Cochrane · systematic review · CD001289

Mucolytics for bronchiectasis

Wilkinson, M, Sugumar, K, Milan, SJ, et al. · Cochrane Database of Systematic Reviews · 2014 · 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
21
current version
GRADE rated
9
No studies
12
Included studies
NR
No studies 12 · 57.1%Ungraded 0 · 0%Very low 0 · 0%Low 9 · 42.9%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

Bromhexine compared with placebo for bronchiectasis

Population: patients with bronchiectasis
7 questions
OutcomeEffectEvidenceStatus / GRADE
Frequency and duration of exacerbations
Bromhexine vs placebo
no estimate extractedNRNo studies
Hospitalisations
Bromhexine vs placebo
no estimate extractedNRNo studies
Adverse events
Bromhexine vs placebo
OR 2.93 [0.12, 73.97]1 study · 88 participantsLow
Downgraded: risk of bias, imprecision
Health‐related quality of life
Bromhexine vs placebo
no estimate extractedNRNo studies
Symptoms difficulty in expectoration
Bromhexine vs placebo
no estimate extracted1 study · 88 participantsLow
Downgraded: risk of bias, imprecision
Deaths
Bromhexine vs placebo
no estimate extractedNRNo studies
Lung function FEV1
Bromhexine vs placebo
MD 1841 study · 88 participantsLow
Downgraded: risk of bias, imprecision

RhDNase compared with placebo for bronchiectasis

Population: patients with bronchiectasis
7 questions
OutcomeEffectEvidenceStatus / GRADE
Frequency and duration of exacerbations
RhDNase vs placebo
no estimate extractedNRNo studies
Hospitalisations for infective exacerbations
RhDNase vs placebo
OR 5.54 [0.25, 123.08]1 study · 40 participantsLow
Downgraded: risk of bias, imprecision
Adverse events
RhDNase vs placebo
no estimate extractedNRNo studies
Health‐related quality of life
RhDNase vs placebo
no estimate extractedNRNo studies
Symptoms sputum colour Scale used not reported
RhDNase vs placebo
MD 0.281 study · 40 participantsLow
Downgraded: risk of bias, imprecision
Deaths
RhDNase vs placebo
OR 3.09 [0.32, 29.98]1 study · 349 participantsLow
Downgraded: risk of bias, imprecision
Lung function % change FEV1
RhDNase vs placebo
MD 2.11 study · 40 participantsLow
Downgraded: risk of bias, imprecision

Erdosteine versus no treatment for bronchiectasis

Population: patients with bronchiectasis
7 questions
OutcomeEffectEvidenceStatus / GRADE
Frequency and duration of exacerbations
Erdosteine vs no treatment
no estimate extractedNRNo studies
Hospitalisations for infective exacerbations
Erdosteine vs no treatment
no estimate extractedNRNo studies
Adverse events
Erdosteine vs no treatment
no estimate extractedNRNo studies
Health‐related quality of life
Erdosteine vs no treatment
no estimate extractedNRNo studies
Symptoms mucus volume production
Erdosteine vs no treatment
MD 0.41 study · 30 participantsLow
Downgraded: risk of bias, imprecision
Deaths
Erdosteine vs no treatment
no estimate extractedNRNo studies
Lung function change in FEV1 (L) at day 15
Erdosteine vs no treatment
MD 200 [40, 360]1 study · 30 participantsLow
Downgraded: risk of bias, imprecision