Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

3,801 questions · 4,079 findings · 473 reviews

No studies found 669 · 16.4%GRADE not reported 852 · 20.9%Very low 738 · 18.1%Low 903 · 22.1%Moderate 716 · 17.6%High 201 · 4.9%

Beclometasone vs placebo

Adverse events: candidiasis · participants with stable stage 2 and 3 COPD (mainly FEV1 49 ± 12% predicted), ex‐smokers (majority), smokers and non‐smokers

It is very uncertain whether beclometasone changes adverse events: candidiasis compared with placebo (very low certainty).

1 finding from 1 review

Beclometasone vs placebo

Withdrawal (all‐cause) · participants with stable stage 2 and 3 COPD (mainly FEV1 49 ± 12% predicted), ex‐smokers (majority), smokers and non‐smokers

Beclometasone showed no clear difference in withdrawal (all‐cause) compared with placebo (low certainty).

1 finding from 1 review

Beclometasone/LABA vs LABA

Mortality (all‐cause) (dichotomous Peto method) · participants with stable stage 3 COPD, smokers and ex‐smokers with a minimum pack‐year history of 20

It is very uncertain whether beclometasone/LABA changes mortality (all‐cause) (dichotomous Peto method) compared with LABA (very low certainty).

1 finding from 1 review

Beclometasone/LABA vs LABA

Pneumonia · participants with stable stage 3 COPD, smokers and ex‐smokers with a minimum pack‐year history of 20

Beclometasone/LABA showed no clear difference in pneumonia: participants with at least one (dichotomous Peto odds… compared with LABA (low certainty).

1 finding from 1 review

Beclometasone/LABA vs LABA

Exacerbations · participants with stable stage 3 COPD, smokers and ex‐smokers with a minimum pack‐year history of 20

Beclometasone/LABA showed no clear difference in exacerbations: participants with at least one (dichotomous) compared with LABA (moderate certainty).

1 finding from 1 review

Beclometasone/LABA vs LABA

Withdrawal (all‐cause) · participants with stable stage 3 COPD, smokers and ex‐smokers with a minimum pack‐year history of 20

Beclometasone/LABA showed no clear difference in withdrawal (all‐cause) compared with LABA (moderate certainty).

1 finding from 1 review

Beclometasone vs placebo

Mortality (all‐cause) (dichotomous Peto method) · participants with stable stage 2 and 3 COPD (mainly FEV1 49 ± 12% predicted), ex‐smokers (majority), smokers and non‐smokers

It is very uncertain whether beclometasone changes mortality (all‐cause) (dichotomous Peto method) compared with placebo (very low certainty).

1 finding from 1 review

Intervention not reported

Readmission to hospital, inpatient. Number of people experiencing one or more readmissions ( · exacerbations of COPD

The intervention probably leads to lower readmission to hospital, inpatient. Number of people experiencing… (moderate certainty).

1 finding from 1 review

Intervention not reported

Patient satisfaction Number of people stating to be very satisfied with treatment ( · exacerbations of COPD

The intervention showed no clear difference in patient satisfaction Number of people stating to be very satisfied… (low certainty).

1 finding from 1 review

Intervention not reported

Carer satisfaction Number of carers stating to be very satisfied with treatment ( · exacerbations of COPD

It is very uncertain whether the intervention changes carer satisfaction Number of carers stating to be very satisfied… (very low certainty).

1 finding from 1 review