from 2 reviews · compare the 2 reviews

Increased vs stable doses of inhaled corticosteroids

Treatment failure ‐ need for systemic corticosteroids (ITT) · adults and children with chronic asthma

Increased showed no clear difference in treatment failure: need for systemic corticosteroids (ITT) compared with stable doses of inhaled corticosteroids (moderate certainty).

1 finding from 1 review

Increased vs stable doses of inhaled corticosteroids

Treatment failure ‐ need for systemic corticosteroids (of those starting inhaler) · adults and children with chronic asthma

It is very uncertain whether increased changes treatment failure: need for systemic corticosteroids (of those… compared with stable doses of inhaled corticosteroids (very low certainty).

1 finding from 1 review

Increased vs stable doses of inhaled corticosteroids

Unscheduled physician visits 44 weeks · adults and children with chronic asthma

Increased showed no clear difference in unscheduled physician visits 44 weeks compared with stable doses of inhaled corticosteroids (low certainty).

1 finding from 1 review

Increased vs stable doses of inhaled corticosteroids

Serious adverse events 48 weeks · adults and children with chronic asthma

It is very uncertain whether increased changes serious adverse events 48 weeks compared with stable doses of inhaled corticosteroids (very low certainty).

1 finding from 1 review

Increased vs stable doses of inhaled corticosteroids

Non‐serious adverse events 43 weeks · adults and children with chronic asthma

It is very uncertain whether increased changes non‐serious adverse events 43 weeks compared with stable doses of inhaled corticosteroids (very low certainty).

1 finding from 1 review

Mepolizumab subcutaneous (SC) vs placebo

Rate of clinically significant exacerbations requiring systemic corticosteroids · people with asthma

Mepolizumab subcutaneous (SC) leads to lower rate of clinically significant exacerbations requiring systemic… compared with placebo (high certainty).

1 finding from 1 review