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. 2023 Jul 19;2023(7):CD011585. doi: 10.1002/14651858.CD011585.pub2

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