Cochrane · systematic review · CD010177

Long‐acting beta₂‐agonists for chronic obstructive pulmonary disease

Kew, KM, Mavergames, C, Walters, JAE · Cochrane Database of Systematic Reviews · 2013 · 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
8
current version
GRADE rated
7
No studies
1
Included studies
NR
No studies 1 · 12.5%Ungraded 0 · 0%Very low 0 · 0%Low 1 · 12.5%Moderate 6 · 75%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

Long‐acting beta2‐agonists compared with placebo for chronic obstructive pulmonary disease

Population: people with chronic obstructive pulmonary disease
8 questions
OutcomeEffectEvidenceStatus / GRADE
Outcomes
Long‐acting beta2‐agonists vs placebo
no estimate extractedNRNo studies
Quality of life1 St George's Respiratory Questionnaire (SGRQ); lower scores are better 16 months
Long‐acting beta2‐agonists vs placebo
no estimate extracted17 studies · 11397 participantsModerate
Downgraded: imprecision, inconsistency, publication bias
Severe exacerbations (hospitalisations)
Long‐acting beta2‐agonists vs placebo
OR 0.73 [0.56, 0.95]7 studies · 2859 participantsModerate
Downgraded: imprecision, inconsistency, publication bias
Moderate exacerbations (course of antibiotics or oral steroids)
Long‐acting beta2‐agonists vs placebo
OR 0.73 [0.61, 0.87]7 studies · 3375 participantsModerate
Downgraded: imprecision, inconsistency, publication bias
Severe/moderate exacerbations (hospitalisation or course of medication or ER visit)
Long‐acting beta2‐agonists vs placebo
OR 0.88 [0.76, 1.02]7 studies · 3968 participantsModerate
Downgraded: imprecision, inconsistency, publication bias
Mortality (all‐cause)
Long‐acting beta2‐agonists vs placebo
OR 0.9 [0.75, 1.08]23 studies · 14079 participantsModerate
Downgraded: imprecision, inconsistency, publication bias
Participants with one or more serious adverse event (non‐fatal)
Long‐acting beta2‐agonists vs placebo
OR 0.97 [0.83, 1.14]20 studies · 12446 participantsModerate
Downgraded: imprecision, inconsistency, publication bias
Predose FEV1 (mL)
Long‐acting beta2‐agonists vs placebo
MD 7314 studies · 6125 participantsLow
Downgraded: imprecision, inconsistency, publication bias