Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

870 questions · 912 findings · 85 reviews · Airways

No studies found 65 · 7.1%GRADE not reported 34 · 3.7%Very low 115 · 12.6%Low 273 · 29.9%Moderate 330 · 36.2%High 95 · 10.4%

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