Outcomes in clinical trials of inhaled corticosteroids for children with asthma are narrowly focussed on short term disease activity.

<h4>Background</h4>Little work has been done to determine which outcomes should be measured in randomised controlled trials (RCTs) in children with asthma. Drug regulatory authorities require that short term disease activity is measured, but other outcome domains are not mandatory for li...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Ian P Sinha, Paula R Williamson, Rosalind L Smyth
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2009
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/cfa4d1d4971c42a7a620ecb2df76d243
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:cfa4d1d4971c42a7a620ecb2df76d243
record_format	dspace
spelling	oai:doaj.org-article:cfa4d1d4971c42a7a620ecb2df76d2432021-12-02T20:12:08ZOutcomes in clinical trials of inhaled corticosteroids for children with asthma are narrowly focussed on short term disease activity.1932-620310.1371/journal.pone.0006276https://doaj.org/article/cfa4d1d4971c42a7a620ecb2df76d2432009-07-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/19609438/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Little work has been done to determine which outcomes should be measured in randomised controlled trials (RCTs) in children with asthma. Drug regulatory authorities require that short term disease activity is measured, but other outcome domains are not mandatory for licensing and marketing purposes. We aimed to identify whether any domains were underrepresented in RCTs of regular therapies for children with asthma over a 20 year period, and to examine what consistency there was between RCTs in the outcomes used to assess the domains.<h4>Methodology/principal findings</h4>By searching the Cochrane Central Register of Controlled Trials in January 2008, we identified all parallel-group RCTs, published between January 1988 and December 2007, which assessed inhaled corticosteroids (ICS) as regular therapy for children with asthma. We evaluated how frequently RCTs measured the following pre-defined domains: disease activity; disease damage; functional status; quality of life; health resource utilisation; and adverse effects of therapy. Our initial search identified 1668 abstracts, of which 412 were retrieved in full. 159 RCTs, of which 115 involved only children and 44 involved children and adults, were included in the review. Disease activity was measured in 157 RCTs, adverse effects of ICS in 135, functional status in 25, quality of life in 21, and health resource utilisation in 17. No RCT measured long term disease damage, although two used FEV1 as a measure of 'lung growth'. RCTs were inconsistent in the outcomes used to measure the domains.<h4>Conclusions</h4>Short term disease activity is the most frequently measured outcome domain in RCTs in children with asthma. Effects of regular therapies on functional status, quality of life, and long term consequences of asthma are infrequently assessed. A core set of outcomes, developed using consensus techniques, would standardise the measurement of appropriate outcomes in these RCTs. Involving patients would identify outcomes which are most relevant from their perspective.Ian P SinhaPaula R WilliamsonRosalind L SmythPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 4, Iss 7, p e6276 (2009)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Ian P Sinha Paula R Williamson Rosalind L Smyth Outcomes in clinical trials of inhaled corticosteroids for children with asthma are narrowly focussed on short term disease activity.
description	<h4>Background</h4>Little work has been done to determine which outcomes should be measured in randomised controlled trials (RCTs) in children with asthma. Drug regulatory authorities require that short term disease activity is measured, but other outcome domains are not mandatory for licensing and marketing purposes. We aimed to identify whether any domains were underrepresented in RCTs of regular therapies for children with asthma over a 20 year period, and to examine what consistency there was between RCTs in the outcomes used to assess the domains.<h4>Methodology/principal findings</h4>By searching the Cochrane Central Register of Controlled Trials in January 2008, we identified all parallel-group RCTs, published between January 1988 and December 2007, which assessed inhaled corticosteroids (ICS) as regular therapy for children with asthma. We evaluated how frequently RCTs measured the following pre-defined domains: disease activity; disease damage; functional status; quality of life; health resource utilisation; and adverse effects of therapy. Our initial search identified 1668 abstracts, of which 412 were retrieved in full. 159 RCTs, of which 115 involved only children and 44 involved children and adults, were included in the review. Disease activity was measured in 157 RCTs, adverse effects of ICS in 135, functional status in 25, quality of life in 21, and health resource utilisation in 17. No RCT measured long term disease damage, although two used FEV1 as a measure of 'lung growth'. RCTs were inconsistent in the outcomes used to measure the domains.<h4>Conclusions</h4>Short term disease activity is the most frequently measured outcome domain in RCTs in children with asthma. Effects of regular therapies on functional status, quality of life, and long term consequences of asthma are infrequently assessed. A core set of outcomes, developed using consensus techniques, would standardise the measurement of appropriate outcomes in these RCTs. Involving patients would identify outcomes which are most relevant from their perspective.
format	article
author	Ian P Sinha Paula R Williamson Rosalind L Smyth
author_facet	Ian P Sinha Paula R Williamson Rosalind L Smyth
author_sort	Ian P Sinha
title	Outcomes in clinical trials of inhaled corticosteroids for children with asthma are narrowly focussed on short term disease activity.
title_short	Outcomes in clinical trials of inhaled corticosteroids for children with asthma are narrowly focussed on short term disease activity.
title_full	Outcomes in clinical trials of inhaled corticosteroids for children with asthma are narrowly focussed on short term disease activity.
title_fullStr	Outcomes in clinical trials of inhaled corticosteroids for children with asthma are narrowly focussed on short term disease activity.
title_full_unstemmed	Outcomes in clinical trials of inhaled corticosteroids for children with asthma are narrowly focussed on short term disease activity.
title_sort	outcomes in clinical trials of inhaled corticosteroids for children with asthma are narrowly focussed on short term disease activity.
publisher	Public Library of Science (PLoS)
publishDate	2009
url	https://doaj.org/article/cfa4d1d4971c42a7a620ecb2df76d243
work_keys_str_mv	AT ianpsinha outcomesinclinicaltrialsofinhaledcorticosteroidsforchildrenwithasthmaarenarrowlyfocussedonshorttermdiseaseactivity AT paularwilliamson outcomesinclinicaltrialsofinhaledcorticosteroidsforchildrenwithasthmaarenarrowlyfocussedonshorttermdiseaseactivity AT rosalindlsmyth outcomesinclinicaltrialsofinhaledcorticosteroidsforchildrenwithasthmaarenarrowlyfocussedonshorttermdiseaseactivity
_version_	1718374911291949056

Outcomes in clinical trials of inhaled corticosteroids for children with asthma are narrowly focussed on short term disease activity.

Ejemplares similares