Cochrane · systematic review · CD011897

Umeclidinium bromide versus placebo for people with chronic obstructive pulmonary disease (COPD)

Ni, H, Htet, A, Moe, S · Cochrane Database of Systematic Reviews · 2017 · 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 3 · 42.9%High 3 · 42.9%

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

Umeclidinium bromide compared with placebo for stable chronic obstructive pulmonary disease

Population: people with chronic obstructive pulmonary disease (COPD)
7 questions
OutcomeEffectEvidenceStatus / GRADE
Number of participants with exacerbations requiring steroids, antibiotics, or both
Umeclidinium bromide vs placebo
OR 0.61 [0.46, 0.8]4 studies · 1922 participantsHigh
Quality of life: number of participants with ≥ 4 units improvement in SGRQ total score
Umeclidinium bromide vs placebo
OR 1.45 [1.16, 1.82]3 studies · 1397 participantsModerate
Downgraded: inconsistency
Non‐fatal serious adverse events
Umeclidinium bromide vs placebo
OR 1.33 [0.89, 2]4 studies · 1922 participantsModerate
Downgraded: imprecision, inconsistency
Number of participants with hospital admissions due to COPD exacerbation
Umeclidinium bromide vs placebo
OR 0.86 [0.25, 2.92]4 studies · 1922 participantsLow
Downgraded: imprecision, inconsistency
Number of participants with ≥ 1 unit improvement in TDI focal score
Umeclidinium bromide vs placebo
OR 1.71 [1.37, 2.15]3 studies · 1441 participantsHigh
Change from baseline in trough FEV1 (L)
Umeclidinium bromide vs placebo
no estimate extracted4 studies · 1381 participantsHigh
Adverse events (not including serious adverse events)
Umeclidinium bromide vs placebo
OR 1.06 [0.85, 1.31]4 studies · 1922 participantsModerate
Downgraded: imprecision, inconsistency