Evidence map›Paper›PMID 26056920›Full record

Trial reportNutrients2015

Non-Celiac Gluten Sensitivity Has Narrowed the Spectrum of Irritable Bowel Syndrome: A Double-Blind Randomized Placebo-Controlled Trial.

Bijan Shahbazkhani, Amirsaeid Sadeghi, Reza Malekzadeh, Fatima Khatavi, Mehrnoosh Etemadi, Ebrahim Kalantri, Mohammad Rostami-Nejad, Kamran Rostami

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 4 pooled it
12.9field-weighted citation impact, top 1% 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

56 citing papers in PubMed, 4 syntheses or guidelines pooled it, 142 citations in OpenAlex.

  1. Pooled it
  2. Efficacy of a Restrictive Diet in Irritable Bowel Syndrome: A Systematic Review and Network Meta-analysis.The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2022
    Pooled it
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  12. Review
  13. Article
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  15. Is Irritable Bowel Syndrome out of date and misleading as a diagnosis?Gastroenterology and hepatology from bed to bench · 2023
    Article
  16. Review
  17. Article
  18. Review
  19. Differences in dietary habits of people withWorld journal of clinical cases · 2021
    Article
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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

8 authors at 4 institutions in 2 countries.

Bijan ShahbazkhaniGastroenterology Unit, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran 5715915199, Iran. bijan.shahbaz@gmail.com.
Amirsaeid SadeghiGastroenterology Unit, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran 5715915199, Iran. dr.a_sadeghi@yahoo.com.
Reza MalekzadehDigestive Disease Research Center, Digestive Disease Research Institute, Tehran University of Medical Sciences, Shariati Hospital, Tehran 1599666615, Iran. dr.reza.malekzadeh@gmail.com.
Fatima KhataviStudents' Scientific Research Center, Tehran University of Medical Sciences, Tehran 1449614535, Iran. hototo24@yahoo.com.
Mehrnoosh EtemadiStudents' Scientific Research Center, Tehran University of Medical Sciences, Tehran 1449614535, Iran. Mehr_etemadi@yahoo.com.
Ebrahim KalantriGholhak Medical Laboratory, Tehran 1913913948, Iran. Kalantri@yahoo.com.
Mohammad Rostami-NejadGastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran 1985714711, Iran. m.rostamii@gmail.com.
Kamran RostamiDepartment of Gastroenterology, Alexandra Hospital, Worcestershire B98 7UB, UK. kamran.rostami@nhs.net.
Tehran University of Medical Sciences · IRAlexandra Hospital · GBShahid Beheshti University of Medical Sciences · IRShariati Hospital · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Several studies have shown that a large number of patients who are fulfilling the criteria for irritable bowel syndrome (IBS) are sensitive to gluten. The aim of this study was to evaluate the effect of a gluten-free diet on gastrointestinal symptoms in patients with IBS. In this double-blind randomized, placebo-controlled trial, 148 IBS patients fulfilling the Rome III criteria were enrolled between 2011 and 2013. However, only 72 out of the 148 commenced on a gluten-free diet for up to six weeks and completed the study; clinical symptoms were recorded biweekly using a standard visual analogue scale (VAS). In the second stage after six weeks, patients whose symptoms improved to an acceptable level were randomly divided into two groups; patients either received packages containing powdered gluten (35 cases) or patients received placebo (gluten free powder) (37 cases). Overall, the symptomatic improvement was statistically different in the gluten-containing group compared with placebo group in 9 (25.7%), and 31 (83.8%) patients respectively (p < 0.001). A large number of patients labelled as irritable bowel syndrome are sensitive to gluten. Using the term of IBS can therefore be misleading and may deviate and postpone the application of an effective and well-targeted treatment strategy in gluten sensitive patients.

Indexed as

Diet, Gluten-FreeAdultCeliac DiseaseDouble-Blind MethodFemaleFollow-Up StudiesGlutensHumansIranIrritable Bowel SyndromeMaleMiddle AgedPatient ComplianceTreatment OutcomeVisual Analog ScaleGlutensgluten free dietIBSnon-celiac gluten sensitivity

Identifiers

PMID26056920
PMCPMC4488801
OpenAlexW2150386100

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.