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논문 기본 정보

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저자정보
Ishii Mai (Department of Ophthalmology and Visual Science Yokohama City University Graduate School of Medicine) Horita Nobuyuki (Department of Pulmonology Yokohama City University Graduate School of Medicine Yokohama Japan) Takeuchi Masaki (Department of Ophthalmology and Visual Science Yokohama City University Graduate School of Medicine) Matsumoto Hiromi (Department of Pulmonology Yokohama City University Graduate School of Medicine Yokohama Japan.) Ebina-Shibuya Risa (Pediatric Oncology Branch National Cancer Institute National Institutes of Health Bethesda MD USA.) Hara Yu (Department of Pulmonology Yokohama City University Graduate School of Medicine Yokohama Japan.) Kobayashi Nobuaki (Department of Pulmonology Yokohama City University Graduate School of Medicine Yokohama Japan.) Mizuki Nobuhisa (Department of Ophthalmology and Visual Science Yokohama City University Graduate School of Medicine) Kaneko Takeshi (Department of Pulmonology Yokohama City University Graduate School of Medicine Yokohama Japan.)
저널정보
대한천식알레르기학회(구 대한알레르기학회) Allergy, Asthma & Immunology Research Allergy, Asthma & Immunology Research Vol.13 No.3
발행연도
2021.1
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435 - 449 (15page)

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Purpose Guidelines and systematic reviews frequently warn of inhaled corticosteroid (ICS)-induced glaucoma. However, most of the published studies deny it. Methods We performed a systematic review of randomized, cohort, nested-case control, cross-sectional studies by using Meta-analyses of Observational Studies in Epidemiology statement. Four major databases, PubMed, EMBASE, Cochrane Search Manager, and the Web of Science Core Collection as well as meta-analysis were used. Studies comparing incidence, prevalence and intraocular pressure (IOP) between patients who were treated with and without ICSs were included. A random-model meta-analysis was performed using the inverse variance method. Results Out of 623 studies screened, 18 with 31,665 subjects were finally included. No significant difference between the 2 groups was observed for crude glaucoma incidence (odds ratio [OR], 0.95; 95% confidence interval [CI], 0.86–1.04; P = 0.26; I 2 = 0%; P for heterogeneity = 0.57) as a primary endpoint, adjusted glaucoma incidence (OR, 0.90; 95% CI, 0.65–1.24; P = 0.64), crude prevalence (OR, 1.82; 95% CI, 0.23–14.19; P = 0.57), adjusted prevalence (OR, 1.22; 95% CI, 0.50–2.96; P = 0.66), IOP change during ICS treatment (mean difference [MD] +0.01 mmHg; 95% CI, −0.19–0.20; P = 0.95), and single measurement IOP (MD +0.37 mmHg; 95% CI, −0.24–0.97; P = 0.23). Time-to-event analysis for glaucoma development as one of the secondary endpoints (adjusted hazard ratio, 0.52; 95% CI, 0.28–0.96) suggested a reverse association between ICS and glaucoma. Conclusions The ophthalmological side effects of ICSs, such as glaucoma and intraocular hypertension, should not be exaggerated.
#Asthma #chronic obstructive pulmonary disease #adrenal cortex hormones #glaucoma #meta-analysis #cohort studies #review #intraocular pressure

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참고문헌 (41)

참고문헌 신청
Reddel HK / 2019 / GINA 2019 : a fundamental change in asthma management : treatment of asthma with short-acting bronchodilators alone is no longer recommended for adults and adolescents / Eur Respir J 53:1901046 google schola Singh D / 2019 / Global strategy for the diagnosis, management, and prevention of chronic obstructive lung disease : the GOLD science committee report 2019 / Eur Respir J 53:1900164 google schola Hines KL / 2017 / Management of the asthma-COPD overlap syndrome(ACOS) : a review of the evidence / Curr Allergy Asthma Rep 17:15 google schola American College of Chest PhysiciansAmerican Academy of Allergy / 2004 / Quick reference guide for clinicians : systematic review of the evidence regarding potential complications of inhaled steroid use in asthma / Ann Allergy Asthma Immunol 92:291~293 google schola Gartlehner G / 2006 / Efficacy and safety of inhaled corticosteroids in patients with COPD : a systematic review and meta-analysis of health outcomes / Ann Fam Med 4:253~262 google schola

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