Table 1.
PICO | Inclusion criteria | Exclusion criteria |
---|---|---|
Adults with BAD aged ≥ 16 years and with diarrhoea | Adults with BAD aged ≥ 16 years and with no reporting of diarrhoea prior to undertaking the intervention | |
Participants | Diagnosis of BAD determined via any of these tests: SeHCAT, serum C4, faecal BA excretion ≥ 48 h collection,14C‐glycocholate stool test | BAD diagnosed by: faecal BA excretion collection < 48 h, diarrhoea defined by faecal weight or BAS trial |
In Type 1 BAD: a reported method to diagnose BAD was not required | Pregnancy; other medication or food that could influence GI symptoms or motility: metformin; alcohol abuse; other serious morbidities such as active Crohn's disease, microscopic colitis, liver disease, AIDs/HIV, depression | |
Diarrhoea: as defined or described by study authors or according to the Bristol Stool Form Scale Types 6 or 7 | ||
Intervention | A therapy, as induction or adjunct treatment for BAD | |
Induction treatment was defined as a therapy without the use of BAD medication (colestyramine, colesevelam, colestipol or anti‐diarrhoeals) | ||
Adjunct treatment was defined as a therapy undertaken after BAD medication had been optimised | ||
Comparator | A placebo, another therapy, or no treatment | |
Outcomes | Diarrhoea: Number/proportion of observed responders or the reported change using a clear scoring system at study endpoint | Diarrhoea: No reporting by responder or change in diarrhoea at study endpoint |
Study design | RCT, prospective and retrospective cohort and case series | Single case |
Study reporting | No language restrictions | Studies reported as an abstract or letter |
Abbreviations: BA, bile acid; BAD, bile acid diarrhoea; BAS, bile acid sequestrant; BSFS, Bristol Stool Form Scale; C4, 7α‐Hydroxy‐4‐cholesten‐3‐one 14 ; C‐glycocholate; GI, gastrointestinal; RCT, randomised controlled trial; SeHCAT, 75selenium homocholic acid taurine.