Efficacy of Proton Pump Inhibitor Drugs for Inducing Clinical and Histologic Remission in Patients With Symptomatic Esophageal Eosinophilia: A Systematic.

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Presentation transcript:

Efficacy of Proton Pump Inhibitor Drugs for Inducing Clinical and Histologic Remission in Patients With Symptomatic Esophageal Eosinophilia: A Systematic Review and Meta- Analysis  Alfredo J. Lucendo, Ángel Arias, Javier Molina-Infante  Clinical Gastroenterology and Hepatology  Volume 14, Issue 1, Pages 13-22.e1 (January 2016) DOI: 10.1016/j.cgh.2015.07.041 Copyright © 2016 AGA Institute Terms and Conditions

Figure 1 Flowchart for the process of identifying studies that were included and excluded from the systematic review. Clinical Gastroenterology and Hepatology 2016 14, 13-22.e1DOI: (10.1016/j.cgh.2015.07.041) Copyright © 2016 AGA Institute Terms and Conditions

Figure 2 (A) Overall combined effects of PPI therapy for inducing histologic remission in patients with symptomatic esophageal eosinophilia. Percentage of histologic improvement after a PPI therapy was extracted from each article/abstract and 95% CIs were calculated using the exact binomial method. A random-effects model was used to calculate the overall effect size. The I2 statistic indicates intrastudy heterogeneity. Subgroup analyses for studies exclusively including (B) adult and (C) pediatric patients. Clinical Gastroenterology and Hepatology 2016 14, 13-22.e1DOI: (10.1016/j.cgh.2015.07.041) Copyright © 2016 AGA Institute Terms and Conditions

Figure 3 Subgroup analysis of studies evaluating the efficacy of PPI therapy in inducing histologic remission in patients with symptomatic esophageal eosinophilia in (A) prospective studies and (B) retrospective studies. I2 denotes intrastudy differences or statistical heterogeneity. Clinical Gastroenterology and Hepatology 2016 14, 13-22.e1DOI: (10.1016/j.cgh.2015.07.041) Copyright © 2016 AGA Institute Terms and Conditions

Figure 4 Subgroup analysis of studies evaluating the efficacy of PPI therapy in inducing histologic remission in patients with symptomatic esophageal eosinophilia in (A) patients with an absence of GERD as determined by normal pH monitoring, (B) patients with evidence of GERD determined by pathologic pH monitoring, (C) studies using a PPI dose once daily, and (D) studies using PPI doses twice daily. I2 denotes intrastudy differences or statistical heterogeneity. Clinical Gastroenterology and Hepatology 2016 14, 13-22.e1DOI: (10.1016/j.cgh.2015.07.041) Copyright © 2016 AGA Institute Terms and Conditions

Supplementary Figure 1 Begg funnel plot of studies on the efficacy of PPI therapy for inducing (A) histologic remission and (B) clinical improvement in patients with symptomatic esophageal eosinophilia. The solid line in the center is the natural logarithm of pooled remission rates, and the 2 oblique lines are pseudo–95% confidence limits. Clinical Gastroenterology and Hepatology 2016 14, 13-22.e1DOI: (10.1016/j.cgh.2015.07.041) Copyright © 2016 AGA Institute Terms and Conditions