Effect estimate | Heterogeneity | ||||||
---|---|---|---|---|---|---|---|
Outcomes of interest | Studies, n | Patients, n | WMD/OR (95% CI) | p Value | I2 (%) | p Value | |
PERT vs baseline | PERT | Baseline | |||||
CFA | 11 | 228 | 229 | 2.28 (1.50 to 3.06) | <0.00001 | 89 | <0.00001 |
CNA | 4 | 146 | 147 | 1.01 (0.39 to 1.62) | 0.001 | 80 | 0.002 |
FFE | 13 | 278 | 281 | −1.66 (−12.19 to −1.13) | <0.00001 | 84 | <0.00001 |
FNE | 4 | 93 | 94 | −1.01 (−1.56 to −0.46) | 0.0003 | 61 | 0.05 |
Faecal weight | 6 | 107 | 111 | −0.96 (−1.38 to −0.55) | <0.00001 | 45 | 0.11 |
Faecal consistency: soft | 2 | 58 | 58 | 0.47 (0.21 to 1.06) | 0.07 | 63 | 0.10 |
Faecal consistency: formed/normal | 2 | 58 | 58 | 2.26 (1.05 to 4.89) | 0.04 | 54 | 0.14 |
Faecal frequency | 2 | 49 | 49 | −0.12 (−0.52 to 0.28) | 0.55 | 0 | 0.87 |
Flatulence | 2 | 58 | 58 | 0.36 (0.13 to 1.02) | 0.06 | 0 | 0.67 |
Abdominal pain | 2 | 58 | 58 | 0.53 (0.25 to 1.12) | 0.10 | 0 | 0.62 |
PERT vs placebo | PERT | Placebo | |||||
CFA | 7 | 124 | 114 | 1.67 (0.81 to 2.53) | 0.0001 | 86 | <0.00001 |
CNA | 2 | 56 | 52 | 0.61 (−0.03 to 1.24) | 0.06 | 62 | 0.11 |
FFE | 7 | 124 | 114 | −1.58 (−2.39 to −0.76) | 0.0001 | 85 | <0.00001 |
FNE | 3 | 88 | 80 | −0.54 (−0.85 to −0.22) | 0.0007 | 40 | 0.19 |
Faecal weight | 5 | 95 | 83 | −0.92 (−1.56 to −0.28) | 0.005 | 71 | 0.007 |
Faecal consistency: soft | 2 | 58 | 55 | 0.42 (0.19 to 0.94) | 0.03 | 0 | 0.89 |
Faecal consistency: formed/normal | 2 | 58 | 55 | 1.20 (0.58 to 2.52) | 0.62 | 87 | 0.006 |
Faecal frequency | 3 | 70 | 69 | −1.72 (−4.00 to 0.55) | 0.14 | 96 | <0.00001 |
Flatulence | 2 | 58 | 55 | 1.20 (0.52 to 2.73) | 0.67 | 88 | 0.004 |
Abdominal pain | 2 | 58 | 55 | 0.37 (0.17 to 0.80) | 0.01 | 0 | 0.85 |
Adverse event | 4 | 104 | 96 | 1.05 (0.53 to 2.07) | 0.9 | 0 | 0.83 |
PERT vs PERT | High dose | Low dose | |||||
CFA | 4 | 88 | 90 | 0.70 (−0.27 to 1.67) | 0.16 | 69 | 0.02 |
FFE | 5 | 103 | 106 | −0.43 (−1.05 to 0.19) | 0.18 | 59 | 0.05 |
Enteric-coated vs non-coated | Coated | Non-coated | |||||
CFA | 3 | 20 | 18 | 1.13 (−1.94 to 4.20) | 0.47 | 91 | <0.0001 |
FFE | 4 | 55 | 53 | −0.77 (−2.66 to 1.12) | 0.42 | 89 | <0.00001 |
CFA, coefficient of fat absorption; CNA, coefficient of nitrogen absorption; FFE, faecal fat excretion; FNE, faecal nitrogen excretion; PERT, pancreatic enzyme replacement therapy; WMD, weighted mean difference.