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      "pmid": "11297958",
      "doi": "10.1016/S0140-6736(00)04259-8",
      "source_type": "primary study report",
      "study_group": "FINN_LGG",
      "access_depth": "abstract_metadata",
      "consensus_aspect": "Defined probiotic regimen and eczema",
      "result_comparison": "The original Finnish trial supports reduced eczema in a specified high-risk perinatal LGG regimen. This restricted positive result does not establish a universal probiotic effect, prevent every allergy, or identify protection from autoimmune disease.",
      "original_source": "https://pubmed.ncbi.nlm.nih.gov/11297958/",
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      "pmid": "18762327",
      "doi": "10.1016/j.jaci.2008.07.011",
      "source_type": "primary study report",
      "study_group": "NZ_HN001_HN019",
      "access_depth": "abstract_metadata",
      "consensus_aspect": "Strain specificity challenges consistent efficacy",
      "result_comparison": "In the original randomized comparison HN001 reduced eczema while HN019 did not, and atopy comparisons were nonsignificant. Consensus's broad wording about consistently positive eczema trials must retain this strain-specific contrast.",
      "original_source": "https://pubmed.ncbi.nlm.nih.gov/18762327/",
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      "pmid": "24947281",
      "doi": "10.1136/archdischild-2013-305799",
      "source_type": "primary study report",
      "study_group": "WALES_ISRCTN26287422",
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      "consensus_aspect": "Primary versus secondary endpoints",
      "result_comparison": "The original Wales trial had a null primary diagnosed-eczema comparison, with favorable secondary sensitization and atopic-eczema results. The body also shows enrollment of both familial-risk levels. The later five-year follow-up is the same parent trial, not independent replication.",
      "original_source": "https://pubmed.ncbi.nlm.nih.gov/24947281/",
      "source_examination_receipts": [
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    {
      "pmid": "42705251",
      "doi": "10.1016/S0140-6736(26)01443-1",
      "source_type": "primary study report",
      "study_group": "ORBEX_NCT02148796",
      "access_depth": "abstract_metadata",
      "consensus_aspect": "Missing completed clinical bacterial-lysate trial",
      "result_comparison": "Consensus omitted ORBEX and portrayed bacterial-lysate evidence as largely biomarker-based. The original 822-participant report tested a clinical primary endpoint during subsequent off-treatment observation and found no significant benefit: hazard ratio1.16, confidence interval0.82–1.64. It is a completed clinical null, not an unreported biomarker-only study.",
      "original_source": "https://pubmed.ncbi.nlm.nih.gov/42705251/",
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    {
      "pmid": "35930838",
      "doi": "10.1016/j.ecoenv.2022.113900",
      "source_type": "primary study report",
      "study_group": "PMID35930838",
      "access_depth": "abstract_metadata",
      "consensus_aspect": "Daycare biodiversity is an intermediate-outcome intervention",
      "result_comparison": "The original small randomized soil-enrichment study reports microbiome and immune-marker changes over14days. It does not demonstrate prevention of diagnosed allergy or autoimmunity. Consensus helped locate this original source, but the marker-to-disease boundary remains.",
      "original_source": "https://pubmed.ncbi.nlm.nih.gov/35930838/",
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      "pmid": "27133167",
      "doi": "10.1016/j.cell.2016.04.007",
      "source_type": "primary study report",
      "study_group": "PMID27133167",
      "access_depth": "full_text_partial",
      "consensus_aspect": "Microbial quality and experimental system",
      "result_comparison": "The original report pairs observational infant cohorts with injected LPS experiments in NOD mice. E. coli and B. dorei signals differ. It supports exposure-specific biology rather than a general rule that more microbes protect humans; the linked correction is retained, with its detailed changes unexamined.",
      "original_source": "https://pubmed.ncbi.nlm.nih.gov/27133167/",
      "source_examination_receipts": [
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  "grade_changed": false,
  "grade_change_note": "Source-based adjudication; no independent blinded regrade claimed.",
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  "independent_blinded_audit": false,
  "cutoff": "2026-10-09",
  "completed_utc": "2026-10-12T19:49:41.535787+00:00",
  "conclusion": "Endpoint hierarchy, experimental scope and original-source limits determine the evidence cards; provider wording does not override them."
}
