Cochrane · systematic review · CD012597

Saline irrigation for allergic rhinitis

Head, K, Snidvongs, K, Glew, S, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library

ENTAMSTAR 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
13
current version
GRADE rated
11
No studies
2
Included studies
NR
No studies 2 · 15.4%Ungraded 0 · 0%Very low 7 · 53.8%Low 4 · 30.8%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

Saline versus no saline treatment for allergic rhinitis

Population: allergic rhinitis
7 questions
OutcomeEffectEvidenceStatus / GRADE
Disease severity score (up to 4 weeks)
Saline vs no saline treatment
no estimate extractedNRLow
Downgraded: risk of bias, inconsistency
Disease severity score (4 weeks to 6 months)
Saline vs no saline treatment
no estimate extractedNRLow
Downgraded: risk of bias, inconsistency
Individual symptom scores ‐ not measured
Saline vs no saline treatment
no estimate extractedNRNo studies
Epistaxis
Saline vs no saline treatment
no estimate extractedNRLow
Downgraded: risk of bias, imprecision, inconsistency
Disease‐specific HRQL
Saline vs no saline treatment
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency
Disease‐specific HRQL ‐ 4 weeks to 6 months
Saline vs no saline treatment
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency
Other adverse effects: local irritation
Saline vs no saline treatment
no estimate extractedNRLow
Downgraded: risk of bias, imprecision, inconsistency

Saline irrigation plus pharmacological treatment versus pharmacological treatment alone for allergic rhinitis

Population: allergic rhinitis
6 questions
OutcomeEffectEvidenceStatus / GRADE
Disease severity score (up to 4 weeks)
Saline irrigation plus pharmacological treatment vs pharmacological treatment alone
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency
Disease severity score (4 weeks to 6 months)
Saline irrigation plus pharmacological treatment vs pharmacological treatment alone
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency
Individual symptom scores ‐ not measured
Saline irrigation plus pharmacological treatment vs pharmacological treatment alone
no estimate extractedNRNo studies
Adverse effects ‐ epistaxis № of participants: 58 (2 RCTs) (18 children; 40 adults)
Saline irrigation plus pharmacological treatment vs pharmacological treatment alone
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency
Health‐related quality of life (4 weeks to 6 months)
Saline irrigation plus pharmacological treatment vs pharmacological treatment alone
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency
Other adverse effects: local irritation
Saline irrigation plus pharmacological treatment vs pharmacological treatment alone
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency