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Search review questions

Each row is one question a systematic review asked: who, what, compared with what, and which outcome, with the effect it found and how certain that is. Words match anywhere in the field.

Limit to evidence status or GRADE (optional)

806 questions in 76 reviews · ENT

current versions
No studies 293 · 36.4%Ungraded 6 · 0.7%Very low 244 · 30.3%Low 170 · 21.1%Moderate 85 · 10.5%High 8 · 1%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

QuestionEffectEvidenceStatus / GRADE
Tranexamic acid vs placebo (saline solution or sterile water)
Surgical field bleeding score (during surgery or < 30 minutes after surgery) · adults and children with chronic rhinosinusitis with or without nasal polyps
Tranexamic acid for the reduction of bleeding during functional endoscopic sinus surgery (2023) · Cochrane
no estimate extracted13 studies · 772 participantsModerate
Tranexamic acid vs placebo (saline solution or sterile water)
Intraoperative blood loss Assessed as: total amount of blood loss during surgery in mL · adults and children with chronic rhinosinusitis with or without nasal polyps
Tranexamic acid for the reduction of bleeding during functional endoscopic sinus surgery (2023) · Cochrane
no estimate extracted12 studies · 802 participantsLow
Tranexamic acid vs placebo (saline solution or sterile water)
Significant adverse events (seizures, thromboembolism) within 24 hours of surgery) · adults and children with chronic rhinosinusitis with or without nasal polyps
Tranexamic acid for the reduction of bleeding during functional endoscopic sinus surgery (2023) · Cochrane
RD 08 studies · 664 participantsModerate
Tranexamic acid vs placebo (saline solution or sterile water)
Duration of surgery (minutes) Assessed as: total surgical time · adults and children with chronic rhinosinusitis with or without nasal polyps
Tranexamic acid for the reduction of bleeding during functional endoscopic sinus surgery (2023) · Cochrane
no estimate extracted10 studies · 666 participantsModerate
Tranexamic acid vs placebo (saline solution or sterile water)
Incomplete surgery · adults and children with chronic rhinosinusitis with or without nasal polyps
Tranexamic acid for the reduction of bleeding during functional endoscopic sinus surgery (2023) · Cochrane
RD 02 studies · 58 participantsModerate
Tranexamic acid vs placebo (saline solution or sterile water)
Surgical complications · adults and children with chronic rhinosinusitis with or without nasal polyps
Tranexamic acid for the reduction of bleeding during functional endoscopic sinus surgery (2023) · Cochrane
RD 02 studies · 58 participantsModerate
Tranexamic acid vs placebo (saline solution or sterile water)
Postoperative bleeding (place of packing or revision surgery within 14 days of surgery) · adults and children with chronic rhinosinusitis with or without nasal polyps
Tranexamic acid for the reduction of bleeding during functional endoscopic sinus surgery (2023) · Cochrane
no estimate extracted6 studies · 404 participantsLow
Betahistine vs placebo/no treatment
Improvement in vertigo frequency · Ménière’s disease
Systemic pharmacological interventions for Ménière’s disease (2023) · Cochrane
RR 1.5 [0.98, 2.29]1 study · 70 participantsVery low
Betahistine vs placebo/no treatment
Improvement in vertigo frequency · Ménière’s disease
Systemic pharmacological interventions for Ménière’s disease (2023) · Cochrane
RR 1.11 [0.93, 1.32]1 study · 62 participantsVery low
Betahistine vs placebo/no treatment
Vertigo global score · Ménière’s disease
Systemic pharmacological interventions for Ménière’s disease (2023) · Cochrane
no estimate extracted1 study · 34 participantsVery low
Betahistine vs placebo/no treatment
Change in vertigo frequency · Ménière’s disease
Systemic pharmacological interventions for Ménière’s disease (2023) · Cochrane
no estimate extracted2 studies · 117 participantsVery low
Betahistine vs placebo/no treatment
Change in vertigo frequency · Ménière’s disease
Systemic pharmacological interventions for Ménière’s disease (2023) · Cochrane
no estimate extracted1 study · 214 participantsVery low
Betahistine vs placebo/no treatment
Serious adverse events · Ménière’s disease
Systemic pharmacological interventions for Ménière’s disease (2023) · Cochrane
RR 1.2 [0.63, 2.29]1 study · 220 participantsVery low
Diuretic vs placebo/no treatment
Improvement in vertigo frequency · Ménière’s disease
Systemic pharmacological interventions for Ménière’s disease (2023) · Cochrane
