Review Article

Therapeutic Efficacy of Flavonoids in Allergies: A Systematic Review of Randomized Controlled Trials

Table 2

GRADE evidence profile: flavonoids for individuals with allergic diseases.

Quality assessment

No. of studies (design)LimitationsInconsistencyIndirectnessImprecisionPublication biasNo. of patientsQuality (GRADE)
FlavonoidsPlacebo
Allergic rhinitis symptoms
10 RCTSerious limitationsaNo serious inconsistencyNo serious indirectnessSerious imprecisionbUndetected214202⨁⨁◯◯
Low
Asthma symptoms
3 RCTNo serious limitationsSerious inconsistencycNo serious indirectnessNo serious imprecisionUndetected243240⨁⨁⨁◯
Moderate
Lung function
3 RCTNo serious limitationsSerious inconsistencycNo serious indirectnessNo serious imprecisionUndetected243240⨁⨁⨁◯
Moderate
Skin symptoms (atopic dermatitis)
2 RCTSerious limitationsdSerious inconsistencycNo serious indirectnessNo serious imprecisionUndetected4437⨁⨁◯◯
Low
Quality of life
4 RCTNo serious limitationsSerious inconsistencycNo serious indirectnessNo serious imprecisionUndetected232231⨁⨁⨁◯
Moderate
Serious adverse events
No studies reported this outcome.

Abbreviations: GRADE: Grading of Recommendations Assessment, Development, and Evaluation; RCT: randomized controlled trials. aThree trials have some concerns for risk of bias, and one study is judged to be at high risk of bias in one domain for this result. bDifferent populations evaluated, follow-up time, and inconsistency in results. cImportant inconsistency (heterogeneity) in the results. dOne study is judged to be at some concerns for risk of bias.