Cochrane · systematic review · CD014804

Synbiotics, prebiotics and probiotics for solid organ transplant recipients

Cooper, TE, Scholes-Robertson, N, Craig, JC, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library

Kidney and TransplantAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
16
current version
GRADE rated
4
No studies
12
Included studies
NR
No studies 12 · 75%Ungraded 0 · 0%Very low 4 · 25%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Synbiotics versus placebo for solid organ transplant recipients

Population: adult solid organ transplant recipients (kidney)
5 questions
OutcomeEffectEvidenceStatus / GRADE
GI function
Synbiotics vs placebo
no estimate extractedNRNo studies
Graft health
Synbiotics vs placebo
no estimate extractedNRNo studies
Adverse events
Synbiotics vs placebo
no estimate extractedNRNo studies
Serious adverse events
Synbiotics vs placebo
no estimate extractedNRNo studies
Death
Synbiotics vs placebo
no estimate extractedNRNo studies

Probiotics versus placebo for solid organ transplant recipients

Population: adult solid organ transplant recipients (liver)
5 questions
OutcomeEffectEvidenceStatus / GRADE
GI function
Probiotics vs placebo
no estimate extractedNRNo studies
Graft health
Probiotics vs placebo
no estimate extractedNRNo studies
Adverse events
Probiotics vs placebo
no estimate extractedNRNo studies
Serious adverse events
Probiotics vs placebo
no estimate extractedNRNo studies
Death
Probiotics vs placebo
no estimate extractedNRNo studies

Synbiotics versus prebiotics for solid organ transplant recipients

Population: adult solid organ transplant recipients (liver)
6 questions
OutcomeEffectEvidenceStatus / GRADE
GI function
Synbiotics vs prebiotics
no estimate extractedNRNo studies
Graft health: acute liver rejection
Synbiotics vs prebiotics
RR 0.73 [0.43, 1.25]2 studies · 129 participantsVery low
Downgraded: risk of bias, imprecision
Graft health
Synbiotics vs prebiotics
no estimate extractedNRNo studies
Adverse events
Synbiotics vs prebiotics
RR 0.79 [0.4, 1.59]2 studies · 129 participantsVery low
Downgraded: risk of bias, imprecision
Serious adverse events
Synbiotics vs prebiotics
RR 1.49 [0.42, 5.36]2 studies · 129 participantsVery low
Downgraded: risk of bias, imprecision
Death
Synbiotics vs prebiotics
no estimate extracted2 studies · 129 participantsVery low
Downgraded: risk of bias, imprecision