BMJ (Clinical research ed.) · 2017
Corticosteroids for sore throat: a clinical practice guideline.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Aertgeerts Bert, Agoritsas Thomas, Siemieniuk Reed A C, Burgers Jako, Bekkering Geertruida E, Merglen Arnaud, van Driel Mieke, Vermandere Mieke, Bullens Dominique, Okwen Patrick Mbah, Niño Ricardo, van den Bruel Ann, Lytvyn Lyubov, Berg-Nelson Carla, Chua Shunjie, Leahy Jack, Raven Jennifer, Weinberg Michael, Sadeghirad Behnam, Vandvik Per O, Brignardello-Petersen Romina
Аннотация
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).