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. 2019 May 4;24(6):383–394. doi: 10.1093/pch/pxz036

Table 2.

The effectiveness of probiotics for treatment of functional abdominal pain

First author (Year) Number of participants Probiotics Outcome and measurement unit Results in intervention(I)/control group (C) Statistical test results
Maragkoudaki (2017) 54 Lactobacillus (L). reuteri 17938 Pain severity by WB-FACE I: 4.3 (SD=8.5)
C: 4.0 (SD=5.6)
(P=0.72)
Pain frequency I: 2.9 (SD=4.5)
C: 3.1 (SD=4.1)
(P=0.68)
Weizman (2016) 101 L. reuteri 17938 Pain severity by HFPS I 4.3 (SD=2.7)
C: 7.2 (SD=3.1)
(P<0.01)*
Pain frequency I: 1.9 (SD=0.8)
C: 3.6 (SD=1.7)
(P<0.02)*
Eftekhari (2015) 80 L. reuteri 17938 Pain resolution (%) by WB-FACEα I: 50%
C: 65%
NS
Pain frequency I: 2.53 (SD=1.43)
C: 2.08 (SD=1.56)
(P=0001)*
Romano
(2014)
60 L. reuteri 17938 Pain severity by WB-FACE NR (P<0.05)*
Pain frequency (episodes/day) NR (NS)
Francavilla (2010) 58 LGG Pain severity by VAS I: 2.5 (SD=1.6)
C: 3.1 (SD=1.4)
(P=0.1)
Pain severity treatment success (%) I: 50%
C: 60%
(P=0.4)
Pain frequency I: 1.9 (SD=0.7)
C: 1.7 (SD=1.5)
(P=0.7)
Pain frequency treatment success (%) I: 48%
C: 44%
(P=0.6)
Gawrońska (2007) 47 LGG Treatment success (n) I: 25% (n=6)
C: 9.1% (n=2)
RB 2.9 (95% CI: 0.7–11.7, P=0.25)
Pain severity by self-report I: 2.6 (SD=2.0)
C: 3.0 (SD=1.5)
(P=0.57)
Pain frequency I: 2.3 (SD=1.8)
C:2.4 (SD=1.4)
(P=0.93)

All pain frequency measured as number of episodes/week

CI Confidence interval; FOS Fructo-oligosaccharide; HFPS Hicks faces pain scale; LGG = Lactobacillus rhamnosus GG; MD Mean difference; NR Not reported; NS Not significant; RB Relative benefit; VAS Visual analogue scale; WB-FACE Wong-Baker FACES pain rating scale.

α = at least two point reduction in WB-FACE or ‘no pain’ after probiotic.

*Statistically significant.

At least 50% decrease in number of episodes and intensity of pain

No pain (a relaxed face, score of 0, on the Faces Pain Scale)