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. 2020 Jun 10;2020(6):CD009528. doi: 10.1002/14651858.CD009528.pub5

Comparison 1. Biofilm testing versus standard testing.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1.1 FEV₁ (L) change from start of treatment 2   Mean Difference (IV, Fixed, 95% CI) Subtotals only
1.1.1 At day 7 1 23 Mean Difference (IV, Fixed, 95% CI) ‐0.12 [‐0.36, 0.13]
1.1.2 At day 14 2 68 Mean Difference (IV, Fixed, 95% CI) 0.04 [‐0.08, 0.16]
1.1.3 At 1 month 1 27 Mean Difference (IV, Fixed, 95% CI) 0.17 [‐0.03, 0.37]
1.2 FEV1 (% predicted) change from start of treatment 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
1.2.1 At day 7 1 23 Mean Difference (IV, Fixed, 95% CI) ‐3.09 [‐10.60, 4.41]
1.2.2 At day 14 1 34 Mean Difference (IV, Fixed, 95% CI) ‐2.47 [‐9.29, 4.34]
1.2.3 At 1 month 1 27 Mean Difference (IV, Fixed, 95% CI) 4.93 [‐2.42, 12.28]
1.3 FVC (% predicted) change from start of treatment 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
1.3.1 At day 7 1 23 Mean Difference (IV, Fixed, 95% CI) ‐6.35 [‐13.04, 0.34]
1.3.2 At day 14 1 34 Mean Difference (IV, Fixed, 95% CI) ‐2.27 [‐9.06, 4.51]
1.3.3 At 1 month 1 27 Mean Difference (IV, Fixed, 95% CI) 5.80 [‐4.59, 16.19]
1.4 FVC (L) change from start of treatment 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
1.4.1 At day 7 1 23 Mean Difference (IV, Fixed, 95% CI) ‐0.13 [‐0.42, 0.17]
1.4.2 At day 14 1 34 Mean Difference (IV, Fixed, 95% CI) ‐0.03 [‐0.32, 0.26]
1.4.3 At 1 month 1 27 Mean Difference (IV, Fixed, 95% CI) 0.26 [‐0.07, 0.60]
1.5 Time to next exacerbation (days) 1   Hazard Ratio (IV, Fixed, 95% CI) Subtotals only
1.6 Pulmonary exacerbations (number of participants) 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
1.6.1 At end of study 1 39 Risk Ratio (M‐H, Fixed, 95% CI) 0.83 [0.57, 1.22]
1.7 Adverse events 2   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
1.7.1 Mild 2 73 Risk Ratio (M‐H, Fixed, 95% CI) 0.70 [0.48, 1.04]
1.7.2 Moderate 2 73 Risk Ratio (M‐H, Fixed, 95% CI) 0.36 [0.07, 1.77]
1.7.3 Severe 2 73 Risk Ratio (M‐H, Fixed, 95% CI) Not estimable
1.8 Change in P aeruginosa sputum density (log₁₀ CFU/g) 2   Mean Difference (IV, Fixed, 95% CI) Subtotals only
1.8.1 At day 14 2 70 Mean Difference (IV, Fixed, 95% CI) 0.80 [‐0.59, 2.18]
1.8.2 At 1 month 1 30 Mean Difference (IV, Fixed, 95% CI) 0.35 [‐0.53, 1.23]
1.9 CFQ‐R change from start of treatment 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
1.9.1 At day 14 1 38 Mean Difference (IV, Fixed, 95% CI) ‐15.04 [‐28.38, ‐1.71]
1.9.2 At 1 month 1 27 Mean Difference (IV, Fixed, 95% CI) ‐17.03 [‐30.13, ‐3.92]