Cochrane · systematic review · CD008774

Specific allergen immunotherapy for the treatment of atopic eczema

Tam, H, Calderon, MA, Manikam, L, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library

SkinAMSTAR 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
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 3 · 50%Low 2 · 33.3%Moderate 1 · 16.7%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

Specific allergen immunotherapy versus no immunotherapy

Population: adults and children with atopic eczema and inhalant allergen sensitisation
6 questions
OutcomeEffectEvidenceStatus / GRADE
Participant‐ or parent‐reported global assessment of disease severity
Specific allergen immunotherapy vs no immunotherapy
no estimate extracted2 studies · 44 participantsLow
Downgraded: imprecision, inconsistency
Participant‐ or parent‐reported specific symptoms of eczema
Specific allergen immunotherapy vs no immunotherapy
no estimate extracted6 studies · 339 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Adverse events ‐ any systemic reaction
Specific allergen immunotherapy vs no immunotherapy
RR 0.78 [0.41, 1.49]7 studies · 492 participantsModerate
Downgraded: imprecision, indirectness
Investigator‐ or physician‐rated global assessment of disease severity
Specific allergen immunotherapy vs no immunotherapy
RR 1.48 [1.16, 1.88]7 studies · 286 participantsVery low
Downgraded: risk of bias, imprecision
Investigator‐ or physician‐rated eczema severity using a published scale
Specific allergen immunotherapy vs no immunotherapy
no estimate extracted6 studies · 435 participantsVery low
Downgraded: risk of bias, imprecision
Participant or parent‐rated eczema severity using a published scale
Specific allergen immunotherapy vs no immunotherapy
no estimate extracted2 studies · 184 participantsLow
Downgraded: risk of bias, imprecision