Inhaled Corticosteroids in Chronic Obstructive Pulmonary Disease
Authors: Kristin B. Highland
Journal: Annals of Internal Medicine (2003)

Letters18 November 2003Inhaled Corticosteroids in Chronic Obstructive Pulmonary DiseaseKristin B. Highland, MDKristin B. Highland, MDFrom Medical University of South Carolina; Charleston, SC 29425.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-139-10-200311180-00020 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We appreciate Dr. Sutherland's careful review of our meta-analysis. Dr. Sutherland questions whether we considered pooled data from 3 studies reported in a previous meta-analysis (1), which we referred to in our paper. We included only 1 of the 3 studies (2) in our analysis. One of the studies (3) included in this previous meta-analysis was excluded by our predetermined criteria; this study included patients with asthma. The third study by Derenne (4) was not included in our analysis because the data were reported only in abstract form and could not be extracted from the original abstract. In ...References1. van Grunsven PM, van Schayck CP, Derenne JP, Kerstjens HA, Renkema TE, Postma DS, . Long term effects of inhaled corticosteroids in chronic obstructive pulmonary disease: a meta-analysis. Thorax. 1999;54:7-14. [PMID: 10343624] CrossrefMedlineGoogle Scholar2. Renkema TE, Schouten JP, Koeter GH, Postma DS. Effects of long-term treatment with corticosteroids in COPD. Chest. 1996;109:1156-62. [PMID: 8625660] CrossrefMedlineGoogle Scholar3. Kerstjens HA, Brand PL, Hughes MD, Robinson NJ, Postma DS, Sluiter HJ, . A comparison of bronchodilator therapy with or without inhaled corticosteroid therapy for obstructive airways disease. Dutch Chronic Non-Specific Lung Disease Study Group. N Engl J Med. 1992;327:1413-9. [PMID: 1357553] CrossrefMedlineGoogle Scholar4. Derenne JP. Effects of high dose inhaled beclomethasone on the rate of decline in FEV1 in patients with chronic obstructive pulmonary disease: results of a 2 years prospective multicenter study [Abstract]. Am J Respir Crit Care Med. 1995;151:463. Google Scholar5. Pauwels RA, Lofdahl CG, Laitinen LA, Schouten JP, Postma DS, Pride NB, . Long-term treatment with inhaled budesonide in persons with mild chronic obstructive pulmonary disease who continue smoking. European Respiratory Society Study on Chronic Obstructive Pulmonary Disease. N Engl J Med. 1999;340:1948-53. [PMID: 10379018] CrossrefMedlineGoogle Scholar6. Riegelman RK, Hirsch RP. Studying a Study and Testing a Test. Boston: Little, Brown; 1989:254-5. Google Scholar7. Vestbo J, Sorensen T, Lange P, Brix A, Torre P, Viskum K. Long-term effect of inhaled budesonide in mild and moderate chronic obstructive pulmonary disease: a randomised controlled trial. Lancet. 1999;353:1819-23. [PMID: 10359405] CrossrefMedlineGoogle Scholar8. Pauwels RA, Buist AS, Calverley PM, Jenkins CR, Hurd SS. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. NHLBI/WHO Global Initiative for Chronic Obstructive Lung Disease (GOLD) Workshop summary. Am J Respir Crit Care Med. 2001;163:1256-76. [PMID: 11316667] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Kristin B. Highland, MDAffiliations: From Medical University of South Carolina; Charleston, SC 29425. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoLong-Term Effects of Inhaled Corticosteroids on FEV1 in Patients with Chronic Obstructive Pulmonary Disease Kristin B. Highland , Charlie Strange , and John E. Heffner Inhaled Corticosteroids in Chronic Obstructive Pulmonary Disease E. Rand Sutherland Metrics Cited byThe risk/benefit of inhaled corticosteroids in chronic obstructive pulmonary disease 18 November 2003Volume 139, Issue 10Page: 864-865KeywordsAsthmaChronic obstructive pulmonary diseaseCorticosteroid therapyForced expiratory volume in the first second of expirationForecastingLungsQuality of lifeResearch design ePublished: 18 November 2003 Issue Published: 18 November 2003 Copyright & PermissionsCopyright © 2003 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...