Cochrane · systematic review · CD015171

Systemic pharmacological interventions for Ménière’s disease

Webster, KE, Galbraith, K, Harrington-Benton, NA, et al. · Cochrane Database of Systematic Reviews · 2023 · 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
8
current version
GRADE rated
8
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 8 · 100%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

Betahistine compared to placebo/no treatment for Ménière’s disease

Population: Ménière’s disease
6 questions
OutcomeEffectEvidenceStatus / GRADE
Improvement in vertigo frequency
Betahistine vs placebo/no treatment
RR 1.5 [0.98, 2.29]1 study · 70 participantsVery low
Downgraded: risk of bias
Improvement in vertigo frequency
Betahistine vs placebo/no treatment
RR 1.11 [0.93, 1.32]1 study · 62 participantsVery low
Downgraded: risk of bias, imprecision
Vertigo global score
Betahistine vs placebo/no treatment
no estimate extracted1 study · 34 participantsVery low
Downgraded: risk of bias, imprecision
Change in vertigo frequency
Betahistine vs placebo/no treatment
no estimate extracted2 studies · 117 participantsVery low
Downgraded: risk of bias, imprecision
Change in vertigo frequency
Betahistine vs placebo/no treatment
no estimate extracted1 study · 214 participantsVery low
Downgraded: risk of bias, imprecision
Serious adverse events
Betahistine vs placebo/no treatment
RR 1.2 [0.63, 2.29]1 study · 220 participantsVery low
Downgraded: risk of bias, imprecision

Diuretic compared to placebo/no treatment for Ménière’s disease

Population: Ménière’s disease
2 questions
OutcomeEffectEvidenceStatus / GRADE
Improvement in vertigo frequency
Diuretic vs placebo/no treatment
RR 1.69 [1.13, 2.53]1 study · 70 participantsVery low
Downgraded: risk of bias
Change in vertigo frequency
Diuretic vs placebo/no treatment
no estimate extracted1 study · 220 participantsVery low
Downgraded: risk of bias, imprecision