Table 2.
Effect of ICS on FEV1 categorised by smoking status
Period | Study | Smoking status | Change in FEV1* | Estimated effect of ICS on FEV1 outcomes* | P value | Estimated effect of smoking on FEV1 outcomes in ICS users* | P value | |
ICS | Placebo | |||||||
Smoking: pack-year history | ||||||||
0–6 months | Pauwels | Subjects with ≤36 pack-year history† | 30 | −90 | 120 | <0.001 | −50 | ‡ |
Subjects with >36 pack-year history† | 0 | −70 | 70 | 0.57 | ||||
9–36 months | Pauwels | Subjects with ≤36 pack-year history† | −47 | −71 | 24 | 0.08 | 22 | ‡ |
Subjects with >36 pack-year history† | −67 | −65 | -2 | 0.65 | ||||
0–30 months | Snoeck-Stroband | Subjects with ≥42 pack years† | −28 | −63 | 35 | 0.242 | −75 | 0.023 |
Subjects with <42 pack years† | 18 | −92 | 110 | 0.037 | ||||
Smoking: smoking status | ||||||||
0–6 months | Zheng | Never-smoked (n=52) | 261 | 141 | 120 | 0.3592 | – | – |
Ex-smokers (n=297) | 177 | 6 | 171 | 0.0068 | 51 | ‡ | ||
Current smokers (n=96) | 112 | −85 | 197 | 0.0022 | 0.337662338 | ‡ | ||
0–12 months | Bhatt | Smokers (n=7678) | – | – | 22 | 0.038 | – | – |
Ex-smokers (n=8807) | – | – | 30 | 0.005 | 8 | ‡ |
*Change in FEV1 reported. Values are in mL, except for Pauwels (1999) and Snoeck-Stroband (2015) data are expressed as mL/year.
†Number of participants in each study group not reported.
‡P value cannot be calculated from data.
FEV1, forced expiratory volume in 1 s; ICS, inhaled corticosteroids.