Cochrane · systematic review · CD003137

Addition to inhaled corticosteroids of long‐acting beta₂‐agonists versus anti‐leukotrienes for chronic asthma

Chauhan, BF, Ducharme, FM · 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
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 4 · 57.1%High 3 · 42.9%

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

LABA + ICS compared with LTRA + ICS for chronic asthma

Population: patients with chronic asthma
7 questions
OutcomeEffectEvidenceStatus / GRADE
Participants with one or more exacerbations requiring systemic corticosteroids
LABA + ICS vs LTRA + ICS
RR 0.87 [0.76, 0.99]8 studies · 6257 participantsHigh
Morning PEFR: L/min change from baseline
LABA + ICS vs LTRA + ICS
no estimate extracted11 studies · 6161 participantsModerate
FEV1: L change from baseline
LABA + ICS vs LTRA + ICS
no estimate extracted10 studies · 4999 participantsHigh
Rescue‐free days: % change from baseline
LABA + ICS vs LTRA + ICS
no estimate extracted5 studies · 2612 participantsModerate
Rescue medication use: puffs/d change from baseline
LABA + ICS vs LTRA + ICS
no estimate extracted7 studies · 4055 participantsHigh
Withdrawals for any reason
LABA + ICS vs LTRA + ICS
RR 0.84 [0.74, 0.96]13 studies · 6960 participantsModerate
Serious adverse events
LABA + ICS vs LTRA + ICS
RR 1.33 [0.99, 1.79]9 studies · 6288 participantsModerate