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. 2017 Mar 30;2017(3):CD011640. doi: 10.1002/14651858.CD011640.pub2

Comparison 1. All studies.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Mortality at maximal follow‐up 11   Odds Ratio (M‐H, Fixed, 95% CI) Subtotals only
1.1 Renin‐angiotensin‐aldosterone system inhibitor versus no intervention 1 30 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
1.2 Antioxidants versus no intervention 1 87 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
1.3 Bile acids versus no intervention 4 659 Odds Ratio (M‐H, Fixed, 95% CI) 5.11 [0.24, 107.34]
1.4 Other anti‐diabetes drug versus no intervention 1 52 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
1.5 Thiazolidinediones versus no intervention 1 74 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
1.6 Antioxidants versus renin‐angiotensin‐aldosterone system inhibitor plus antioxidants 1 31 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
1.7 Statins versus other cholesterol‐lowering agents 1 125 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
1.8 Statins plus other cholesterol‐lowering agents versus other cholesterol‐lowering agents 1 123 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
1.9 Statins plus other cholesterol‐lowering agents versus statins 1 124 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
1.10 Thiazolidinediones versus sulphonylureas 1 80 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
2 Serious adverse events (proportion) 19   Odds Ratio (M‐H, Fixed, 95% CI) Subtotals only
2.1 Renin‐angiotensin‐aldosterone system inhibitor versus no intervention 1 30 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
2.2 Anti‐fibrotic versus no intervention 1 274 Odds Ratio (M‐H, Fixed, 95% CI) 1.40 [0.66, 2.94]
2.3 Antioxidants versus no intervention 1 87 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
2.4 Bile acids versus no intervention 3 404 Odds Ratio (M‐H, Fixed, 95% CI) 1.56 [0.84, 2.88]
2.5 Other cholesterol‐lowering agents versus no intervention 1 27 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
2.6 Other anti‐diabetes drug versus no intervention 1 52 Odds Ratio (M‐H, Fixed, 95% CI) 1.0 [0.13, 7.69]
2.7 Phosphodiesterase type 4 inhibitor versus no intervention 1 96 Odds Ratio (M‐H, Fixed, 95% CI) 0.1 [0.01, 0.94]
2.8 Glucocorticosteroid inhibitor versus no intervention 1 80 Odds Ratio (M‐H, Fixed, 95% CI) 3.16 [0.31, 31.78]
2.9 Silymarin versus no intervention 1 100 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
2.10 Silymarin plus antioxidants versus no intervention 1 36 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
2.11 Statins versus no intervention 1 16 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
2.12 Pentoxifylline versus no intervention 1 26 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
2.13 Thiazolidinediones versus no intervention 2 194 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
2.14 Antioxidants versus renin‐angiotensin‐aldosterone system inhibitor plus antioxidants 1 31 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
2.15 Statins versus other cholesterol‐lowering agents 1 125 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
2.16 Statins plus other cholesterol‐lowering agents versus other cholesterol‐lowering agents 1 123 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
2.17 Statins plus other cholesterol‐lowering agents versus statins 1 124 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
2.18 Thiazolidinediones versus sulphonylureas 1 80 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
3 Serious adverse events (number of events) 18   Rate Ratio (Fixed, 95% CI) Subtotals only
3.1 Renin‐angiotensin‐aldosterone system inhibitor versus no intervention 1 30 Rate Ratio (Fixed, 95% CI) 0.0 [0.0, 0.0]
3.2 Antioxidants versus no intervention 2 254 Rate Ratio (Fixed, 95% CI) 0.89 [0.36, 2.19]
3.3 Bile acids versus no intervention 3 404 Rate Ratio (Fixed, 95% CI) 1.01 [0.66, 1.54]
3.4 Other cholesterol‐lowering agents versus no intervention 1 27 Rate Ratio (Fixed, 95% CI) 0.0 [0.0, 0.0]
