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. 2004 Apr 19;2004(2):CD004109. doi: 10.1002/14651858.CD004109.pub2

Comparison 13. Moderate vs Low ICS Dose (Device).

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 FEV1 change from baseline 5   Std. Mean Difference (IV, Fixed, 95% CI) Subtotals only
1.1 DPI 2 84 Std. Mean Difference (IV, Fixed, 95% CI) 0.37 [‐0.06, 0.81]
1.2 pMDI 3 452 Std. Mean Difference (IV, Fixed, 95% CI) 0.07 [‐0.12, 0.25]
1.3 Nebuliser 0 0 Std. Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
2 Morning PEF (L/min) change baseline 5   Mean Difference (IV, Fixed, 95% CI) Subtotals only
2.1 DPI 2 126 Mean Difference (IV, Fixed, 95% CI) 10.54 [‐5.86, 26.95]
2.2 pMDI 3 285 Mean Difference (IV, Fixed, 95% CI) 11.46 [‐0.75, 23.68]
2.3 Nebuliser 0 0 Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
3 Evening PEF (L/min) change from baseline 3   Mean Difference (IV, Fixed, 95% CI) Subtotals only
3.1 DPI 1 111 Mean Difference (IV, Fixed, 95% CI) 0.0 [‐18.81, 18.81]
3.2 pMDI 2 130 Mean Difference (IV, Fixed, 95% CI) 6.22 [‐6.36, 18.80]
3.3 Nebuliser 0 0 Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
4 PEF Diurnal Variation change from baseline 2   Std. Mean Difference (IV, Fixed, 95% CI) Subtotals only
4.1 DPI 2 126 Std. Mean Difference (IV, Fixed, 95% CI) ‐0.28 [‐0.63, 0.07]
4.2 pMDI 0 0 Std. Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
4.3 Nebuliser 0 0 Std. Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
5 Symptom Score change baseline 2   Mean Difference (IV, Fixed, 95% CI) Subtotals only
5.1 DPI 1 15 Mean Difference (IV, Fixed, 95% CI) ‐0.70 [‐1.26, ‐0.14]
5.2 pMDI 1 60 Mean Difference (IV, Fixed, 95% CI) 0.03 [‐0.15, 0.21]
5.3 Nebuliser 0 0 Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
6 Symptom (Night Waking) change from baseline 3   Std. Mean Difference (IV, Fixed, 95% CI) Subtotals only
6.1 DPI 0 0 Std. Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
6.2 pMDI 3 285 Std. Mean Difference (IV, Fixed, 95% CI) ‐0.29 [‐0.53, ‐0.06]
6.3 Nebuliser 0 0 Std. Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
7 Rescue Medications (no. of puffs) change baseline 4   Mean Difference (IV, Fixed, 95% CI) Subtotals only
7.1 DPI 1 15 Mean Difference (IV, Fixed, 95% CI) ‐0.4 [‐1.23, 0.43]
7.2 pMDI 3 452 Mean Difference (IV, Fixed, 95% CI) ‐0.28 [‐1.24, 0.67]
7.3 Nebuliser 0 0 Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
8 Withdrawal due to Adverse Event 3   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
8.1 DPI 1 130 Risk Ratio (M‐H, Fixed, 95% CI) 0.71 [0.16, 3.03]
8.2 pMDI 2 393 Risk Ratio (M‐H, Fixed, 95% CI) 1.26 [0.40, 4.00]
8.3 Nebuliser 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
9 Adverse Events 4   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
9.1 DPI 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
9.2 pMDI 4 523 Risk Ratio (M‐H, Fixed, 95% CI) 1.04 [0.93, 1.17]
9.3 Nebuliser 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
10 Oral Candidiasis 2   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
10.1 DPI 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
10.2 pMDI 2 311 Risk Ratio (M‐H, Fixed, 95% CI) 0.90 [0.34, 2.39]
10.3 Nebuliser 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
11 Exacerbations 2   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
11.1 DPI 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
11.2 pMDI 2 393 Risk Ratio (M‐H, Fixed, 95% CI) 0.82 [0.47, 1.43]
11.3 Nebuliser 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
12 Plasma Cortisol below reference range 2   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
12.1 DPI 1 162 Risk Ratio (M‐H, Fixed, 95% CI) 0.49 [0.13, 1.88]
12.2 pMDI 1 237 Risk Ratio (M‐H, Fixed, 95% CI) 0.68 [0.29, 1.61]
12.3 Nebuliser 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]