Evidence map›Paper›PMID 32166622›Full record

SynthesisDigestive diseases and sciences2021

Fecal Microbiota Transplantation (FMT) with Colonoscopy Is Superior to Enema and Nasogastric Tube While Comparable to Capsule for the Treatment of Recurrent Clostridioides difficile Infection: A Systematic Review and Meta-Analysis.

Daryl Ramai, Karl Zakhia, Paul J Fields, Andrew Ofosu, Goonja Patel, Vahe Shahnazarian, Jonathan K Lai, Amaninder Dhaliwal, Madhavi Reddy, Shannon Chang

Abstract readComparative StudyMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Digestive diseases and sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 9 pooled it
1.3field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 9 syntheses or guidelines pooled it, 88 citations in OpenAlex.

  1. Safety and efficacy of fecal microbiota transplantation versus antibiotics for treating clostridioides difficile infection: systematic review and meta-analysis.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
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  11. Fecal Microbiota Transplantation BeyondJournal of Korean medical science · 2026
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  15. Frontiers in immunology · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 2 countries.

Daryl RamaiDepartment of Medicine, The Brooklyn Hospital Center, Clinical Affiliate of The Mount Sinai Hospital, 121 DeKalb Ave, Brooklyn, NY, 11201, USA. dramai@tbh.org.
Karl ZakhiaDepartment of Medicine, The Brooklyn Hospital Center, Clinical Affiliate of The Mount Sinai Hospital, 121 DeKalb Ave, Brooklyn, NY, 11201, USA.
Paul J FieldsSchool of Medicine, Windward Islands Research and Education Foundation, St. George's University, True Blue, Grenada.
Andrew OfosuDivision of Gastroenterology and Hepatology, The Brooklyn Hospital Center, Clinical Affiliate of The Mount Sinai Hospital, 121 DeKalb Ave, Brooklyn, NY, 11201, USA.
Goonja PatelSchool of Medicine, Windward Islands Research and Education Foundation, St. George's University, True Blue, Grenada.
Vahe ShahnazarianDivision of Gastroenterology and Hepatology, The Brooklyn Hospital Center, Clinical Affiliate of The Mount Sinai Hospital, 121 DeKalb Ave, Brooklyn, NY, 11201, USA.
Jonathan K LaiDepartment of Pathology, McGill University, 1001 Decarie Boulevard, Montreal, QC, H4A 3J1, Grenada.
Amaninder DhaliwalDivision of Gastroenterology, University of Nebraska Medical Center, S 42nd and Emile St, Omaha, NE, 68198, USA.
Madhavi ReddyDivision of Gastroenterology and Hepatology, The Brooklyn Hospital Center, Clinical Affiliate of The Mount Sinai Hospital, 121 DeKalb Ave, Brooklyn, NY, 11201, USA.
Shannon ChangDivision of Gastroenterology, NYU Langone Health, 40 East 38th Street, 23rd Floor, New York, NY, 10016, USA.
Brooklyn Hospital Center · USSt. George's University · GDMount Sinai Hospital · USNYU Langone Health · USUniversity of Nebraska Medical Center · USWindward Islands Research and Education Foundation · GD

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral routes of fecal microbiota transplantation (FMT) administration are available for treating recurrent Clostridioides difficile infections (CDI), the most recent of which are capsules.

aimTo assess the efficacy of colonoscopy, capsule, enema, and nasogastric tube (NGT) FMT for the treatment of recurrent CDI.

methodsWe reported clinical outcomes of colonoscopy, capsule, enema, and NGT FMT for the treatment of recurrent CDI according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. During January 2000 to January 2018, three databases were searched: PubMed, EMBASE, and CINAHL. Primary outcome was overall cure rate which was assessed using a random effects model; secondary outcomes included adverse effects as well as subgroup analyses comparing donor relationship, sample preparation, and study design.

resultsTwenty-six studies (1309 patients) were included in the study. FMT was administered using colonoscopy in 16 studies (483 patients), NGT in five studies (149 patients), enema in four studies (360 patients), and capsules in four studies (301 patients). The random effects of pooled FMT cure rates were colonoscopy 94.8% (CI 92.4-96.8%; I

conclusionCDI cure rates with FMT performed with colonoscopy are superior to enema and NGT FMT, while those with FMT with colonoscopy and capsule are comparable.

Indexed as

CapsulesClostridioides difficileClostridium InfectionsColonoscopyEnemaFecal Microbiota TransplantationHumansIntubation, GastrointestinalRecurrenceTreatment OutcomeCapsulesCapsulesClostridioides difficileColonoscopyEnemaFecal microbiota transplantationMeta-analysisNasogastric tube

Identifiers

PMID32166622
OpenAlexW3011676587

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.