RR 1.69 [1.13, 2.53]1 study · 70 participantsVery low
Diuretic vs placebo/no treatment
Change in vertigo frequency · Ménière’s disease
Systemic pharmacological interventions for Ménière’s disease (2023) · Cochrane
no estimate extracted1 study · 220 participantsVery low
Beta‐blockers vs placebo
Improvement in vertigo · people with vestibular migraine
Pharmacological interventions for prophylaxis of vestibular migraine (2023) · Cochrane
no estimate extractedNRNo studies
Beta‐blockers vs placebo
Change in vertigo frequency · people with vestibular migraine
Pharmacological interventions for prophylaxis of vestibular migraine (2023) · Cochrane
no estimate extracted1 study · 114 participantsLow
Beta‐blockers vs placebo
Serious adverse events · people with vestibular migraine
Pharmacological interventions for prophylaxis of vestibular migraine (2023) · Cochrane
RR 0.63 [0.24, 1.67]1 study · 121 participantsVery low
Calcium channel blockers vs no intervention
Improvement in vertigo severity · people with vestibular migraine
Pharmacological interventions for prophylaxis of vestibular migraine (2023) · Cochrane
RR 1.45 [1.01, 2.07]1 study · 48 participantsVery low
Calcium channel blockers vs no intervention
Improvement in vertigo frequency · people with vestibular migraine
Pharmacological interventions for prophylaxis of vestibular migraine (2023) · Cochrane
RR 1.65 [0.8, 3.41]1 study · 23 participantsVery low
Calcium channel blockers vs no intervention
Change in vertigo frequency · people with vestibular migraine
Pharmacological interventions for prophylaxis of vestibular migraine (2023) · Cochrane
no estimate extracted1 study · 23 participantsVery low
Calcium channel blockers vs no intervention
Serious adverse events · people with vestibular migraine
Pharmacological interventions for prophylaxis of vestibular migraine (2023) · Cochrane
no estimate extractedNRNo studies
SSRIs and SNRIs vs placebo or no treatment
Improvement in vertigo at 6 to ≤ 12 months · adults with PPPD
Pharmacological interventions for persistent postural‐perceptual dizziness (PPPD) (2023) · Cochrane
no estimate extractedNRNo studies
SSRIs and SNRIs vs placebo or no treatment
Change in vertigo at 6 to ≤ 12 months · adults with PPPD
Pharmacological interventions for persistent postural‐perceptual dizziness (PPPD) (2023) · Cochrane
no estimate extractedNRNo studies
SSRIs and SNRIs vs placebo or no treatment
Serious adverse events · adults with PPPD
Pharmacological interventions for persistent postural‐perceptual dizziness (PPPD) (2023) · Cochrane
no estimate extractedNRNo studies
Ventilation tubes vs no treatment
Hearing ‐ return to normal hearing Randomised by ear: normal defined as < 15 dB Assumed CC = 0.5 · children aged 6 months to 12 years with OME
Ventilation tubes (grommets) for otitis media with effusion (OME) in children (2023) · Cochrane
OR 1.13 [0.46, 2.74]NRVery low
Ventilation tubes vs non‐surgical treatment
Disease‐specific quality of life · children aged 6 months to 12 years with OME
Ventilation tubes (grommets) for otitis media with effusion (OME) in children (2023) · Cochrane
no estimate extractedNRNo studies
Ventilation tubes vs non‐surgical treatment
Presence/persistence of OME · children aged 6 months to 12 years with OME
Ventilation tubes (grommets) for otitis media with effusion (OME) in children (2023) · Cochrane
no estimate extractedNRNo studies
Ventilation tubes vs non‐surgical treatment
Adverse event: persistent perforation (18 months ‐ long‐term) № of participants: 60 (1 RCT) · children aged 6 months to 12 years with OME
Ventilation tubes (grommets) for otitis media with effusion (OME) in children (2023) · Cochrane
no estimate extractedNRLow
Ventilation tubes vs myringotomy
Hearing ‐ return to normal *Ventilation tubes versus laser myringotomy (6 to 12 months ‐ medium‐term) Adjusted for non‐independence of within‐individual measurements Assumed ICC of 0.5 № of participants: 132 (2 RCTs) · children aged 6 months to 12 years with OME
Ventilation tubes (grommets) for otitis media with effusion (OME) in children (2023) · Cochrane
RR 1.22 [0.59, 2.53]NRVery low
Ventilation tubes vs myringotomy
Disease‐specific quality of life · children aged 6 months to 12 years with OME
Ventilation tubes (grommets) for otitis media with effusion (OME) in children (2023) · Cochrane
no estimate extractedNRNo studies
Ventilation tubes vs myringotomy
Presence/persistence of OME *Ventilation tubes versus laser myringotomy, randomised by ear (6 months ‐ medium‐term) Assumed CC of 0.5 № of participants: 272 (1 RCT) · children aged 6 months to 12 years with OME
