Evidence map›Paper›PMID 23932782›Full record

ArticleJournal of Crohn's & colitis2014

Risk factors for depression in the elderly inflammatory bowel disease population.

Millie D Long, Michael D Kappelman, Christopher F Martin, Wenli Chen, Kristen Anton, Robert S Sandler

Abstract read
In one paragraph

Article in Journal of Crohn's & colitis, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–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

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Management of elderly ulcerative colitis in Japan.Journal of gastroenterology · 2019
    Review
  11. Article
  12. Review
  13. Psychiatric morbidity in inflammatory bowel disease: Time to screen all the patients.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2018
    Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Influence of environmental factors in the development of inflammatory bowel diseases.World journal of gastrointestinal pharmacology and therapeutics · 2016
    Review
  19. Article
  20. Psychological status in Iranian patients with ulcerative colitis and its relation to disease activity and quality of life.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2015
    Article
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

6 authors.

Millie D LongUniversity of North Carolina at Chapel Hill, Department of Medicine, Division of Gastroenterology and Hepatology, USA; Center for Gastrointestinal Biology and Disease, Chapel Hill, NC, USA. Electronic address: millie_long@med.unc.edu.
Michael D KappelmanCenter for Gastrointestinal Biology and Disease, Chapel Hill, NC, USA; University of North Carolina at Chapel Hill, Department of Pediatrics, Division of Gastroenterology and Hepatology, USA.
Christopher F MartinUniversity of North Carolina at Chapel Hill, Department of Medicine, Division of Gastroenterology and Hepatology, USA; Center for Gastrointestinal Biology and Disease, Chapel Hill, NC, USA.
Wenli ChenCenter for Gastrointestinal Biology and Disease, Chapel Hill, NC, USA.
Kristen AntonCenter for Gastrointestinal Biology and Disease, Chapel Hill, NC, USA; Geisel School of Medicine at Dartmouth, USA.
Robert S SandlerUniversity of North Carolina at Chapel Hill, Department of Medicine, Division of Gastroenterology and Hepatology, USA; Center for Gastrointestinal Biology and Disease, Chapel Hill, NC, USA.

Funding

PILOT AND FEASIBILITY STUDIESP30DK034987 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROBERT S. SANDLER · 1985 to 2026
$30.5M
Exposure to antibiotics during infancy and subsequent risk of Crohn's disease: aK08DK088957 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAPPELMAN, MICHAEL D · 2011 to 2013
$457k
NIDDK NIH HHS K08 DK088957NIDDK NIH HHS NIH 1K08DK088957-01NIDDK NIH HHS NIH P30 DK34987NIDDK NIH HHS P30 DK034987
6 · The paper itself

Abstract

BACKGROUND AND

aimsLittle is known about depression in elderly individuals with inflammatory bowel diseases (IBD). We assessed the point prevalence of depression and determined associations with disease activity, quality of life, and medication adherence in elderly patients with IBD.

methodsWe identified elderly (≥ 65 years) individuals within Crohn's and Colitis Foundation of America Partners, an online IBD cohort. Individuals completed the short geriatric depression scale (GDS). We used bivariate statistics to determine whether demographic or disease-related factors, disease activity, quality of life or medication adherence was associated with depression. We used logistic regression to estimate independent effects of depression on medication adherence.

resultsA total of 359 elderly individuals with IBD completed the GDS. The mean age was 70.2 years (SD 4.7); mean disease duration was 25.6 years (SD 17.6), and 62.6% had Crohn's disease (CD). The point prevalence of depression was 22.6%. Lower education levels (p=0.001), higher corticosteroid use (<0.01) and lower exercise levels (<0.001) were associated with depression. For both CD and ulcerative colitis (UC), those with depression had increased disease activity (short Crohn's disease activity index 52.5 versus 29, p=0.005, and simple clinical colitis activity index 5 versus 2, p=0.003). Depressed patients had lower quality of life (short IBD questionnaire 4.6 versus 5.7, p<0.001). Depressed individuals had reduced medication adherence (adjusted OR 2.18; 95% CI 1.04-4.57).

conclusionsDepression is common in this geriatric IBD cohort. Depression is independently associated with reduced medication adherence. Recognition and treatment of depression in elderly patients with IBD could improve outcomes.

Indexed as

Adrenal Cortex HormonesAgedCase-Control StudiesColitis, UlcerativeCrohn DiseaseDepressionEducational StatusFemaleHumansMaleMedication AdherenceMotor ActivityPrevalencePsychiatric Status Rating ScalesQuality of LifeRisk FactorsAdrenal Cortex HormonesAdherenceCrohn's diseaseDepressionInflammatory bowel diseaseUlcerative colitis

Identifiers

PMID23932782
PMCPMC4589203

What OpenQuestion holds

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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.