Sensitivity analyses of efficacy of osmotic and stimulant laxatives in chronic idiopathic constipation
Number of studies | Number of subjects | RR of failure to respond to therapy | 95% CI | I2 value | Number needed to treat | 95% CI | |
All studies | 7 | 1411 | 0.52 | 0.46 to 0.60 | 42% | 3 | 2 to 4 |
Risk of bias of trials | |||||||
Low | 5 | 1260 | 0.54 | 0.46 to 0.62 | 52% | 3 | 2 to 4 |
High | 2 | 151 | 0.41 | 0.26 to 0.65 | N/A | 3 | 2 to 6 |
Definition of CIC | |||||||
Rome criteria-defined | 5 | 1157 | 0.52 | 0.45 to 0.61 | 50% | 2.5 | 2 to 3 |
Other definition | 2 | 254 | 0.51 | 0.27 to 0.96 | N/A | 4.5 | 3 to 9 |
Duration of therapy | |||||||
≤ 4 weeks | 4 | 989 | 0.54 | 0.45 to 0.66 | 51% | 3 | 2.5 to 4 |
> 4 weeks | 3 | 422 | 0.46 | 0.33 to 0.65 | 49% | 2.5 | 2 to 3 |
Definition of response to therapy | |||||||
≥3 stools per week | 4 | 573 | 0.52 | 0.41 to 0.65 | 36% | 3 | 2 to 4 |
≥3 CSBMs per week | 2 | 735 | 0.54 | 0.42 to 0.69 | NA | 3 | 2 to 3.5 |
N/A, not applicable (too few studies to assess heterogeneity); CIC, chronic idiopathic constipation; CSBM, complete spontaneous bowel movement.