Efficacy of probiotics/synbiotics supplementation in patients with chronic kidney disease: a systematic review and meta-analysis of randomized controlled trials
2024

Efficacy of Probiotics in Chronic Kidney Disease

Commentary Evidence: low

Author Information

Author(s): Ruszkowski Jakub, Dębska-Ślizień Alicja

Primary Institution: Medical University of Gdańsk

Hypothesis

What are the effects of probiotics or synbiotics supplementation on kidney function and related health outcomes in patients with chronic kidney disease?

Conclusion

The commentary highlights significant methodological issues in the systematic review and meta-analysis of probiotics in chronic kidney disease, questioning the validity of its findings.

Supporting Evidence

  • The study combined different types of probiotics and synbiotics, which may obscure important differences in their effects.
  • Several studies included in the meta-analysis did not involve probiotics or synbiotics, affecting the validity of the findings.
  • The authors did not follow the Cochrane Handbook guidelines for model selection in their meta-analysis.

Takeaway

This study looks at how probiotics might help people with kidney problems, but it has some big mistakes that make the results less trustworthy.

Potential Biases

The authors did not register their study protocol before starting, which raises concerns about bias.

Limitations

The study has several methodological shortcomings, including inappropriate pooling of different types of interventions and failure to consider clinically important differences.

Digital Object Identifier (DOI)

10.3389/fnut.2024.1510662

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