Cochrane · systematic review · CD011306

Stopping long‐acting beta₂‐agonists (LABA) for adults with asthma well controlled by LABA and inhaled corticosteroids

Ahmad, S, Kew, KM, Normansell, R · Cochrane Database of Systematic Reviews · 2015 · 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
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 1 · 14.3%Moderate 6 · 85.7%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

Stopping LABA compared with continuing use of LABA+ICS for adults with well‐controlled asthma

Population: adults with asthma well controlled on LABA and ICS
7 questions
OutcomeEffectEvidenceStatus / GRADE
Exacerbation: systemic corticosteroids 17 weeks
Stopping LABA vs continuing use of LABA+ICS
OR 1.74 [0.83, 3.65]4 studies · 1257 participantsModerate
Asthma control: ACQ 17 weeks
Stopping LABA vs continuing use of LABA+ICS
no estimate extracted3 studies · 645 participantsModerate
Downgraded: imprecision, publication bias
Serious adverse events 17 weeks
Stopping LABA vs continuing use of LABA+ICS
OR 0.82 [0.28, 2.42]5 studies · 1342 participantsModerate
Downgraded: imprecision, publication bias
Asthma‐related quality of life 12 weeks
Stopping LABA vs continuing use of LABA+ICS
no estimate extracted2 studies · 359 participantsModerate
Downgraded: imprecision, publication bias
Exacerbation: hospital 17 weeks
Stopping LABA vs continuing use of LABA+ICS
no estimate extracted5 studies · 1342 participantsLow
Downgraded: imprecision, publication bias
Adverse events (all)
Stopping LABA vs continuing use of LABA+ICS
OR 0.83 [0.66, 1.05]5 studies · 1339 participantsModerate
Downgraded: imprecision, publication bias
Withdrawal (all)
Stopping LABA vs continuing use of LABA+ICS
OR 1.95 [1.47, 2.58]5 studies · 1352 participantsModerate
Downgraded: imprecision, publication bias