Evidence map›Paper›PMID 39318911›Full record

ReviewCureus2024

Efficacy of Corticosteroids for Sore Throat Management in Adults: A Systematic Review and Meta-Analysis of Randomized Trials.

Saad Alqahtani, Tarfah Rashed I Alsharidi, Mohammed A Alelaiwi, Lama M Albelowi, Abdulaziz Saeed Alserhani, Ziyad A Alhosan, Rema M Alhazmi, Mohammed A Alaithan, Abdullah O Almutairi, Lama Alqahtani and 4 more

Abstract readReview
In one paragraph

Review in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Saad AlqahtaniConsultant Family Medicine, King Salman Armed Forces Hospital, Tabuk, SAU.
Tarfah Rashed I AlsharidiCollage of Medicine, King Saud University, Riyadh, SAU.
Mohammed A AlelaiwiMedicine and Surgery, Imam Muhammad Ibn Saud Islamic University, Riyadh, SAU.
Lama M AlbelowiCollege of Medicine, Taibah University, Madinah, SAU.
Abdulaziz Saeed AlserhaniCollege of Medicine, King Khalid University Hospital, Abha, SAU.
Ziyad A AlhosanCollege of Medicine, King Saud University, Riyadh, SAU.
Rema M AlhazmiCollege of Medicine, Taibah University, Madinah, SAU.
Mohammed A AlaithanFamily Medicine, King Faisal University, Al-Ahsa, SAU.
Abdullah O AlmutairiCollege of Medicine, Unaizah College of Medicine and Medical Sciences, Qassim University, Al-Qassim, SAU.
Lama AlqahtaniCollege of Medicine, Alfaisal University, Riyadh, SAU.
Abdullah S AlhammadCollege of Medicine, Qassim University, Riyadh, SAU.
Hotaf F AljahdaliMedicine, King Abdulaziz University, Jeddah, SAU.
Faten AlthomaliMedicine, Taif University, Taif, SAU.
Maryam A BasalamahMedicine, Ibn Sina College, Jeddah, SAU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sore throat (acute pharyngitis) is among the most common complaints among adults and is a reason for seeking healthcare globally. Antibiotics are widely used among patients with infectious sore throat. Previous research has indicated that corticosteroids could offer an alternative symptomatic treatment for sore throats. To estimate the corticosteroid efficacy as an additional therapy for sore throat adult patients, the literature search included PubMed, Medline, OVID, Cochrane CENTRAL, and Scopus for articles published until July 1st, 2024. The outcomes included the onset of pain relief (average time), complete resolution of pain (average time), absolute reduction of pain at 24 and 48 hours, requirement of antibiotics, and adverse effects related to treatment. Standardized mean difference (SMD) and risk difference were used to report numerical and dichotomous results. Five studies were included. Among the five included studies, corticosteroids showed significant effectiveness in resolving pain at 24 hours (average risk difference: 0.2200, 95% CI: 0.0500 to 0.3899, p = 0.0112) but with notable heterogeneity (I² = 82.4255%). At 48 hours, the benefit was not statistically significant (average risk difference: 0.4063, 95% CI: -0.1857 to 0.9984, p = 0.1786, I² = 98.9219%). Corticosteroids also decreased the average time to onset of pain relief (average SMD: -0.6590, 95% CI: -1.2857 to -0.0323, p = 0.0393, I² = 89.7914%), although with high heterogeneity. Other findings indicated a possible reduction in antibiotic use and fewer days missed from work. Adverse effects were minimal and occurred at similar rates in both corticosteroid and placebo arms. Corticosteroids can decrease pain intensity and duration in adults with acute sore throats. However, significant heterogeneity among studies and methodological limitations render the overall evidence inconclusive. While some studies noted reduced antibiotic use and lower symptom recurrence, high-quality RCTs are needed to address these limitations and provide more definitive guidelines for corticosteroid use in treating acute pharyngitis.

Indexed as

clinical trialscorticosteroidsmeta-analysispharyngitissore throat

Identifiers

PMID39318911
PMCPMC11421831

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.