Review Article

Risk of Cardiovascular Events Associated with Inhaled Corticosteroid Treatment in Patients with Chronic Obstructive Pulmonary Disease: A Meta-Analysis

Table 1

Characteristics of included studies.

AuthorYearJDrugMale (%)Mean age (years)FEV1 (% predicted)Current smokers (%)Treatment duration (weeks)

Aaron et al. [22]20077SFC versus SAL57.967.5 ± 8.939.4 ± 11.932.452
57.467.6 ± 8.238.0 ± 13.124.3
Burge et al. [23]20005FP versus placebo7563.7 ± 7.150.3 ± 14.936.4156
74.263.8 ± 7.150.0 ± 14.939.2
Calverley et al. [24]20035SFC versus SAL; FP versus placebo7562.7 ± 8.744.8 ± 14.75252
7063.2 ± 8.644.3 ± 13.851
7063.5 ± 8.545 ± 13.653
7563.4 ± 8.644.2 ± 13.747
Calverley et al. [25]20076SFC versus SAL; FP versus placebo7565 ± 8.344.3 ± 12.343156
7665.1 ± 8.243.6 ± 12.643
7565 ± 8.444.1 ± 12.343
7665 ± 8.244.1 ± 12.343
Ferguson et al. [26]20087SFC versus SAL58.364.9 ± 9.039.8 ± 13.94052
52.065.0 ± 9.150.6 ± 15.438
FLTA3025 [41]20005FP versus placebo6663.3 ± 10NANA24
7265.2 ± 8.7
Hanania et al. [27]20037SFC versus SAL6163 ± NA41 ± 114324
5864 ± NA42 ± 1251
Kardos et al. [28]20074SFC versus SAL7463.8 ± 8.340.4 ± 8.949.752
77.664 ± 8.240.3 ± 8.549.9
Lofdahl et al. [15]20075Budesonide versus placebo73.552.5 ± 7.576.8 ± 12.439.4156
72.252.4 ± 7.776.9 ± 13.239.2
Paggiaro et al. [29]19985FP versus placebo9962 ± NA59 ± 184924
7864 ± NA55 ± 1749
Rennard et al. [45]20096Budesonide/FOR versus placebo62.563.2 ± 8.933.8 ± 11.434.852
65.362.9 ± 9.135.5 ± 11.939.5
SCO100250 [40]20076SFC versus SAL5165.4 ± NANANA52
5765.3 ± NA
SCO100470 [42]20056SFC versus SAL78.363.5 ± 9.3NA4224
77.263.7 ± 9.044
SCO40041 [43]20075SFC versus SAL59.765.4 ± 8.4NANA156
62.765.9 ± 9.5
SFCT01/SCO30002 [44]20055FP versus placebo83.964.6 ± 8.7NANA52
8065.7 ± 9.0
Tashkin et al. [46]20084Budesonide/FOR versus FOR67.963 ± NA33.7 ± 11.840.826
65.564 ± NA33.6 ± 11.338.4
Budesonide versus placebo67.663 ± NA33.5 ± 10.840.0
69.063 ± NA34.6 ± 10.536.0
Vestbo et al. [47]19995Budesonide versus placebo58.659.0 ± 8.386.2 ± 20.675.9156
62.159.1 ± 9.786.9 ± 21.177.2
Wouters et al. [30]20054SFC versus SAL7363 ± 7.947.4 ± 13.93952
7564 ± 7.748.2 ± 12.935
Boscia et al. [31]20124FF/VI versus placebo4657.9 ± 9.249.8 ± 10.6834
Vestbo et al. [32]20094FP versus placebo7564.8 ± NA44.7 ± NA43144
7764.9 ± NA44.4 ± NA42
SFC versus SAL7564.9 ± NA44.8 ± NA43
7764.8 ± NA44.1 ± NA43
Vestbo et al. [39]20166FF versus placebo7465 ± 859.6 ± 6.147152
7565 ± 859.7 ± 6.147
FF/VI versus VI7665 ± 859.7 ± 6.145
7565 ± 859.7 ± 6.147
Kerwin et al. [34]20134FF versus placebo6462.7 ± 9.541.5 ± 13.135424
6862.1 ± 8.842.4 ± 12.8054
FF/VI versus VI6762.3 ± 8.542.3 ± 12.7454
6863.4 ± 9.644.5 ± 12.7854
Dransfield et al. [3]20136FF/VI versus VI57.363.6 ± 9.145.7 ± 12.9NA52
58.463.6 ± 9.444.3 ± 13.2
Calverley et al. [35]20107SFC versus SAL7565.0 ± 8.3NA43144
7665.2 ± 8.243
FP versus placebo7565.1 ± 8.443
7665.1 ± 8.143
Martinez et al. [16]20135FF/VI versus VI7161.9 ± 8.848.1 ± 12.855324
7461.2 ± 8.648.5 ± 12.8955
FF versus placebo7461.8 ± 8.348.4 ± 12.1756
7461.9 ± 8.148.3 ± 12.7153
Donohue et al. [36]20155FSC versus UMEC/VI6963.0 ± 8.9148.3 ± 10.824112
7262.5 ± 9.0548.6 ± 10.7145
Singh et al. [37]20154FSC versus UMEC/VI7161.4 ± 8.0651.1 ± 10.506112
7361.8 ± 7.9450.2 ± 10.8557
Zheng et al. [17]20155FF/VI versus placebo9365.1 ± 9.1949.6 ± 13.195224
9064.7 ± 8.7848.6 ± 13.3956
Wedzicha et al. [48]20145BDP/FOR versus FOR6964.6 ± 8.641.9 ± 6.03948
6963.9 ± 8.641.6 ± 6.040
Vogelmeier et al. [38]20137SFC versus QVA14971.663.4 ± 7.760.0 ± 10.748.148
70.263.2 ± 8.260.5 ± 10.547.7
Vestbo et al. [33]20167FF/VI versus placebo5067 ± 10NA45144
4867 ± 1047

The quality (Q) of each study was based on the Jadad scoring system. J: Jadad score; FP: fluticasone propionate; SAL: salmeterol xinafoate; SFC: combination of salmeterol xinafoate and fluticasone propionate; BDP: beclomethasone dipropionate; FOR: formoterol; TIO: tiotropium; UMEC: umeclidinium; QVA149: combination of indacaterol (a long-acting β2 agonist) with glycopyrronium (a long-acting muscarinic antagonist) as a dual bronchodilator; FF: fluticasone furoate; VI: vilanterol; NA: not applicable.