Evidence map›Paper›PMID 40677427›Full record

ReviewCureus2025

Therapeutic Duel of Rifaximin Versus Lactulose in Hepatic Encephalopathy: A Systematic Review.

David O Oriko, Zainab Khawaj, Muhammad Usairam Cheema, Anjali Talreja, Muhammad Abbas Tayyab, Muhammad Hamza Zamir, Maheen Iqbal, Umer Farooq, Osatohanmwen Ekomwereren, Muhammad M Tariq and 1 more

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Review
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

11 authors.

David O OrikoNeurology, University of Maryland Medical Center, Baltimore, USA.
Zainab KhawajMedicine and Surgery, Khyber Medical University, Peshawar, PAK.
Muhammad Usairam CheemaInternal Medicine, Services Institute of Medical Sciences, Lahore, PAK.
Anjali TalrejaMedicine and Surgery, Isra University, Hyderabad, PAK.
Muhammad Abbas TayyabMedicine and Surgery, King Edward Medical University, Lahore, PAK.
Muhammad Hamza ZamirInternal Medicine, Fauji Foundation Hospital, Rawalpindi, Rawalpindi, PAK.
Maheen IqbalAcute Medicine, Peterborough City Hospital, Peterborough, GBR.
Umer FarooqInternal Medicine, Fauji Foundation Hospital, Rawalpindi, Rawalpindi, PAK.
Osatohanmwen EkomwererenTrauma and Orthopaedics, Shrewsbury and Telford Hospital National Health Service (NHS) Trust, Shrewsbury, GBR.
Muhammad M TariqInternal Medicine, Foundation University Medical College, Islamabad, PAK.
Abdul Haseeb HasanMedicine, Mayo Hospital, Lahore, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This systematic review aimed to compare the clinical efficacy of rifaximin versus lactulose in the management of hepatic encephalopathy (HE) by analyzing evidence from randomized controlled trials (RCTs). A comprehensive search across major databases identified seven eligible RCTs encompassing 693 adult patients diagnosed with overt or minimal HE. Findings demonstrated that rifaximin is at least as effective as lactulose in reversing HE symptoms, with some studies reporting significantly higher HE reversal rates when rifaximin was used in combination with lactulose (e.g., 76% vs. 50.8%,

Indexed as

cirrhosishepatic encephalopathylactuloseneurocognitive impairmentrandomized controlled trialrifaximintreatment efficacy

Identifiers

PMID40677427
PMCPMC12268772

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.