Ventilation tubes (grommets) for otitis media with effusion (OME) in children (2023) · Cochrane
OR 0.27 [0.19, 0.38]NRVery low
Ventilation tubes vs myringotomy
Adverse event: persistent perforation Range of · children aged 6 months to 12 years with OME
Ventilation tubes (grommets) for otitis media with effusion (OME) in children (2023) · Cochrane
no estimate extractedNRModerate
Ventilation tubes vs no treatment
Disease‐specific quality of life · children aged 6 months to 12 years with OME
Ventilation tubes (grommets) for otitis media with effusion (OME) in children (2023) · Cochrane
no estimate extractedNRNo studies
Ventilation tubes vs no treatment
Presence/persistence of OME Randomised by child Adjusted for non‐independence of within‐individual measurements, assumed ICC = 0.5 · children aged 6 months to 12 years with OME
Ventilation tubes (grommets) for otitis media with effusion (OME) in children (2023) · Cochrane
RR 0.3 [0.14, 0.65]NRLow
Ventilation tubes vs no treatment
Adverse event: persistent perforation Randomised by ear, assumed CC = 0.5 · children aged 6 months to 12 years with OME
Ventilation tubes (grommets) for otitis media with effusion (OME) in children (2023) · Cochrane
OR 0.85 [0.38, 1.91]NRVery low
Early ventilation tubes vs watchful waiting (treatment later if required)
Hearing ‐ return to normal hearing Randomised by child · children aged 6 months to 12 years with OME
Ventilation tubes (grommets) for otitis media with effusion (OME) in children (2023) · Cochrane
RR 0.98 [0.94, 1.03]NRVery low
Early ventilation tubes vs watchful waiting (treatment later if required)
Disease‐specific quality of life · children aged 6 months to 12 years with OME
Ventilation tubes (grommets) for otitis media with effusion (OME) in children (2023) · Cochrane
no estimate extractedNRNo studies
Early ventilation tubes vs watchful waiting (treatment later if required)
Presence/persistence of OME Randomised by child · children aged 6 months to 12 years with OME
Ventilation tubes (grommets) for otitis media with effusion (OME) in children (2023) · Cochrane
RR 1.21 [0.84, 1.74]NRVery low
Early ventilation tubes vs watchful waiting (treatment later if required)
Adverse event: persistent perforation · children aged 6 months to 12 years with OME
Ventilation tubes (grommets) for otitis media with effusion (OME) in children (2023) · Cochrane
no estimate extractedNRVery low
Ventilation tubes vs non‐surgical treatment
Hearing ‐ mean final hearing threshold (4 months ‐ medium‐term) № of participants: 125 (1 RCT) · children aged 6 months to 12 years with OME
Ventilation tubes (grommets) for otitis media with effusion (OME) in children (2023) · Cochrane
no estimate extractedNRVery low
Abundant water intake vs no treatment
Improvement in frequency of vertigo · Ménière’s disease
Lifestyle and dietary interventions for Ménière’s disease (2023) · Cochrane
RR 1.5 [1.18, 1.91]1 study · 140 participantsVery low
Abundant water intake vs no treatment
Change in vertigo · Ménière’s disease
Lifestyle and dietary interventions for Ménière’s disease (2023) · Cochrane
no estimate extractedNRNo studies
Abundant water intake vs no treatment
Serious adverse events · Ménière’s disease
Lifestyle and dietary interventions for Ménière’s disease (2023) · Cochrane
no estimate extractedNRNo studies
Sleeping in darkness vs no treatment
Improvement in frequency of vertigo · Ménière’s disease
Lifestyle and dietary interventions for Ménière’s disease (2023) · Cochrane
RR 1.47 [1.15, 1.89]1 study · 130 participantsVery low
Sleeping in darkness vs no treatment
Change in vertigo · Ménière’s disease
Lifestyle and dietary interventions for Ménière’s disease (2023) · Cochrane
no estimate extractedNRNo studies
Sleeping in darkness vs no treatment
Serious adverse events · Ménière’s disease
Lifestyle and dietary interventions for Ménière’s disease (2023) · Cochrane
no estimate extractedNRNo studies
Specially processed cereals vs placebo
Improvement in vertigo · Ménière’s disease
Lifestyle and dietary interventions for Ménière’s disease (2023) · Cochrane
no estimate extractedNRNo studies
Specially processed cereals vs placebo
Change in vertigo · Ménière’s disease
Lifestyle and dietary interventions for Ménière’s disease (2023) · Cochrane
no estimate extractedNRNo studies
Specially processed cereals vs placebo
Serious adverse events · Ménière’s disease
Lifestyle and dietary interventions for Ménière’s disease (2023) · Cochrane
no estimate extractedNRNo studies