Evidence map›Paper›PMID 27981684›Full record

ArticleNeurogastroenterology and motility2017

Gastrointestinal symptom severity in irritable bowel syndrome, inflammatory bowel disease and the general population.

A D Lee, B M Spiegel, R D Hays, G Y Melmed, R Bolus, D Khanna, P P Khanna, L Chang

Open access · bronzeAbstract read
In one paragraph

Article in Neurogastroenterology and motility, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.5field-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

18 citing papers in PubMed, 48 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

8 authors at 6 institutions in 1 country.

A D LeeCenter for Outcomes Research and Education, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
B M SpiegelCenter for Outcomes Research and Education, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
R D HaysRAND Health Program, Santa Monica, CA, USA.
G Y MelmedCenter for Outcomes Research and Education, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
R BolusUCLA/VA Center for Outcomes Research and Education (CORE), Los Angeles, CA, USA.
D KhannaDivision of Rheumatology, University of Michigan, Ann Arbor, MI, USA.
P P KhannaDivision of Rheumatology, University of Michigan, Ann Arbor, MI, USA.
L ChangDepartment of Medicine, Division of Digestive Diseases, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
University of California, Los Angeles · USUniversity of Michigan–Ann Arbor · USCedars-Sinai Medical Center · USCore Laboratories (United States) · USRAND Corporation · USVA Greater Los Angeles Healthcare System · US

Funding

The Center for Health Improvement of Minority ElderlyP30AG021684 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CATHERINE A SARKISIAN · 2002 to 2026
$19.7M
Women's Health and Functional Visceral Disorders CenterP50DK064539 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MAYER, EMERAN A · 2002 to 2017
$17.5M
TRAINING COREP20MD000182 · NIMHD · CHARLES R. DREW UNIVERSITY OF MED &SCI · PI MILBURN, NORWEETA GERMAINE, SHAPIRO, MARTIN F. · 2002 to 2016
$16.5M
NIH PROMIS Statistical Coordinating Center(RMI)U01AR052177 · NIAMS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI CELLA, DAVID · 2004 to 2010
$10.6M
UCLA OLDER AMERICANS INDEPENDENCE CENTERP30AG028748 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MOORE, ALISON AHERN · 2006 to 2017
$9.8M
Development and Initial Validation of PROMIS GI Distress ScaleU01AR057936 · NIAMS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI KHANNA, DINESH, SPIEGEL, BRENNAN · 2009 to 2013
$2.2M
Outcomes Research in Rheumatic DiseasesK24AR063120 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KHANNA, DINESH · 2012 to 2022
$1.6M
Academic Training in RheumatologyT32AR053463 · NIAMS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SINGH, RAM RAJ · 2007 to 2011
$1.1M
NIAMS NIH HHS K24 AR063120NIAMS NIH HHS T32 AR053463NIAMS NIH HHS U01 AR052177NIAMS NIH HHS U01 AR057936NIA NIH HHS P30 AG021684NIA NIH HHS P30 AG028748NIDDK NIH HHS P50 DK064539NIMHD NIH HHS P20 MD000182
6 · The paper itself

Abstract

backgroundIrritable bowel syndrome (IBS) and inflammatory bowel disease (IBD) patients report similar gastrointestinal (GI) symptoms, yet comparisons of symptom severity between groups and with the general population (GP) are lacking.

methodsWe compared Patient-Reported Outcomes Measurement Information System (PROMIS KEY

resultsOf 1643 patients enrolled, there were 253 IBS patients (68% F, mean age 45±15 years), 213 IBD patients (46% F, mean age 41±14 years), and 1177 GP subjects (57% F, mean age 46±16 years). IBS patients reported greater severity of GER, disrupted swallowing, nausea/vomiting, belly pain, gas/bloating, and constipation symptoms than their IBD counterparts (all P<.05). Compared to the GP, IBD patients had worse belly pain, gas/bloating, diarrhea, and bowel incontinence, but less severe GER and disrupted swallowing (all P<.05), and IBS patients had more severe nausea/vomiting, belly pain, gas/bloating, and constipation (all P<.05). Women had more severe belly pain and gas/bloating than men, whereas men had more severe bowel incontinence (all P<.05). CONCLUSION & INFERENCES: IBS and IBD are associated with more severe GI symptoms compared to the GP excluding esophageal symptoms. Unlike IBD, IBS is not characterized by observable GI inflammation but patients report more severe upper and lower GI symptoms.

Indexed as

AdultConstipationDeglutition DisordersDiarrheaFemaleGastroesophageal RefluxHumansInflammatory Bowel DiseasesIrritable Bowel SyndromeMaleMiddle AgedNauseaSeverity of Illness IndexVomitinggenderinflammatory bowel diseaseirritable bowel syndromesymptom severity

Identifiers

PMID27981684
PMCPMC5393974
OpenAlexW2564463677

What OpenQuestion holds

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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.