Cochrane · systematic review · CD015245

Intratympanic corticosteroids for Ménière’s disease

Webster, KE, Lee, A, Galbraith, K, 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
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 4 · 57.1%Low 3 · 42.9%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

Intratympanic corticosteroids compared to placebo/no treatment for Ménière’s disease

Population: adults with Ménière’s disease
7 questions
OutcomeEffectEvidenceStatus / GRADE
Improvement in vertigo frequency
Intratympanic corticosteroids vs placebo/no treatment
RR 1 [0.92, 1.1]2 studies · 60 participantsLow
Downgraded: risk of bias, imprecision
Improvement in vertigo frequency
Intratympanic corticosteroids vs placebo/no treatment
RR 1.03 [0.87, 1.23]2 studies · 58 participantsLow
Downgraded: risk of bias, imprecision
Change in vertigo (global score)
Intratympanic corticosteroids vs placebo/no treatment
no estimate extracted1 study · 44 participantsVery low
Downgraded: risk of bias, imprecision
Change in vertigo (frequency)
Intratympanic corticosteroids vs placebo/no treatment
no estimate extracted3 studies · 472 participantsLow
Downgraded: risk of bias, imprecision
Change in vertigo (frequency)
Intratympanic corticosteroids vs placebo/no treatment
no estimate extracted1 study · 20 participantsVery low
Downgraded: risk of bias, imprecision
Change in vertigo (frequency)
Intratympanic corticosteroids vs placebo/no treatment
no estimate extracted1 study · 18 participantsVery low
Downgraded: risk of bias, imprecision
Serious adverse events
Intratympanic corticosteroids vs placebo/no treatment
RR 0.64 [0.22, 1.85]4 studies · 500 participantsVery low
Downgraded: risk of bias, imprecision