Table 9.
Allergy-based elimination diets compared to placebo for management of EoE | |||||
---|---|---|---|---|---|
Outcomes and follow-up | No. of participants (studies)57,64,66,68,69,74–81 | Certainty of the evidence (GRADE) | Relative effect, RR (95% CI) | Anticipated absolute effects | |
Risk with placebo | Risk difference with allergy-based elimination diets | ||||
Not achieving histologic response assessed with: <15 eos/hpf, follow-up: 8 wk | 830 (11 observational studies)b,c,d,e,f | ⊕◯◯◯ VERY LOWg | 0.57 (0.33–0.73) | 880 per 1000h | 373 fewer per 1000 (581 fewer to 234 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).
Skin-prick test (SPT) + atopy patch test (APT), some had previously failed pharmacologic therapy (Licarous et al57).
SPT + APT + PPT (Molina-Infante et al76).
SPT + specific IgE testing (sIgE) + APT (Syrigou et al79).
Component-resolved diagnostics (Van Rhijn et al80).
Very inconsistent results.
Placebo group responses from topical steroid trials.