“…Mean duration of treatment was 8.4 weeks, ranging from three days 32 to 12 months. 29 Primary and secondary outcome measures were reported as follows: forced expiratory volume in one second (FEV 1)/forced vital capacity (FVC) in 14 studies [17][18][19]21,24,[27][28][29][30][32][33][34]39,40 or changes from baseline in four; 22,26,35,38 peak expiratory flow rate (PEFR) in eight 18,19,21,22,24,30,31,39 or changes in PEFR in five; 13,14,22,28,38 vital capacity (VC) in three; 28,35,38 FEF25-75 in one 34 and maximum breathing capacity (MBC) in one. 38 Three studies recorded exacerbation rates, 18,22,39 six changes in medication use, 14,19,28,30,31,37 and 14 recorded symptom scores.…”