3.5 Other anti‐diabetes drug versus no intervention 1 52 Rate Ratio (Fixed, 95% CI) 0.67 [0.11, 3.99]
3.6 Phosphodiesterase type 4 inhibitor versus no intervention 1 96 Rate Ratio (Fixed, 95% CI) 0.15 [0.02, 1.46]
3.7 Silymarin versus no intervention 1 100 Rate Ratio (Fixed, 95% CI) 0.0 [0.0, 0.0]
3.8 Silymarin plus antioxidants versus no intervention 1 36 Rate Ratio (Fixed, 95% CI) 0.0 [0.0, 0.0]
3.9 Statins versus no intervention 1 16 Rate Ratio (Fixed, 95% CI) 0.0 [0.0, 0.0]
3.10 Glucocorticosteroid inhibitor versus no intervention 1 80 Rate Ratio (Fixed, 95% CI) 5.00 [0.58, 42.80]
3.11 Thiazolidinediones versus no intervention 3 358 Rate Ratio (Fixed, 95% CI) 0.21 [0.05, 0.95]
3.12 Antioxidants versus renin‐angiotensin‐aldosterone system inhibitor plus antioxidants 1 31 Rate Ratio (Fixed, 95% CI) 0.0 [0.0, 0.0]
3.13 Thiazolidinediones versus antioxidants 1 164 Rate Ratio (Fixed, 95% CI) 0.23 [0.05, 1.08]
3.14 Statins versus other cholesterol‐lowering agents 1 125 Rate Ratio (Fixed, 95% CI) 0.0 [0.0, 0.0]
3.15 Statins plus other cholesterol‐lowering agents versus other cholesterol‐lowering agents 1 123 Rate Ratio (Fixed, 95% CI) 0.0 [0.0, 0.0]
3.16 Statins plus other cholesterol‐lowering agents versus statins 1 124 Rate Ratio (Fixed, 95% CI) 0.0 [0.0, 0.0]
3.17 Thiazolidinediones versus sulphonylureas 1 80 Rate Ratio (Fixed, 95% CI) 0.0 [0.0, 0.0]
4 Adverse events (proportion) 17   Odds Ratio (M‐H, Fixed, 95% CI) Subtotals only
4.1 Antioxidants versus no intervention 2 242 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
4.2 Bile acids versus no intervention 2 230 Odds Ratio (M‐H, Fixed, 95% CI) 1.72 [0.72, 4.10]
4.3 Other cholesterol‐lowering agents versus no intervention 1 27 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
4.4 Other anti‐diabetes drug versus no intervention 1 52 Odds Ratio (M‐H, Fixed, 95% CI) 0.64 [0.10, 4.18]
4.5 Phosphodiesterase type 4 inhibitor versus no intervention 1 96 Odds Ratio (M‐H, Fixed, 95% CI) 3.0 [1.15, 7.85]
4.6 Silymarin plus antioxidants versus no intervention 1 36 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
4.7 Statins versus no intervention 1 16 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
4.8 Glucocorticosteroid inhibitor versus no intervention 1 80 Odds Ratio (M‐H, Fixed, 95% CI) 1.68 [0.68, 4.13]
4.9 Thiazolidinediones versus no intervention 2 194 Odds Ratio (M‐H, Fixed, 95% CI) 3.07 [0.96, 9.87]
4.10 Bile acids versus antioxidants 2 289 Odds Ratio (M‐H, Fixed, 95% CI) 0.95 [0.50, 1.81]
4.11 Statins versus other cholesterol‐lowering agents 1 125 Odds Ratio (M‐H, Fixed, 95% CI) 5.08 [0.24, 108.01]
4.12 Statins plus other cholesterol‐lowering agents versus other cholesterol‐lowering agents 1 123 Odds Ratio (M‐H, Fixed, 95% CI) 3.10 [0.12, 77.57]
4.13 Thiazolidinediones versus pentoxifylline 1 59 Odds Ratio (M‐H, Fixed, 95% CI) 0.5 [0.04, 5.83]
4.14 Statins plus other cholesterol‐lowering agents versus statins 1 124 Odds Ratio (M‐H, Fixed, 95% CI) 0.51 [0.04, 5.76]
4.15 Thiazolidinediones versus sulphonylureas 1 80 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
5 Adverse events (number of events) 22   Rate Ratio (Fixed, 95% CI) Subtotals only
5.1 Antioxidants versus no intervention 3 409 Rate Ratio (Fixed, 95% CI) 1.03 [0.70, 1.52]
5.2 Bile acids versus no intervention 5 825 Rate Ratio (Fixed, 95% CI) 1.19 [1.06, 1.33]
5.3 Other cholesterol‐lowering agents versus no intervention 2 77 Rate Ratio (Fixed, 95% CI) 2.50 [0.49, 12.89]
5.4 Other anti‐diabetes drug versus no intervention 1 52 Rate Ratio (Fixed, 95% CI) 0.94 [0.78, 1.14]
5.5 Pentoxifylline versus no intervention 1 26 Rate Ratio (Fixed, 95% CI) 1.11 [0.44, 2.78]
5.6 Silymarin plus antioxidants versus no intervention 1 36 Rate Ratio (Fixed, 95% CI) 0.0 [0.0, 0.0]
5.7 Statins versus no intervention 1 16 Rate Ratio (Fixed, 95% CI) 0.0 [0.0, 0.0]
5.8 Glucocorticosteroid inhibitor versus no intervention 1 80 Rate Ratio (Fixed, 95% CI) 1.56 [1.05, 2.31]
5.9 Thiazolidinediones versus no intervention 4 481 Rate Ratio (Fixed, 95% CI) 1.14 [0.82, 1.58]
5.10 Bile acids versus antioxidants 1 58 Rate Ratio (Fixed, 95% CI) 6.53 [0.34, 126.48]
