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. 2018 Aug 31;2018(8):CD008831. doi: 10.1002/14651858.CD008831.pub3

Liu 2000.

Methods Study design: randomised cross‐over trial
Duration of the study, recruitment: no information
Country: China
Participants 22 participants with cancer (8 with lung cancer, 5 with gastric cancer, 4 with colorectal cancer, 4 with breast cancer, 1 with neck metastatic carcinoma)
13 males and 9 females
Age, median (range): 59 (35 to 73) years
Interventions Intervention (n = 11): Bifidobacterium combined with chemotherapy
Control (n = 11): chemotherapy alone
Bifidobacterium capsule (2 capsules per time, 2 times a day) was taken from 1 day before chemotherapy to the sixth day of chemotherapy in each phase. Length of the washout period was about 21 days
Outcomes Severity of diarrhoea
Notes Article written in Chinese
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk No details provided
Allocation concealment (selection bias) Unclear risk No details provided
Blinding of participants and personnel (performance bias) 
 All outcomes High risk During the control phase, no treatment was provided
Blinding of outcome assessment (detection bias) 
 Subjective outcomes Unclear risk No details provided
Blinding of outcome assessment (detection bias) 
 Objective outcomes Low risk No information; however it is unlikely that assessment of objective outcomes (mortality) would have been influenced
Incomplete outcome data (attrition bias) 
 Subjective outcomes Low risk No loss to follow‐up
Incomplete outcome data (attrition bias) 
 Objective outcomes Low risk No loss to follow‐up
Selective reporting (reporting bias) Unclear risk No study protocol available; however all outcomes prespecified in the methods section were reported in the results section
Other bias High risk Cross‐over design ignored in the analyses