Cochrane · systematic review · CD009157

Tiotropium versus long‐acting beta‐agonists for stable chronic obstructive pulmonary disease

Chong, J, Karner, C, Poole, P · Cochrane Database of Systematic Reviews · 2012 · 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
4
current version
GRADE rated
3
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 1 · 25%Very low 1 · 25%Low 1 · 25%Moderate 1 · 25%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

Tiotropium versus long‐acting beta‐agonists for stable chronic obstructive pulmonary disease

Population: patients with stable chronic obstructive pulmonary disease and > 10 pack years smoking history
4 questions
OutcomeEffectEvidenceStatus / GRADE
Quality of life (SGRQ)
Tiotropium vs long‐acting beta‐agonists
no estimate extracted4 studies · 4935 participantsUngraded
Patients with 1 or more exacerbations
Tiotropium vs long‐acting beta‐agonists
OR 0.86 [0.79, 0.93]6 studies · 12123 participantsModerate
Downgraded: risk of bias
Mortality (all‐cause)
Tiotropium vs long‐acting beta‐agonists
OR 0.82 [0.6, 1.13]6 studies · 12123 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Cost‐effectiveness
Tiotropium vs long‐acting beta‐agonists
no estimate extracted6 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness