Evidence map›Paper›PMID 23708963›Full record

ArticleClinical autonomic research : official journal of the Clinical Autonomic Research Society2013

Gastric emptying in postural tachycardia syndrome: a preliminary report.

Ki-Jong Park, Wolfgang Singer, David M Sletten, Phillip A Low, Adil E Bharucha

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Clinical autonomic research : official journal of the Clinical Autonomic Research Society, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03263819 (POSTURAL ORTHOSTATIC TACHYCARDIA SYNDROME AND GASTROINTESTINAL SYMPTOMS), which is not on this map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 13% 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.

NCT03263819 completednot on this mapstarted 2017, after this paper: background citation

POSTURAL ORTHOSTATIC TACHYCARDIA SYNDROME AND GASTROINTESTINAL SYMPTOMS: Contribution of Gastrointestinal Peptides

TypeobservationalSponsorVanderbilt University Medical CenterRan2017 to 2020Enrolled26ConditionsPostural Tachycardia SyndromeArmsOral glucose tolerance test
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Gastrointestinal symptoms in postural tachycardia syndrome: a systematic review.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2018
    Pooled it
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Article
  8. Hypermobile Ehlers-Danlos syndromes: Complex phenotypes, challenging diagnoses, and poorly understood causes.Developmental dynamics : an official publication of the American Association of Anatomists · 2021
    Review
  9. Gastrointestinal motility disorders in neurologic disease.The Journal of clinical investigation · 2021
    Review
  10. Pathophysiology, Aetiology and Treatment of Gastroparesis.Digestive diseases and sciences · 2020
    Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Pediatric gastrointestinal neuromodulation: A review.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
    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

5 authors at 3 institutions in 1 country.

Ki-Jong ParkDepartment of Neurology, Mayo Clinic, Rochester, MN 55905, USA.
Wolfgang Singer
David M Sletten
Phillip A Low
Adil E Bharucha
Mayo Clinic in Arizona · USMayo Clinic · USWinnMed · US

Funding

MAYO CLINIC CENTER FOR TRANSLATIONAL SCIENCE ACTIVITIESUL1RR024150 · NCRR · MAYO CLINIC ROCHESTER · PI RIZZA, ROBERT A. · 2006 to 2011
$66.4M
Physiological Characterization and Data Integration CoreP01DK068055 · NIDDK · MAYO CLINIC ROCHESTER · PI BHARUCHA, ADIL E. · 2004 to 2019
$23.8M
Studies on Diagnosis, Pathophysiology, and Treatment of Autonomic Failure in MSAP01NS044233 · NINDS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI LOW, PHILLIP A · 2003 to 2014
$12.4M
Differential Approach to the Postural Tachycardia SyndromeK23NS075141 · NINDS · MAYO CLINIC ROCHESTER · PI SINGER, WOLFGANG · 2012 to 2016
$872k
NCRR NIH HHS UL1 RR024150NCRR NIH HHS UL1 RR024150-01NIDDK NIH HHS P01 DK068055NINDS NIH HHS K23 NS075141NINDS NIH HHS K23NS075141NINDS NIH HHS NS 44233NINDS NIH HHS P01 NS044233
6 · The paper itself

Abstract

purposeAutonomic neuropathy is widely recognized to be associated with upper gastrointestinal symptoms and abnormal (i.e., rapid or slow) gastric emptying. While patients with postural orthostatic tachycardia syndrome (POTS) may also have gastrointestinal symptoms, our understanding of gastric-emptying disturbances in POTS is very limited. The objectives of this study were to evaluate the relationship between gastric-emptying disturbances and gastrointestinal symptoms in patients with POTS.

methodsWe retrospectively reviewed the medical records of 22 well-characterized patients with POTS and upper gastrointestinal symptoms in whom autonomic (i.e., postganglionic sudomotor, cardiovagal, and adrenergic) functions and gastric emptying were evaluated using standardized techniques and scintigraphy, respectively. Medical records were reviewed retrospectively to assess clinical features, gastric emptying, and autonomic functions.

resultsOver 70 % of patients had nausea and/or vomiting, which was the most common GI symptom; other common symptoms were abdominal pain (59 %), bloating (55 %), and postprandial fullness/early satiety (46 %). Over one-third of patients had abnormal [i.e., rapid (27 %) or delayed (9 %)] gastric emptying. Gastric-emptying disturbances were not significantly associated with GI symptoms, autonomic symptoms or autonomic dysfunction.

conclusionsOver one-third of patients with POTS and gastrointestinal symptoms have abnormal, more frequently rapid than delayed gastric emptying. These findings need to be confirmed in a larger cohort of patients.

Indexed as

AdolescentAdultAutonomic Nervous SystemFemaleGastric EmptyingGastrointestinal DiseasesGastrointestinal MotilityGastroparesisHumansMaleMethoxyhydroxyphenylglycolMiddle AgedNorepinephrinePostural Orthostatic Tachycardia SyndromeRadionuclide ImagingRadiopharmaceuticals3,4-dihydroxyphenylglycolMethoxyhydroxyphenylglycolNorepinephrineRadiopharmaceuticalsTechnetium Tc 99m Sulfur Colloid

Identifiers

PMID23708963
PMCPMC3737368
OpenAlexW2094732363

What OpenQuestion holds

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Registered trials

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.