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. 2020 Feb 1;201(3):276–293. doi: 10.1164/rccm.201904-0903SO

Table 1.

Study Selection Criteria for the Systematic Literature Review on the Use of OCS and SCS for Treatment of Asthma

Category Inclusion Criteria Exclusion Criteria
Population • Pediatric, adolescent, and adult patients (≥5 yr old) with asthma of any severity and all degrees of disease control
• Mixed study populations or subpopulations in which ≥85% of patients met the above criteria (apart from age criteria, which had to be met by all patients)
• Children <5 yr old with asthma
• Patients who did not have asthma
• Patients with ACOS
• Patients with asthma during pregnancy
• Mixed-study populations or subpopulations in which <85% of patients met the inclusion criteria
• Studies containing <100 patients with asthma
• Studies containing <500 patients with asthma, except for those reporting long-term OCS/SCS use or burden of OCS/SCS use
Intervention/comparators • OCS, parenteral CS, or SCS • No mention of OCS, parenteral CS, or SCS use
• CS treatment in emergency department and/or in hospitalized patients with asthma only
Outcomes • Frequency/patterns of OCS and SCS use (patient-level data)
• Long-term OCS and SCS use, including
Length of time (average duration) receiving long-term OCS
Dosage and frequency of changing dosage
• Outcome measures not listed in the inclusion criteria
• Frequency/patterns of OCS and SCS use among physicians
• Clinical burden of OCS and SCS use:
Asthma clinical features
  Exacerbation history
  Previous hospitalizations
  Degree of asthma control (based on ACQ or ACT)
  Phenotypes (eosinophilic, allergic, etc.)
Comorbidities and complications for OCS and SCS users:
   Diabetes/metabolic
   Bone (e.g., osteoporosis)
   Cardiovascular disease
   Psychiatric (e.g., depression)
   Others as available
 
• Economic burden of OCS and SCS use:
 Healthcare resource use, including hospitalizations and doctor and emergency department visits
 Costs (including direct and indirect costs), both asthma-related and all costs
 Cost consequences of prolonged OCS and SCS use
 
Study design • Observational studies, including prospective and retrospective cohort studies, and cross-sectional analyses
• Prescription database analyses
• Economic analyses
• Patient, parent/guardian, and HCP surveys
• Systematic and narrative reviews
• Case reports and case series
• Comments, letters, and editorials
• Animal/in vitro studies
• Meta-analyses/pooled analyses
• Clinical trials
• Asthma phenotyping analyses
• Treatment guidelines
• Patient education studies
• Studies of healthcare management (e.g., physician prescribing preferences, physician/hospital management approaches, and care quality evaluation)
Time period • January 1, 2007, to December 4, 2017 • Studies published before January 1, 2007, or after December 4, 2017
Other criteria • Studies published in English
• Limited to humans
• Non–English language publications
• Conference abstracts

Definition of abbreviations: ACOS = asthma–chronic obstructive pulmonary disease overlap syndrome; ACQ = Asthma Control Questionnaire; ACT = Asthma Control Test; HCP = healthcare professional; OCS = oral corticosteroids; SCS = systemic corticosteroids.