Cochrane · systematic review · CD010126

Inhaled corticosteroids in children with persistent asthma: effects of different drugs and delivery devices on growth

Axelsson, I, Naumburg, E, Prietsch, SOM, et al. · Cochrane Database of Systematic Reviews · 2019 · 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
5
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 20%Low 3 · 60%Moderate 1 · 20%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

Effects of different inhaled corticosteroids on growth in children with persistent asthma: fluticasone versus beclomethasone

Population: children up to 18 years of age with persistent asthma
1 question
OutcomeEffectEvidenceStatus / GRADE
Linear growth velocity (cm/year)
Effects of different inhaled corticosteroids on growth in children with persistent asthma: fluticasone vs beclomethasone
MD 0.81 [0.46, 1.16]1 study · 23 participantsLow
Downgraded: risk of bias, imprecision

Effects of different inhaled corticosteroids on growth in children with persistent asthma: fluticasone versus budesonide

Population: children up to 18 years of age with persistent asthma
2 questions
OutcomeEffectEvidenceStatus / GRADE
Linear growth velocity (cm/year)
Effects of different inhaled corticosteroids on growth in children with persistent asthma: fluticasone vs budesonide
MD 0.392 studies · 236 participantsVery low
Downgraded: risk of bias, inconsistency
Change in height (cm) over a period of time
Effects of different inhaled corticosteroids on growth in children with persistent asthma: fluticasone vs budesonide
MD 0.97 [0.62, 1.32]2 studies · 359 participantsModerate
Downgraded: imprecision

Effects of different delivery devices on growth in children with persistent asthma: hydrofluoroalkane‐metered dose inhaler beclomethasone versus chlorofluorocarbon‐metered dose inhaler beclomethasone

Population: children up to 18 years of age with persistent asthma
1 question
OutcomeEffectEvidenceStatus / GRADE
Linear growth velocity (cm/year)
Effects of different delivery devices on growth in children with persistent asthma: hydrofluoroalkane‐metered dose inhaler beclomethasone vs chlorofluorocarbon‐metered dose inhaler beclomethasone
no estimate extracted1 study · 212 participantsLow
Downgraded: risk of bias, imprecision

Effects of different delivery devices on growth in children with persistent asthma: Easyhaler‐budesonide versus Turbuhaler‐budesonide

Population: children up to 18 years of age with persistent asthma
1 question
OutcomeEffectEvidenceStatus / GRADE
Change in height (cm) over a period of time
Effects of different delivery devices on growth in children with persistent asthma: Easyhaler‐budesonide vs Turbuhaler‐budesonide
MD 0.37 [0.12, 0.62]1 study · 229 participantsLow
Downgraded: risk of bias, imprecision