Cochrane · systematic review · CD011721

Long‐acting muscarinic antagonists (LAMA) added to combination long‐acting beta₂‐agonists and inhaled corticosteroids (LABA/ICS) versus LABA/ICS for adults with asthma

Kew, KM, Dahri, K · Cochrane Database of Systematic Reviews · 2016 · 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 2 · 28.6%Moderate 1 · 14.3%High 4 · 57.1%

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

Summary of findings table 1

Population: adults with asthma
7 questions
OutcomeEffectEvidenceStatus / GRADE
Exacerbations requiring oral corticosteroids 48 weeks
OR 0.76 [0.57, 1.02]2 studies · 907 participantsModerate
Downgraded: imprecision
Quality of life (AQLQ)
no estimate extracted2 studies · 907 participantsHigh
Serious adverse events 49 weeks
OR 0.6 [0.24, 1.47]3 studies · 1197 participantsLow
Downgraded: imprecision, indirectness
Exacerbations requiring hospital admission 49 weeks
OR 0.68 [0.34, 1.38]3 studies · 1191 participantsLow
Downgraded: imprecision, inconsistency, indirectness
Lung function (change in trough FEV1 L)
no estimate extracted3 studies · 1191 participantsHigh
Asthma control (ACQ)
no estimate extracted2 studies · 907 participantsHigh
Any adverse events 49 weeks
OR 0.7 [0.52, 0.94]3 studies · 1197 participantsHigh