Publication date: Available online 13 February 2018
Source:Journal of Allergy and Clinical Immunology
Author(s): Brian F. Leas, Kristen E. D'Anci, Andrea J. Apter, Tyra Bryant-Stephens, Marcus P. Lynch, Janice L. Kaczmarek, Craig A. Umscheid
BackgroundThis review will inform updated National Asthma Education and Prevention Program clinical practice guidelines.ObjectiveTo evaluate the effectiveness of allergen reduction interventions on asthma outcomes.MethodsWe systematically searched the gray literature and five bibliographic databases. Eligible studies included systematic reviews, randomized controlled trials, and nonrandomized interventional studies. Risk of bias was assessed using the Cochrane Risk of Bias instrument and the Newcastle-Ottawa scale. The evidence base was assessed using the approach of the Agency for Healthcare Research and Quality's Evidence-based Practice Center program.ResultsFifty-nine randomized and 8 non-randomized trials addressed 8 interventions: acaricide, air purification, carpet removal, high-efficiency particulate air-filtration (HEPA) vacuums, mattress covers, mold removal, pest control, and pet removal. Thirty-seven studies evaluated single component interventions, and 30 studies assessed multicomponent interventions. Heterogeneity precluded meta-analysis. For most interventions and outcomes, the evidence base was inconclusive or showed no effect. No interventions were associated with improvement in validated asthma control measures or pulmonary physiology. Exacerbations were diminished in multicomponent studies that included HEPA vacuums or pest control (moderate strength of evidence [SOE] for both). Quality of life improved in studies of air purifiers (low SOE), and in multicomponent studies that included HEPA vacuums (moderate SOE) or pest control (low SOE).ConclusionsSingle interventions were generally not associated with improvement in asthma measures, with most strategies showing inconclusive results or no effect. Multicomponent interventions improved various outcomes, but no combination of specific interventions appears to be more effective. The evidence was often inconclusive because of a lack of studies. Further research is needed comparing the effect of indoor allergen reduction interventions on validated asthma measures, with sufficient population sizes to detect clinically meaningful differences.
http://ift.tt/2F3LQb8
Αρχειοθήκη ιστολογίου
-
►
2020
(289)
- ► Φεβρουαρίου (28)
-
►
2019
(9071)
- ► Δεκεμβρίου (19)
- ► Σεπτεμβρίου (54)
- ► Φεβρουαρίου (3642)
- ► Ιανουαρίου (3200)
-
▼
2018
(39872)
- ► Δεκεμβρίου (3318)
- ► Σεπτεμβρίου (3683)
-
▼
Φεβρουαρίου
(2693)
-
▼
Φεβ 14
(155)
- Table of contents
- Masthead
- Open Access: Is There a Predator at the Door?
- Hyperglycemia and risk of adverse outcomes followi...
- Dipeptidyl peptidase-4 inhibitor-associated bullou...
- Efficacy of low-dose 5-fluorouracil/cisplatin ther...
- Successful treatment of chronic intractable pain w...
- Pyogenic granuloma-like Kaposi's sarcoma on the fi...
- Seltene Differentialdiagnose einseitiger, frontote...
- Skalenübergreifende Auswertung des Fragebogens zur...
- Reliability and construct validity of the Ottawa v...
- Bilateral Piriform sinus fistulas: a case study an...
- Usefulness of reconstructed 3D images for cochlear...
- Eczema’s Big Break in Hollywood
- Cutaneous Diphtheria Mimicking Pyoderma Gangrenosum
- Standardized Screening for Depression and Suicidal...
- Diameter of Skin Lesions With and Without a Ruler
- Practicing Safe Dermatology—Screening Out Liability
- Colors Beyond the Visible
- Trends in Medical Liability Claims Against Dermato...
- Herpes Zoster Rates in a Large Cohort of Patients ...
- Fluorouracil for Prevention of Keratinocyte Carcinoma
- Newborn Treated With Drug That Triggered Maternal ...
- Tumor Classifications in 7th and 8th Editions of A...
- Error in Data in the Results Section
- Hypercoagulable Conditions and Calciphylaxis in Re...
- Harvey, Irma, and Maria—The Dermatologic Risks of ...
- Digital Photographic Assessment of Acne Vulgaris U...
- February 2018 Issue Highlights
- Treatment for Livedoid Vasculopathy
- Firefighter Skin Cancer and Sun Protection Practices
- Nongenital Molluscum Contagiosum in Persons Withou...
- Noninvasive Gene Expression Testing in Amelanotic ...
- Sialic Acid Binding Immunoglobulin-Like Lectin-1 m...
