1. Corticosteroids for sore throat: a clinical practice guideline
- Author
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Bert Aertgeerts, Ricardo Niño, Behnam Sadeghirad, Mieke Vermandere, Per Olav Vandvik, Lyubov Lytvyn, Geertruida E Bekkering, Shunjie Chua, Jako S. Burgers, Michael Weinberg, Reed A C Siemieniuk, Carla Berg-Nelson, Patrick Mbah Okwen, Jack Leahy, Romina Brignardello-Petersen, Arnaud Merglen, Mieke L van Driel, Ann Van den Bruel, Dominique Bullens, Jennifer Raven, Thomas Agoritsas, RS: CAPHRI - R6 - Promoting Health & Personalised Care, and Family Medicine
- Subjects
medicine.medical_specialty ,Pediatrics ,education ,Alternative medicine ,ACUTE PHARYNGITIS ,Adrenal Cortex Hormones/therapeutic use ,Corrections ,RECOMMENDATIONS ,Pharyngitis/drug therapy ,03 medical and health sciences ,0302 clinical medicine ,Adrenal Cortex Hormones ,STRENGTH ,medicine ,Decision aids ,Sore throat ,MANAGEMENT ,Humans ,030212 general & internal medicine ,Intensive care medicine ,health care economics and organizations ,Practice ,ddc:618 ,business.industry ,Pharyngitis ,Guideline ,General Medicine ,ADULTS ,Acute sore throat ,Complete resolution ,Clinical Practice ,GRADE ,Practice Guidelines as Topic ,Corticosteroid use ,medicine.symptom ,business ,ANTIBIOTICS ,030217 neurology & neurosurgery - Abstract
What is the role of a single dose of oral corticosteroids for those with acute sore throat? Using the GRADE framework according to the BMJ Rapid Recommendation process, an expert panel make a weak recommendation in favour of corticosteroid use. The panel produced these recommendations based on a linked systematic review triggered by a large randomised trial published in April 2017. This trial reported that corticosteroids increased the proportion of patients with complete resolution of pain at 48 hours. Box 1 shows all of the articles and evidence linked in this Rapid Recommendation package. The infographic provides the recommendation together with an overview of the absolute benefits and harms of corticosteroids in the standard GRADE format. Table 2 below shows any evidence that has emerged since the publication of this article. Clinicians and their patients can find consultation decision aids to facilitate shared decision making in MAGICapp (www.magicapp.org/goto/guideline/JjXYAL/section/j79pvn). ispartof: BMJ - British Medical Journal vol:358 ispartof: location:England status: published
- Published
- 2017