Table 15.
Summary of Findings for PICO Question 12a
| Montelukast compared to placebo for management of EoE | |||||
|---|---|---|---|---|---|
| Outcomes and follow-up | No. of participants (studies)87 | Certainty of the evidence (GRADE) | Relative effect, RR (95% CI) | Anticipated absolute effects | |
| Risk with placebo | Risk difference with montelukast | ||||
| Solid food dysphagia (improvement) (telephone symptom questionnaire)b follow-up: 26 wk | 41 (1 RCT) | ⊕◯◯◯ VERY LOWc,d | 0.79 (0.51–1.21) | 760 per 1000 | 160 fewer per 1000 (370 fewer to 160 more) |
The risk in the intervention group (and its 95% CI) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
The abridged dysphagia questionnaire used the questions on dysphagia frequency, severity, and food impaction from the Mayo Dysphagia Questionnaire, 2-week version.
All patients had first achieved remission with topical glucocorticosteroid treatment. Therefore, this is indirect to our PICO question of should we use montelukast for EoE as the question is very specific to should we use montelukast to maintain remission.
Large CI that crosses 1; estimate based on a single RCT.