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. 2004 Jul 19;2004(3):CD003269. doi: 10.1002/14651858.CD003269.pub2

2. Anticholinergic versus placebo ‐ symptom scores.

Outcome Scale Studies Pooled summary stats Heterogeneity Single study results Stat sig? % change on placebo Comments
Symptom score ‐ dyspnoea daytime   Ahonen 1978 Salorinne 1988 Wheeler 1987 Paired mean difference
 ‐0.09 (95%CI ‐0.14, ‐0.04) p = 0.45, 
 I‐squared = 0%   Y 15% decrease
 (i.e., favours anticholinergic) Wheeler: 
 rho = 0.817
Symptom score ‐ dyspnoea daytime (no Salorinne) 1‐4
 0‐3 Ahonen 1978
 Wheeler 1987 Paired mean difference
 ‐0.07 (95%CI ‐0.13, ‐0.02) p = 0.97, 
 I‐squared = 0%   Y 12% decrease Wheeler: 
 rho = 0.817
Symptom score ‐ cough daytime 1‐4
 0‐3 Ahonen 1978
 Salorinne 1988     Mean difference 
 Aho ‐0.05 (95%CI ‐0.16, 0.06)
 Sal ‐0.05 (no SDs) N 10% decrease
 11% decrease  
Symptom score ‐ dyspnoea night‐time 1‐4
 0‐3 Ahonen 1978
 Salorinne 1988     Mean difference
 Aho ‐0.13 (95%CI ‐0.27, 0.01)
 Sal ‐0.09 (no SDs) N 24% decrease
 26% decrease  
Symptom score ‐ cough night‐time 0‐3 Salorinne 1988     Mean difference
 +0.04 (no SDs) N 14% Increase
 (i.e. anticholinergic worse than placebo)  
Symptom score ‐ night‐time overall score 0‐3 Wheeler 1987     Paired mean difference
 +0.09 (95%CI ‐0.09, 0.26) N 28% Increase Wheeler: 
 rho = 0.611
Clinical score ‐ day and night (change score) 0‐13 Taytard 1984     Mean difference (parallel trial)
 ‐0.72 (95%CI ‐1.37, ‐0.07) Y 71% decrease