Table 4.
Summary of Findings for PICO Question 4a
| Elemental diets compared to placebo for the management of EoE | |||||
|---|---|---|---|---|---|
| Outcomes and follow-up | No. of participants (studies)56–61 | Certainty of the evidence (GRADE) | Relative effect, RR (95% CI) | Anticipated absolute effects | |
| Risk with placebo | Risk difference with elemental diets | ||||
| Not achieving histologic remission (eos <15/hpf) follow-up: mean 8 wk | 431 (6 observational studies)b,c,d | ⊕⊕⊕◯ MODERATEe | 0.07 (0.05–0.12) | 880 per 1000 | 807 fewer per 1000 (824 fewer to 763 fewer) |
The risk in the intervention group (and its 95% CI) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
Five subjects excluded for noncompliance to diet; 2 subjects excluded for not getting follow-up endoscopy (Kelly et al56).
Eight subjects excluded for noncompliance (Licarous et al57).
Histologic remission defined as <10 eos/hpf; 11 who started diet dropped out (Peterson et al59).
Upgraded for very large effect size.