Cochrane · systematic review · CD011224

Leukotriene receptor antagonists for eczema

Ferguson, L, Futamura, M, Vakirlis, E, et al. · Cochrane Database of Systematic Reviews · 2018 · 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
14
current version
GRADE rated
6
No studies
8
Included studies
NR
No studies 8 · 57.1%Ungraded 0 · 0%Very low 1 · 7.1%Low 5 · 35.7%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

Montelukast versus placebo for eczema

Population: eczema
7 questions
OutcomeEffectEvidenceStatus / GRADE
Change (improvement) in disease severity (4 to 8 weeks) SMD (modified EASI score and SASSAD)
Montelukast vs placebo
no estimate extracted3 studies · 131 participantsLow
Downgraded: imprecision, indirectness
Effect of long‐term control (> 3 months)
Montelukast vs placebo
no estimate extractedNRNo studies
Adverse effects (4 to 8 weeks)
Montelukast vs placebo
no estimate extracted3 studies · 131 participantsLow
Downgraded: imprecision, indirectness
Requirement for corticosteroid (steroid‐sparingeffect)
Montelukast vs placebo
no estimate extracted1 study · 58 participantsLow
Downgraded: imprecision, indirectness
Reduction of pruritus (score range 0 to 10; higher score means better improvement)
Montelukast vs placebo
no estimate extracted1 study · 58 participantsLow
Downgraded: imprecision, indirectness
Improvement in quality of life
Montelukast vs placebo
no estimate extractedNRNo studies
Need for emollient use
Montelukast vs placebo
no estimate extractedNRNo studies

Montelukast versus conventional treatment for eczema

Population: eczema
7 questions
OutcomeEffectEvidenceStatus / GRADE
Change (improvement) in disease severity (4 weeks) SCORAD score
Montelukast vs conventional treatment
no estimate extracted1 study · 31 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Effect of long‐term control (> 3 months)
Montelukast vs conventional treatment
no estimate extractedNRNo studies
Adverse effects (4 to 6 weeks)
Montelukast vs conventional treatment
no estimate extracted2 studies · 63 participantsLow
Downgraded: imprecision, indirectness
Requirement for corticosteroid (steroid‐sparingeffect)
Montelukast vs conventional treatment
no estimate extractedNRNo studies
Reduction of pruritus
Montelukast vs conventional treatment
no estimate extractedNRNo studies
Improvement in quality of life
Montelukast vs conventional treatment
no estimate extractedNRNo studies
Need for emollient use
Montelukast vs conventional treatment
no estimate extractedNRNo studies