Table A10: Study Design Strengths and Limitations by Severity of Hypoxemia for Relevant Studies From the Cochrane Review*.
Study | COPD Study Population | Adequate Sample Size | Exclusions Detailed | Randomization Achieved | Blinding | Adequately Measured Adherence | All-cause Mortality | Survival Analysis | Intent-to- Treat Analysis† | Minimal Attrition |
---|---|---|---|---|---|---|---|---|---|---|
Severe Hypoxemia | ||||||||||
MRC (10), ‡,§, ║ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ||||
Mild-to-moderate Hypoxemia | ||||||||||
Gorecka et al (24), ‡ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |||
Haidl et al (25), ‡ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
Abbreviations: COPD, chronic obstructive pulmonary disease; MRC, Medical Research Council; checkmark (•) refers to the presence of study design strengths.
Considering mortality/survival as the main comparison of interest.
Allocation concealment was adequate for none of the above studies and the process of generating randomized schedules was adequate for MRC (10) and Gorecka et al (24).
Survival analysis was not shown for the primary comparison of interest.
A larger proportion of patients in the treatment group smoked; however a post hoc analysis showed that this difference was not statistically significant (P > 0.05).
Source: Cranston et al, 2005 (23)