- RAI Ablation Has Decreased for Low-Risk Thyroid Ca...
- Patient Age Is Associated with Papillary Thyroid C...
- Surgeon-Performed Ultrasound Is Important in the P...
- Current ATA Thyroid Cancer Guidelines Are Poor Pre...
- Editorial: What's Ahead for Clinical Thyroidology ...
- Does a Patient with a Normal FT4 but a TSH of 7 or...
- Levothyroxine May Decrease the Risk of Miscarriage...
- Targeted Therapy Offers a Glimmer of Hope for Pati...
- Ultrasound Shear Wave Elastography May Help Reduce...
- A Low-Iodine Diet During Methimazole Treatment Wor...
- U.S. Newborn Screening Programs for Congenital Hyp...
- Regarding the Use of the Term “Cementum” in Pathol...
- Two EDA Gene Mutations in Chinese Patients with Hy...
- Secukinumab Demonstrates High Sustained Efficacy a...
- Numbers on injectable treatments in the Netherland...
- The use of JAK inhibitors in the treatment of Prog...
- If it's red and scaly look for fungus: remember cu...
- Whole-exome sequencing for diagnosis of hereditary...
- Is atopic dermatitis associated with obesity? A sy...
- The efficacy and safety of non-pharmacological the...
- A prospective right–left comparative study to eval...
- Drug survival and post-drug survival of first-line...
- Utility of whole exome sequencing in the diagnosis...
- Clinician surveys – time to make better use of thi...
- Primary cutaneous small/medium-sized pleomorphic T...
- A case of atypical eosinophilic pustular folliculi...
- A cross-sectional analysis of the effects of incre...
- Diagnosis uPGrade—Advances in Pyoderma Gangrenosum
- Age and Pyoderma Gangrenosum Presentation and Como...
- Diagnostic Criteria of Ulcerative Pyoderma Gangren...
- Lenalidomide Treatment for Recurrent Erythema Mult...
- Dermatologists Should Speak Out Against a Word Ban...
- Gray-Brown Patches on the Face of a 62-Year-Old Woman
- The functional and psychological burden of empty n...
- Effectiveness of Indoor Allergen Reduction in the ...
- The nasal microbiome in chronic rhinosinusitis: an...
- Identification of Clinically Relevant Chronic Rhin...
- Establishment of the Nasal Microbiota in the first...
- Biodiversity: the new kid on the block?
- Shingrix: Is the Hype Justified?
- Immune Modulation in the Spotlight at AAD 2018
- Surgeons, Patients See Surgical Scarring Differently
- Comprehensive assessment of the donor-site of the ...
- Sarcomas of the sinonasal tract
- Bilateral Piriform sinus fistulas: a case study an...
- Reliability and construct validity of the Ottawa v...
- Voice quality outcomes of idiopathic Parkinson dis...
- Human Papillomavirus-Related Multiphenotypic Sinon...
- Utilidad de la evaluación por otorrinolaringología...
- Rescue Flap: Alternativa de colgajo en cirugía de ...
- Adherencia y caracterización de la población de ad...
- Manejo de epistaxis posterior en el Hospital Clíni...
- Aproximación diagnóstica de patología otológica me...
- Resonancia magnética con secuencia HASTE de carcin...
- Quiste de segundo arco branquial del espacio paraf...
- Laberintectomía quirúrgica
- Carcinoma escamoso de cavidad oral en paciente men...
- Parálisis de cuerda vocal secundaria a intubación ...
- Meningioma extradural de oído medio: Reporte de un...
- Absceso retrofaríngeo en lactante menor. Reporte d...
- Válvula nasal en rinoplastía
- Fístula de líquido cefalorraquídeo del receso late...
- Tos en otorrinolaringología: Revisión actualizada ...
- Presbilaringe. Revisión de la literatura
- Aplicaciones clínicas del análisis acústico de la voz
- Is yoghurt an acceptable alternative to raw milk f...
-
▼
Φεβ 14
(155)
- ► Ιανουαρίου (3198)
-
►
2017
(41099)
- ► Δεκεμβρίου (3127)
- ► Σεπτεμβρίου (2173)
-
►
2016
(13807)
- ► Δεκεμβρίου (700)
- ► Σεπτεμβρίου (600)
- ► Φεβρουαρίου (1350)
- ► Ιανουαρίου (1400)
-
►
2015
(1500)
- ► Δεκεμβρίου (1450)
Ετικέτες
Τετάρτη 14 Φεβρουαρίου 2018
Effectiveness of Indoor Allergen Reduction in the Management of Asthma: A Systematic Review
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου