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Corticosteroids for sore throat: a clinical practice guideline
The BMJ ( IF 93.6 ) Pub Date : 2017-09-20 , DOI: 10.1136/bmj.j4090
Bert Aertgeerts 1, 2 , Thomas Agoritsas 3, 4 , Reed A C Siemieniuk 3, 5 , Jako Burgers 6, 7 , Geertruida E Bekkering 2, 8 , Arnaud Merglen 9 , Mieke van Driel 10 , Mieke Vermandere 8 , Dominique Bullens 11, 12 , Patrick Mbah Okwen 13 , Ricardo Niño 14 , Ann van den Bruel 15, 16 , Lyubov Lytvyn 17 , Carla Berg-Nelson 18, 19 , Shunjie Chua 20 , Jack Leahy 21 , Jennifer Raven 22 , Michael Weinberg 23 , Behnam Sadeghirad 3, 24 , Per O Vandvik 16, 25 , Romina Brignardello-Petersen 2, 26
Affiliation  

What is the role of a single dose of oral corticosteroids for those with acute sore throat? Using the GRADE framework according to the BMJ Rapid Recommendation process, an expert panel make a weak recommendation in favour of corticosteroid use. The panel produced these recommendations based on a linked systematic review triggered by a large randomised trial published in April 2017. This trial reported that corticosteroids increased the proportion of patients with complete resolution of pain at 48 hours. Box 1 shows all of the articles and evidence linked in this Rapid Recommendation package. The infographic provides the recommendation together with an overview of the absolute benefits and harms of corticosteroids in the standard GRADE format. Table 2 below shows any evidence that has emerged since the publication of this article. Clinicians and their patients can find consultation decision aids to facilitate shared decision making in MAGICapp (www.magicapp.org/goto/guideline/JjXYAL/section/j79pvn). #### What you need to know: #### Box 1: Linked articles in this BMJ Rapid Recommendations cluster

中文翻译:


皮质类固醇治疗喉咙痛:临床实践指南



单剂量口服皮质类固醇对于急性咽喉痛患者有什么作用?使用根据 BMJ 快速推荐流程的 GRADE 框架,专家小组提出了有利于使用皮质类固醇的弱建议。该小组根据 2017 年 4 月发表的一项大型随机试验引发的相关系统评价提出了这些建议。该试验报告称,皮质类固醇增加了 48 小时内完全缓解疼痛的患者比例。框 1 显示了此快速推荐包中链接的所有文章和证据。该信息图以标准 GRADE 格式提供了建议以及皮质类固醇的绝对益处和危害的概述。下面的表 2 显示了自本文发表以来出现的所有证据。临床医生及其患者可以在 MAGICapp (www.magicapp.org/goto/guideline/JjXYAL/section/j79pvn) 中找到咨询决策辅助工具,以促进共同决策。 #### 您需要了解的信息:#### 第 1 框:BMJ 快速推荐集群中的链接文章
更新日期:2017-09-20
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