Cochrane · systematic review · CD000996

Inhaled corticosteroids for bronchiectasis

Kapur, N, Petsky, HL, Bell, S, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library

AirwaysAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
10
current version
GRADE rated
10
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 10 · 100%Moderate 0 · 0%High 0 · 0%

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.

Questions and results

Inhaled corticosteroids compared to placebo for bronchiectasis (short‐term use of 6 months or less)

Population: people with bronchiectasis
7 questions
OutcomeEffectEvidenceStatus / GRADE
Lung function (spirometry indices) ‐ FEV1 (in L, end study minus baseline values)
Inhaled corticosteroids vs placebo
no estimate extracted2 studies · 156 participantsLow
Downgraded: imprecision
Lung function (spirometry indices) ‐ FVC (in L, end study minus baseline values)
Inhaled corticosteroids vs placebo
no estimate extracted2 studies · 156 participantsLow
Downgraded: imprecision
Lung function (other indices) ‐ diffusion capacity % predicted (end of study)
Inhaled corticosteroids vs placebo
no estimate extracted1 study · 57 participantsLow
Downgraded: imprecision
Lung function (other indices) ‐ RV % predicted (end of study values)
Inhaled corticosteroids vs placebo
no estimate extracted1 study · 57 participantsLow
Downgraded: imprecision
Lung function (other indices) ‐ TLC % predicted (end of study values)
Inhaled corticosteroids vs placebo
no estimate extracted1 study · 57 participantsLow
Downgraded: imprecision
Average number of exacerbations per participant
Inhaled corticosteroids vs placebo
no estimate extracted2 studies · 127 participantsLow
Downgraded: imprecision
Pseudomonas aeruginosa (P aeruginosa) colonisation
Inhaled corticosteroids vs placebo
OR 0.94 [0.45, 1.96]2 studies · 156 participantsLow
Downgraded: imprecision

Inhaled corticosteroids compared to placebo for bronchiectasis (longer‐term use of > 6 months)

Population: people with bronchiectasis
3 questions
OutcomeEffectEvidenceStatus / GRADE
Lung function indices ‐ FEV1% predicted (end study minus baseline values)
Inhaled corticosteroids vs placebo
no estimate extracted1 study · 86 participantsLow
Downgraded: risk of bias, imprecision
Lung function indices ‐ FVC % predicted (end study minus baseline values)
Inhaled corticosteroids vs placebo
no estimate extracted1 study · 86 participantsLow
Downgraded: risk of bias, imprecision
Number of participants improved
Inhaled corticosteroids vs placebo
OR 0.57 [0.24, 1.34]1 study · 86 participantsLow
Downgraded: risk of bias, imprecision