Cochrane · systematic review · CD013067

Speech and language therapy for management of chronic cough

Slinger, C, Mehdi, SB, Milan, SJ, et al. · Cochrane Database of Systematic Reviews · 2019 · 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
8
current version
GRADE rated
8
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 12.5%Low 7 · 87.5%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

Speech and language therapy compared with healthy lifestyle advice for chronic cough

Population: participants with chronic cough
8 questions
OutcomeEffectEvidenceStatus / GRADE
Health‐related quality of life
Speech and language therapy vs healthy lifestyle advice
MD 1.53 [0.21, 2.85]1 study · 71 participantsLow
Downgraded: risk of bias, imprecision
Serious adverse events
Speech and language therapy vs healthy lifestyle advice
no estimate extracted1 study · 75 participantsLow
Downgraded: risk of bias, imprecision
Objective cough counts (over 24‐hour period)
Speech and language therapy vs healthy lifestyle advice
no estimate extracted1 study · 71 participantsLow
Downgraded: risk of bias, imprecision
Symptoms
Speech and language therapy vs healthy lifestyle advice
no estimate extracted1 study · 87 participantsLow
Downgraded: risk of bias, imprecision
Clinical improvement (as defined by trialists)
Speech and language therapy vs healthy lifestyle advice
OR 48.13 [13.53, 171.25]1 study · 87 participantsVery low
Downgraded: risk of bias, imprecision
Subjective measures of cough (e.g. VAS/numerical cough scale score)
Speech and language therapy vs healthy lifestyle advice
no estimate extracted1 study · 71 participantsLow
Downgraded: risk of bias, imprecision
Cough reflex sensitivity (as measured by cough challenge: capsaicin concentration required to provoke 5 coughs)
Speech and language therapy vs healthy lifestyle advice
no estimate extracted1 study · 49 participantsLow
Downgraded: risk of bias, imprecision
Adverse events
Speech and language therapy vs healthy lifestyle advice
no estimate extracted1 study · 75 participantsLow
Downgraded: risk of bias, imprecision