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Medical interventions for chronic rhinosinusitis in cystic fibrosis
- Source :
- Cochrane Database Syst Rev, The Cochrane Library
- Publication Year :
- 2023
-
Abstract
- BACKGROUND: Chronic rhinosinusitis frequently occurs in people with cystic fibrosis. Several medical interventions are available for treating chronic rhinosinusitis in people with cystic fibrosis; for example, different concentrations of nasal saline irrigations, topical or oral corticosteroids, antibiotics ‐ including nebulized antibiotics ‐ dornase alfa and modulators of the cystic fibrosis transmembrane conductance regulator (CFTR) (such as lumacaftor, ivacaftor or tezacaftor). However, the efficacy of these interventions is unclear. This is an update of a previously published review. OBJECTIVES: The objective of this review is to compare the effects of different medical interventions in people diagnosed with cystic fibrosis and chronic rhinosinusitis. SEARCH METHODS: We searched the Cochrane Cystic Fibrosis Trials Register, compiled from electronic database searches and hand searching of journals and conference abstract books. Date of last search of trials register: 09 September 2021. We also searched ongoing trials databases, other medical databases and the reference lists of relevant articles and reviews. Date of latest additional searches: 22 November 2021. SELECTION CRITERIA: Randomized and quasi‐randomized trials of different medical interventions compared to each other or to no intervention or to placebo. DATA COLLECTION AND ANALYSIS: Two review authors independently assessed trials identified for potential inclusion in the review. We planned to conduct data collection and analysis in accordance with Cochrane methods and to independently rate the quality of the evidence for each outcome using the GRADE guidelines. MAIN RESULTS: We identified no trials that met the pre‐defined inclusion criteria. The most recent searches identified 44 new references, none of which were eligible for inclusion in the current version of this review; 12 studies are listed as excluded and one as ongoing. AUTHORS' CONCLUSIONS: We identified no eligible trials assessing the medical interventions in people with cystic fibrosis and chronic rhinosinusitis. High‐quality trials are needed which should assess the efficacy of different treatment options detailed above for managing chronic rhinosinusitis, preventing pulmonary exacerbations and improving quality of life in people with cystic fibrosis.
- Subjects :
- Medicine General & Introductory Medical Sciences
medicine.medical_specialty
genetic structures
Cystic Fibrosis
education
Psychological intervention
MEDLINE
Placebo
Cystic fibrosis
Ivacaftor
03 medical and health sciences
chemistry.chemical_compound
0302 clinical medicine
otorhinolaryngologic diseases
medicine
Humans
Pharmacology (medical)
Sinusitis
030223 otorhinolaryngology
Intensive care medicine
biology
business.industry
Lumacaftor
Dornase alfa
medicine.disease
Cystic fibrosis transmembrane conductance regulator
Anti-Bacterial Agents
030228 respiratory system
chemistry
Chronic Disease
biology.protein
Quality of Life
business
medicine.drug
Subjects
Details
- ISSN :
- 1469493X
- Volume :
- 4
- Database :
- OpenAIRE
- Journal :
- The Cochrane database of systematic reviews
- Accession number :
- edsair.doi.dedup.....cd74d3bb7a7d9c386093d410398c7c4a