Evidence map›Paper›PMID 25930973›Full record

ArticleJournal of clinical gastroenterology2016

High-sensitive C-Reactive Protein as a Marker for Inflammation in Irritable Bowel Syndrome.

Keren Hod, Tamar Ringel-Kulka, Christopher F Martin, Nitsan Maharshak, Yehuda Ringel

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical gastroenterology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 8% 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.

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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

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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 4 institutions in 4 countries.

Keren HodDepartments of *Epidemiology and Preventive Medicine, School of Public Health §Gastroenterology and Liver Diseases, Tel Aviv Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel Departments of †Medicine, Division of Gastroenterology and Hepatology ‡Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Tamar Ringel-Kulka
Christopher F Martin
Nitsan Maharshak
Yehuda Ringel
University of North Carolina at Chapel Hill · USFundación Juan March · ESGeneral Department of Preventive Medicine · VNTel Aviv University · IL

Funding

PILOT AND FEASIBILITY STUDIESP30DK034987 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Temitope O. Keku · 1985 to 2026
$30.5M
The Role of Intestinal Inflammation in the Pathophysiology of IBSK23DK075621 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RINGEL, YEHUDA · 2006 to 2010
$786k
Fecal Microflora in Irritable Bowel Syndrome (IBS): Characterization and SignificR03DK084294 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RINGEL, YEHUDA · 2010 to 2011
$147k
NIDDK NIH HHS K23 DK075621NIDDK NIH HHS P30 DK034987NIDDK NIH HHS P30 DK34987NIDDK NIH HHS R03 DK084294
6 · The paper itself

Abstract

backgroundRecent studies demonstrated low-grade inflammation in patients with irritable bowel syndrome (IBS). However, these studies have been relatively small and do not enable examination of this factor in different subtypes of IBS and the possibility of confounding effects of comorbidities that may be associated with inflammatory responses. GOALS: To investigate the association between high-sensitive C-reactive protein (hs-CRP) and the diagnosis of IBS, IBS subtypes, symptoms' severity, and IBS-associated comorbidities. STUDY: This cross-sectional study uses data from a large matched case-control study of IBS subjects and healthy controls (HC). hs-CRP levels were measured in all subjects. IBS diagnosis was determined by Rome III criteria, negative screening blood tests, and normal colonoscopy. Subjects were evaluated for IBS severity and associated pain and psychological comorbidities.

resultsA total of 242 IBS patients and 244 HC were studied. Median hs-CRP levels in the IBS group were significantly higher than in HC (1.80; interquartile range, 0.7 to 4.04 mg/L vs. 1.20, interquartile range, 0.5 to 2.97 mg/L respectively, P<0.006). Levels were highest in IBS-D patients with greater disease severity. Hs-CRP levels mildly correlated with symptoms severity (r=0.169, P=0.009); this correlation was stronger for the IBS-D patients (r=0.27, P=0.006). IBS was a significant independent predictor (P=0.025) for higher hs-CRP levels, whereas other pain and psychological comorbidities were not.

conclusionsGiven these observations of cross-sectional differences in hs-CRP between IBS subtypes and severity, independent of pain and comorbidities, more research is needed to explore a possible role of low-grade inflammation in the pathogenesis and/or clinical presentation of IBS.

Indexed as

Severity of Illness IndexAdultAnxietyBiomarkersCase-Control StudiesComorbidityConstipationC-Reactive ProteinCross-Sectional StudiesDepressionDiarrheaFatigue Syndrome, ChronicFemaleFibromyalgiaHumansInflammationBiomarkersC-Reactive Protein

Identifiers

PMID25930973
PMCPMC4950940
OpenAlexW1969654397

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.