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. 2011 Jun 6;2011:1502.
Ref (type) Population Outcome, Interventions Results and statistical analysis Effect size Favours
Lung function
[65]
Systematic review
1420 people with COPD
5 RCTs in this analysis
Improvement in pre-dose FEV1 up to 24 weeks
with fluticasone plus salmeterol
with placebo
Absolute numbers not reported

WMD 0.16 L
95% CI 0.14 L to 0.19 L
P <0.00001
Effect size not calculated fluticasone plus salmeterol
[65]
Systematic review
923 people with COPD
2 RCTs in this analysis
Improvement in FEV1 from baseline 12 months
with budesonide plus formoterol
with placebo
Absolute numbers not reported

14.4%
95% CI 11.91% to 16.90%
P <0.00001
Effect size not calculated budesonide plus formoterol
[68]
RCT
3-armed trial
224 people with COPD Increase in pre-dose FEV1 percentage predicted 4 weeks
3.8% with fluticasone 500 micrograms plus salmeterol 50 micrograms twice daily
1.0% with placebo

P <0.05
Effect size not calculated fluticasone plus salmeterol
[66]
RCT
6-armed trial
1704 people with COPD Improvement in pre-dose FEV1 6 months
0.09 L with budesonide 160 micrograms plus formoterol 4.5 micrograms in one metered-dose inhaler twice daily
0.07 L with budesonide 80 micrograms plus formoterol 4.5 micrograms in one metered-dose inhaler twice daily
0.08 L with budesonide 160 micrograms plus formoterol 4.5 micrograms in separate metered-dose inhalers twice daily
0.01 L with placebo

P <0.05 for all treatment arms v placebo
Effect size not calculated budesonide plus formoterol
[67]
RCT
445 Chinese people with COPD Improvement in pre-dose FEV1 6 months
177 mL with salmeterol 50 micrograms plus fluticasone 500 micrograms
8 mL with placebo

P <0.001 for adjusted result (180 mL)
Effect size not calculated salmeterol plus fluticasone