Meta-analysisindependent cross-checkabstract checked I-RES-111 standard review

Antibiotics in feed do make broilers grow a little faster

Withdrawal of antibiotic growth promoters from broiler diets: performance indexes and economic impact.

Overview

Maria Cardinal K et al.. Poult Sci 2019 · PMID 31544941 · DOI 10.3382/ps/pez536

Across 183 experiments, antibiotic growth promoters increased weight gain and feed efficiency, mainly early in life.

Does the study support the specific claim? Yes · Methodological quality: moderate

Original publication

Plain-language summary

Study explained simply
What did the researchers want to find out?

What are the performance and economic effects of withdrawing AGP from broiler diets?

How was the study done?

Meta-analysis of 183 experiments plus economic model (Brazil)

How many people, animals or samples were studied?

174 articles, 183 experiments, 121,643 broilers

What was actually found?

AGP+ diets: higher feed intake, weight gain and lower feed conversion in the initial phase (1-21 d); no differences in the final phase (22-42 d); over the total period higher weight gain and better feed conversion. Economic impact $0.03 per bird.

How large was the observed effect?

AGP+ diets: higher feed intake, weight gain and lower feed conversion in the initial phase (1-21 d); no differences in the final phase (22-42 d); over the total period higher weight gain and better feed conversion. Economic impact $0.03 per bird.

What do the results mean in everyday life?

The growth effect is real but small.

What are the study's limitations?

Effect sizes not in abstract; Publication bias possible; Industry-economic framing

What does it say about Elawady's specific claim?

Supports the claim that antibiotics were used to make chickens grow faster.

Do the results apply to Germany and Europe?

Banned in the EU since 2006.

What can explicitly not be concluded from this study?

Does not show that modern fast growth is due to antibiotics.

Scientific in-depth review

1. Full reference

Authors
Maria Cardinal K et al.
Journal
Poult Sci
Year
2019
Identifier
PMID 31544941 DOI 10.3382/ps/pez536
Verification
verified – PubMed efetch 2026-10-26; Crossref 2026-10-26
Retracted
no
Corrections
none
Extent checked
abstract only
Conflicts of interest and funding

not stated in abstract

2. Research question

What are the performance and economic effects of withdrawing AGP from broiler diets?

3. Study design and population

Study design
Meta-analysis – Meta-analysis of 183 experiments plus economic model (Brazil)
Population

Broilers in 183 published experiments (52% Ross)

Country

multinational; economic model Brazil

Period

literature to 2019

Sample size

174 articles, 183 experiments, 121,643 broilers

Inclusion and exclusion criteria

as described in the abstract

4. Methods and endpoints

Exposure / intervention

AGP in feed (avilamycin, flavomycin, virginiamycin, bacitracin)

Comparator

No AGP

Endpoints

Feed intake, weight gain, feed conversion, cost

Statistical methods

as reported in the abstract

5. Actual results

Results

AGP+ diets: higher feed intake, weight gain and lower feed conversion in the initial phase (1-21 d); no differences in the final phase (22-42 d); over the total period higher weight gain and better feed conversion. Economic impact $0.03 per bird.

Absolute risks

not reported

Authors' conclusion

Broilers fed AGP have higher weight gain and better feed conversion; withdrawal increases production costs.

6. Strengths

  • Large database

7. Weaknesses

  • Effect sizes not in abstract
  • Publication bias possible
  • Industry-economic framing

8. Risk of bias

Orienting tool
AMSTAR 2
Type of assessment
simplified assessment (abstract only)
Full formal assessment
no
Overall risk of bias
some concerns
Rationale

Abstract only.

9. Assessment of the statistical interpretation

Statistically significant but economically small effect ($0.03 per bird).

10. Relevance to the specific claim

Confirms that antibiotics in feed make broilers grow somewhat faster.

11. Independent contrary findings

12. Transferability to Germany and Europe

13. Overall methodological judgement

Across 183 experiments, antibiotic growth promoters increased weight gain and feed efficiency, mainly early in life.

Multidimensional assessment
Multidimensional assessment
Authenticity of the sourceverified
Methodological qualitymoderate
Risk of biassome concerns
Precision of resultsmoderate
Directnessdirect
Reproducibilityreplicated
Consistency with the overall evidenceconsistent
Regional transferabilitymoderate
Adequacy of the interpretation (by the archive)not applicable

14. Open questions

15. Linked fact checks