Cochrane · systematic review · CD006308

Workplace interventions for treatment of occupational asthma

Henneberger, PK, Patel, JR, de Groene, GJ, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

WorkAMSTAR 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
13
current version
GRADE rated
10
No studies
3
Included studies
NR
No studies 3 · 23.1%Ungraded 0 · 0%Very low 10 · 76.9%Low 0 · 0%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

Removal from exposure compared to continued exposure for treatment of occupational asthma

Population: workers with occupational asthma
4 questions
OutcomeEffectEvidenceStatus / GRADE
Absence of asthma symptoms;
Removal from exposure vs continued exposure
RR 4.8 [1.67, 13.86]9 studies · 641 participantsVery low
Downgraded: risk of bias
Improvement of asthma symptoms;
Removal from exposure vs continued exposure
RR 2.47 [1.26, 4.84]9 studies · 435 participantsVery low
Downgraded: risk of bias
Change in FEV1 % predicted:
Removal from exposure vs continued exposure
no estimate extracted10 studies · 898 participantsVery low
Downgraded: risk of bias
Change in NSBH:
Removal from exposure vs continued exposure
no estimate extracted6 studies · 387 participantsVery low
Downgraded: risk of bias

Reduction of exposure compared to continued exposure for treatment of occupational asthma

Population: workers with occupational asthma
4 questions
OutcomeEffectEvidenceStatus / GRADE
Absence of asthma symptoms;
Reduction of exposure vs continued exposure
RR 2.65 [1.24, 5.68]7 studies · 334 participantsVery low
Downgraded: risk of bias
Improvement of asthma symptoms
Reduction of exposure vs continued exposure
no estimate extractedNRNo studies
Change in FEV1 % predicted:
Reduction of exposure vs continued exposure
no estimate extracted4 studies · 224 participantsVery low
Downgraded: risk of bias
Change in NSBH:
Reduction of exposure vs continued exposure
no estimate extractedNRNo studies

Removal from exposure compared to reduction of exposure for treatment of occupational asthma

Population: workers with occupational asthma
5 questions
OutcomeEffectEvidenceStatus / GRADE
Absence of asthma symptoms;
Removal from exposure vs reduction of exposure
RR 6.05 [0.86, 42.34]6 studies · 359 participantsVery low
Downgraded: risk of bias
Improvement of asthma symptoms;
Removal from exposure vs reduction of exposure
RR 1.11 [0.84, 1.47]5 studies · 140 participantsVery low
Downgraded: risk of bias
Change in FEV1 % predicted:
Removal from exposure vs reduction of exposure
no estimate extracted7 studies · 388 participantsVery low
Downgraded: risk of bias
Change in NSBH:
Removal from exposure vs reduction of exposure
no estimate extractedNRNo studies
Being unemployed;
Removal from exposure vs reduction of exposure
RR 14.28 [2.06, 99.16]2 studies · 64 participantsVery low
Downgraded: risk of bias