5.11 Thiazolidinediones versus antioxidants 1 164 Rate Ratio (Fixed, 95% CI) 0.87 [0.58, 1.30]
5.12 Statins versus other cholesterol‐lowering agents 1 127 Rate Ratio (Fixed, 95% CI) 4.92 [0.24, 102.52]
5.13 Statins plus other cholesterol‐lowering agents versus other cholesterol‐lowering agents 1 125 Rate Ratio (Fixed, 95% CI) 3.05 [0.12, 74.83]
5.14 Thiazolidinediones versus pentoxifylline 1 59 Rate Ratio (Fixed, 95% CI) 0.52 [0.05, 5.70]
5.15 Statins plus other cholesterol‐lowering agents versus statins 1 124 Rate Ratio (Fixed, 95% CI) 0.52 [0.05, 5.69]
5.16 Thiazolidinediones versus sulphonylureas 1 80 Rate Ratio (Fixed, 95% CI) 0.0 [0.0, 0.0]
6 Cirrhosis 11   Odds Ratio (M‐H, Fixed, 95% CI) Subtotals only
6.1 Renin‐angiotensin‐aldosterone system inhibitor versus no intervention 1 30 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
6.2 Antioxidants versus no intervention 1 87 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
6.3 Other anti‐diabetes drug versus no intervention 1 52 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
6.4 Silymarin versus no intervention 1 64 Odds Ratio (M‐H, Fixed, 95% CI) 0.11 [0.01, 2.15]
6.5 Glucocorticosteroid inhibitor versus no intervention 1 80 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
6.6 Sulphonylureas versus no intervention 1 44 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
6.7 Thiazolidinediones versus no intervention 2 121 Odds Ratio (M‐H, Fixed, 95% CI) 5.99 [0.71, 50.28]
6.8 Antioxidants versus renin‐angiotensin‐aldosterone system inhibitor plus antioxidants 1 31 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
6.9 Statins versus other cholesterol‐lowering agents 1 125 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
6.10 Statins plus other cholesterol‐lowering agents versus other cholesterol‐lowering agents 1 123 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
6.11 Statins plus other cholesterol‐lowering agents versus statins 1 124 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
6.12 Thiazolidinediones versus sulphonylureas 1 80 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
7 Resolution of fatty liver disease 16   Odds Ratio (M‐H, Random, 95% CI) Subtotals only
7.1 Renin‐angiotensin‐aldosterone system inhibitor versus no intervention 1 30 Odds Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
7.2 Antioxidants versus no intervention 3 299 Odds Ratio (M‐H, Random, 95% CI) 2.23 [1.28, 3.87]
7.3 Bile acids versus no intervention 1 219 Odds Ratio (M‐H, Random, 95% CI) 1.85 [0.88, 3.89]
7.4 Other cholesterol‐lowering agents versus no intervention 1 35 Odds Ratio (M‐H, Random, 95% CI) 1.08 [0.25, 4.70]
7.5 Other anti‐diabetes drug versus no intervention 1 45 Odds Ratio (M‐H, Random, 95% CI) 6.43 [1.20, 34.41]
7.6 Silymarin versus no intervention 1 64 Odds Ratio (M‐H, Random, 95% CI) 11.72 [0.60, 227.31]
7.7 Sulphonylureas versus no intervention 3 123 Odds Ratio (M‐H, Random, 95% CI) 1.02 [0.23, 4.41]
7.8 Thiazolidinediones versus no intervention 3 272 Odds Ratio (M‐H, Random, 95% CI) 1.68 [0.44, 6.44]
7.9 Bile acids versus antioxidants 1 56 Odds Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
7.10 Thiazolidinediones versus antioxidants 1 164 Odds Ratio (M‐H, Random, 95% CI) 1.63 [0.87, 3.05]
7.11 Statins versus other cholesterol‐lowering agents 1 125 Odds Ratio (M‐H, Random, 95% CI) 2.77 [1.34, 5.73]
7.12 Statins plus other cholesterol‐lowering agents versus other cholesterol‐lowering agents 1 123 Odds Ratio (M‐H, Random, 95% CI) 3.31 [1.57, 6.98]
7.13 Statins plus other cholesterol‐lowering agents versus statins 1 124 Odds Ratio (M‐H, Random, 95% CI) 1.19 [0.56, 2.55]
7.14 Thiazolidinediones plus renin‐angiotensin‐aldosterone system inhibitor versus thiazolidinediones 1 61 Odds Ratio (M‐H, Random, 95% CI) 0.47 [0.16, 1.35]
7.15 Thiazolidinediones plus sulphonylureas versus thiazolidinediones 1 54 Odds Ratio (M‐H, Random, 95% CI) 0.65 [0.22, 1.93]
7.16 Thiazolidinediones plus sulphonylureas versus thiazolidinediones plus renin‐angiotensin‐aldosterone system inhibitor 1 63 Odds Ratio (M‐H, Random, 95% CI) 1.39 [0.48, 4.03]