Cochrane · systematic review · CD014606

Digital technology for early identification of exacerbations in people with cystic fibrosis

Wong, C-H, Smith, S, Kansra, S · Cochrane Database of Systematic Reviews · 2023 · 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
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 6 · 85.7%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

Digital technology versus usual care for early identification of exacerbations in people with cystic fibrosis

Population: adolescents and adults with cystic fibrosis
7 questions
OutcomeEffectEvidenceStatus / GRADE
Time to next pulmonary exacerbation
Digital technology vs usual care
HR 1.452 studies · 153 participantsModerate
Downgraded: risk of bias
Number of pulmonary exacerbations: number of participants experiencing an exacerbation
Digital technology vs usual care
RR 1.07 [0.92, 1.25]1 study · 267 participantsModerate
Downgraded: risk of bias
QoL: change from baseline in CFQ‐R score
Digital technology vs usual care
no estimate extracted1 study · 60 participantsModerate
Downgraded: imprecision
FEV1: change from baseline in FEV1 % predicted
Digital technology vs usual care
no estimate extracted3 studies · 415 participantsModerate
Downgraded: risk of bias
IV antibiotics: number of days on IV antibiotics
Digital technology vs usual care
MD 3.072 studies · 148 participantsLow
Downgraded: risk of bias, inconsistency
New micro‐organisms: number of participants in whom new organisms are detected
Digital technology vs usual care
no estimate extracted1 study · 267 participantsModerate
Downgraded: risk of bias
Adverse events: number of treatment related adverse events
Digital technology vs usual care
no estimate extracted2 studies · 355 participantsModerate
Downgraded: risk of bias