Cochrane · systematic review · CD011370

Adjunctive steroid therapy for managing pulmonary tuberculosis

Critchley, JA, Orton, LC, Pearson, F · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library

Infectious DiseasesAMSTAR 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
4
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 25%Low 2 · 50%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

Steroid therapy comparative to either no therapy or placebo for managing pulmonary tuberculosis

Population: patients with managing pulmonary tuberculosis
4 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortality
RR 0.77 [0.51, 1.15]18 studies · 3815 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias
Sputum Conversion by 2 months
RR 1.1 [1.03, 1.17]11 studies · 1475 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias
Sputum conversion at 6 months
RR 1.01 [0.97, 1.05]8 studies · 875 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias
Clinical Improvement at 1 month
RR 1.16 [1.09, 1.24]5 studies · 497 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, publication bias