Cochrane · systematic review · CD012704

Systemic corticosteroids for the management of cancer‐related breathlessness (dyspnoea) in adults

Haywood, A, Duc, J, Good, P, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

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
6
current version
GRADE rated
5
No studies
1
Included studies
NR
No studies 1 · 16.7%Ungraded 0 · 0%Very low 5 · 83.3%Low 0 · 0%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

Systemic corticosteroids compared with placebo for the management of cancer‐related breathlessness (dyspnoea)

Population: adults with cancer‐related breathlessness (dyspnoea)
6 questions
OutcomeEffectEvidenceStatus / GRADE
Breathlessness (dyspnoea) at 1 week (intensity) Scale 0–10; lower score = less breathlessness
Systemic corticosteroids vs placebo
no estimate extracted2 studies · 114 participantsVery low
Downgraded: risk of bias, imprecision
Breathlessness (dyspnoea) at 1 week (quality) Cancer Dyspnea Scale
Systemic corticosteroids vs placebo
no estimate extracted1 study · 29 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Breathlessness (dyspnoea) at 1 week (burden) EORTC QLQ‐C30, FACIT, ESAS
Systemic corticosteroids vs placebo
no estimate extracted2 studies · 113 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Adverse events
Systemic corticosteroids vs placebo
no estimate extracted2 studies · 157 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Patient satisfaction with treatment
Systemic corticosteroids vs placebo
no estimate extractedNRNo studies
Participant withdrawal from trial
Systemic corticosteroids vs placebo
no estimate extracted2 studies · 173 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency