5. Summary of the results of the primary and sensitivity analyses for the four primary outcomes in the three sets of comparator studies.
| Rifaximin versus placebo/no intervention | |||||
| Variable | Random‐effects meta‐analysis | Fixed‐effects meta‐analysis | Sensitivity (low bias trials) | Sensitivity (no vested interest trials) | Worse/best & extreme worse/extreme best ‐ case scenarios |
| Mortality | No effect | No effect | No effect | No effect | No effect |
| Serious adverse events | No effect | No effect | No effect | No effect | No effect |
| HRQoL | Beneficial effect overall and in minimal HE | Beneficial effect overall and in minimal HE | Beneficial effect overall and in minimal HE | n/a | n/a |
| Hepatic encephalopathy | Beneficial effect overall and in minimal HE | Beneficial effect overall and in minimal HE and the prevention trials | Beneficial effect overall and in minimal HE and the prevention trials | n/a | All four analyses: beneficial effect overall and in minimal HE Extreme worse case: possible detrimental effect in chronic HE |
| Rifaximin versus non‐absorbable disaccharides | |||||
| Mortality | No effect | No effect | No effect | No effect | No effect |
| Serious adverse events | No effect | No effect | No effect | n/a | No effect |
| HRQoL | No effect | No effect | n/a | n/a | n/a |
| Hepatic encephalopathy | No effect | No effect | No effect | n/a | No effect |
| Rifaximin plus a non‐absorbable disaccharide versus a non‐absorbable disaccharide alone | |||||
| Mortality | Beneficial effect overall | Beneficial effect overall | Beneficial effect overall | Beneficial effect overall | All four analyses ‐beneficial effect overall |
| Serious adverse events | No effect | Beneficial effect overall, in acute HE, and in the prevention trials. | n/a | n/a | Worst‐case, best‐case, extreme best‐case: beneficial effect overall, but not in any subgroup Extreme worse‐case: No effect |
| HRQoL | n/a | n/a | n/a | n/a | n/a |
| Hepatic encephalopathy | Beneficial effect overall | Beneficial effect overall | Beneficial effect overall | n/a | All four analyses ‐ beneficial effect overall |
Abbreviations: HE, hepatic encephalopathy; HRQoL, health‐related quality of life; n/a: not available/applicable