Table 3.
Randomized controlled trials evaluating oral steroids in CRSwNP
Author | Year | N | Outcome measures | Treatment groups | Results |
---|---|---|---|---|---|
Hissaria et al80 | 2006 | 41 | Symptoms, MRI, endoscopy | Prednisolone 50 mg daily versus placebo × 14 days | Improved symptoms, MRI and endoscopic appearance in steroid group versus control |
Kroflic et al81 | 2006 | 40 | Symptoms, endoscopy, histology, intraoperative bleeding | Methylprednisolone 1 mg/kg daily versus nasal furosemide × 7 days pre-ESS | Improved symptoms and polyp size in both groups with no clinical difference between groups |
van Zele et al82 | 2010 | 47 | Endoscopy, rhinometry, symptoms, SEC, nasal IL-5, IgE, MMP-9, ECP | Methylprednisolone taper over 20 days versus oral doxycycline × 20 days versus placebo | Improved polyp size, nasal patency, inflammatory markers and symptoms in steroid group versus placebo |
Kirtsreesakul et al83 | 2011 | 109 | Symptoms,rhinometry,endoscopy | Prednisolone 50 mg daily versus placebo × 14 days | Improved symptoms, nasal patency and polyp size in steroid group versus control |
vaidyanathan et al84 | 2011 | 60 | Endoscopy, symptoms, QoL, rhinometry, CRP, EDN | Prednisolone 25 mg daily versus placebo × 14 days, both followed by intranasal fluticasone | Improved polyp size, symptoms, QoL, serum EDN, and CRP in steroid group versus control |
Abbreviations: CRSwNP, chronic rhinosinusitis with nasal polyposis; MRI, magnetic resonance imaging; ESS, endoscopic sinus surgery; SEC, serum eosinophil count; IL-5, interleukin 5; IgE, immunoglobulin E; MMP-9, matrix metalloproteinase-9; ECP, eosinophilic cationic protein; QoL, quality of life; CRP, C-reactive protein; EDN, eosinophil-derived neurotoxin.