Evidence map›Paper›PMID 27733909›Full record

ArticleUnited European gastroenterology journal2016

Prediction of low bone mineral density in patients with inflammatory bowel diseases.

Solvey Schüle, Jean-Benoît Rossel, Diana Frey, Luc Biedermann, Michael Scharl, Jonas Zeitz, Natália Freitas-Queiroz, Valérie Pittet, Stephan R Vavricka, Gerhard Rogler and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in United European gastroenterology journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 10% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Prevalence of low bone mineral density in inflammatory bowel disease and factors associated with it.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2020
    Article
  10. Article
  11. The association of inflammatory bowel disease and immediate postoperative outcomes following lumbar fusion.The spine journal : official journal of the North American Spine Society · 2018
    Article
  12. Review
  13. Observational
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

12 authors at 3 institutions in 1 country.

Solvey SchüleDivision of Gastroenterology and Hepatology, University Hospital Zurich and Zurich University, Switzerland.
Jean-Benoît RosselInstitut de Médecine Sociale et Préventive Unité d'Evaluation des Soins Bio2/02/185, Switzerland.
Diana FreyDivision of Rheumatology, University Hospital Zurich and Zurich University, Switzerland.
Luc BiedermannDivision of Gastroenterology and Hepatology, University Hospital Zurich and Zurich University, Switzerland.
Michael ScharlDivision of Gastroenterology and Hepatology, University Hospital Zurich and Zurich University, Switzerland.
Jonas ZeitzDivision of Gastroenterology and Hepatology, University Hospital Zurich and Zurich University, Switzerland.
Natália Freitas-QueirozDivision of Gastroenterology and Hepatology, University Hospital Zurich and Zurich University, Switzerland.
Valérie PittetInstitut de Médecine Sociale et Préventive Unité d'Evaluation des Soins Bio2/02/185, Switzerland.
Stephan R VavrickaDivision of Gastroenterology and Hepatology, University Hospital Zurich and Zurich University, Switzerland; Department of Medicine, Division of Gastroenterology, Triemli Hospital, Zurich, Switzerland.
Gerhard RoglerDivision of Gastroenterology and Hepatology, University Hospital Zurich and Zurich University, Switzerland.
Benjamin MisselwitzDivision of Gastroenterology and Hepatology, University Hospital Zurich and Zurich University, Switzerland.
Swiss IBD cohort study
University Hospital of Zurich · CHInstitute of Social and Preventive Medicine · CHTriemli Hospital · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow bone mineral density (BMD) remains a frequent problem in patients with inflammatory bowel diseases (IBD). There is no general agreement regarding osteoporosis screening in IBD patients.

methodsCases of low BMD and disease characteristics were retrieved from 3172 patients of the Swiss IBD cohort study. Multivariate logistic regression analysis was conducted for predictive modeling. In a subgroup of 877 patients, 253 dual-energy X-ray absorptiometry (DXA) scans were available for validation.

resultsLow BMD was prevalent in 19% of patients. We identified seven predictive factors: type of IBD, age, recent steroid usage, low body mass index, perianal disease, recent high disease activity and malabsorption syndrome. Low BMD could be predicted with a sensitivity of 79% and a specificity of 64%, a positive predictive value (PPV) of 35% and a negative predictive value (NPV) of 93%. The area under the curve of the receiver operating characteristics was 0.78. In the validation cohort we calculated a PPV of 26% and an NPV of 88%.

conclusionWe provide a comprehensive analysis of risk factors for low BMD and propose a predictive model with seven clinical variables. The high NPV of models such as ours might help in excluding low BMD to prevent futile investigations.

Indexed as

bone mineral densityinflammatory bowel diseasesOsteoporosispredictive model

Identifiers

PMID27733909
PMCPMC5042312
OpenAlexW2465969922

What OpenQuestion holds

Textmetadata
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.