Evidence map›Paper›PMID 28069350›Full record

SynthesisGastroenterology2017

Prevalence, Risk Factors, and Outcomes of Irritable Bowel Syndrome After Infectious Enteritis: A Systematic Review and Meta-analysis.

Fabiane Klem, Akhilesh Wadhwa, Larry J Prokop, Wendy J Sundt, Gianrico Farrugia, Michael Camilleri, Siddharth Singh, Madhusudan Grover

Registry-linked trialOpen access · bronzeAbstract readMeta-AnalysisSystematic ReviewVideo-Audio Media
In one paragraph

Synthesis in Gastroenterology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05532904 (Evaluation and Comparison of Multidisciplinary Day-hospital Versus Waiting List Management of Persistent Symptoms After an Acute Episode of COVID-19), which is not on this map. Cited by 208 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
208citing papers in PubMed, 9 pooled it
25.5field-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.

NCT05532904 nacompletednot on this mapstarted 2023, after this paper: background citation

Evaluation and Comparison of Multidisciplinary Day-hospital Versus Waiting List Management of Persistent Symptoms After an Acute Episode of COVID-19

TypeinterventionalSponsorAssistance Publique - Hôpitaux de ParisRan2023 to 2025Enrolled80ConditionsPost COVID-19 ConditionArmsPersonalized multidisciplinary day-hospital intervention
3 · Its place in the literature

Who cites it

208 citing papers in PubMed, 9 syntheses or guidelines pooled it, 451 citations in OpenAlex.

  1. Pooled it
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  12. Irritable bowel syndrome.Nature reviews. Disease primers · 2026
    Review
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148 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

Fabiane KlemDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota; Universidade Federal do Paraná, Curitiba, Paraná, Brazil.
Akhilesh WadhwaDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.
Larry J ProkopDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.
Wendy J SundtDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.
Gianrico FarrugiaDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.
Michael CamilleriDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.
Siddharth SinghDivision of Gastroenterology, University of California San Diego, San Diego, California.
Madhusudan GroverDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota. Electronic address: grover.madhusudan@mayo.edu.
Mayo Clinic · USUniversity of California San Diego · US

Funding

PILOT AND FEASIBILTY PROGRAMP30DK084567 · NIDDK · MAYO CLINIC ROCHESTER · PI Nicholas F. LaRusso · 2009 to 2026
$22.2M
San Diego Biomedical Informatics Education & Research (SABER)T15LM011271 · NLM · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SHAMIM NEMATI · 2012 to 2026
$9.7M
"Barrier function alterations in post-infectious irritable bowel syndrome"K23DK103911 · NIDDK · MAYO CLINIC ROCHESTER · PI GROVER, MADHUSUDAN · 2015 to 2019
$804k
NIDDK NIH HHS K23 DK103911NIDDK NIH HHS P30 DK084567NLM NIH HHS T15 LM011271
6 · The paper itself

Abstract

BACKGROUND &

aimsFoodborne illness affects 15% of the US population each year, and is a risk factor for irritable bowel syndrome (IBS). We evaluated risk of, risk factors for, and outcomes of IBS after infectious enteritis.

methodsWe performed a systematic review of electronic databases from 1994 through August 31, 2015 to identify cohort studies of the prevalence of IBS 3 months or more after infectious enteritis. We used random-effects meta-analysis to calculate the summary point prevalence of IBS after infectious enteritis, as well as relative risk (compared with individuals without infectious enteritis) and host- and enteritis-related risk factors.

resultsWe identified 45 studies, comprising 21,421 individuals with enteritis, followed for 3 months to 10 years for development of IBS. The pooled prevalence of IBS at 12 months after infectious enteritis was 10.1% (95% confidence interval [CI], 7.2-14.1) and at more than 12 months after infectious enteritis was 14.5% (95% CI, 7.7-25.5). Risk of IBS was 4.2-fold higher in patients who had infectious enteritis in the past 12 months than in those who had not (95% CI, 3.1-5.7); risk of IBS was 2.3-fold higher in individuals who had infectious enteritis more than 12 months ago than in individuals who had not (95% CI, 1.8-3.0). Of patients with enteritis caused by protozoa or parasites, 41.9% developed IBS, and of patients with enteritis caused by bacterial infection, 13.8% developed IBS. Risk of IBS was significantly increased in women (odds ratio [OR], 2.2; 95% CI, 1.6-3.1) and individuals with antibiotic exposure (OR, 1.7; 95% CI, 1.2-2.4), anxiety (OR, 2; 95% CI, 1.3-2.9), depression (OR, 1.5; 95% CI, 1.2-1.9), somatization (OR, 4.1; 95% CI, 2.7-6.0), neuroticism (OR, 3.3; 95% CI, 1.6-6.5), and clinical indicators of enteritis severity. There was a considerable level of heterogeneity among studies.

conclusionsIn a systematic review and meta-analysis, we found >10% of patients with infectious enteritis develop IBS later; risk of IBS was 4-fold higher than in individuals who did not have infectious enteritis, although there was heterogeneity among studies analyzed. Women-particularly those with severe enteritis-are at increased risk for developing IBS, as are individuals with psychological distress and users of antibiotics during the enteritis.

Indexed as

Anti-Bacterial AgentsAnxietyAnxiety DisordersBacterial InfectionsDepressionEnteritisFemaleFoodborne DiseasesHumansIntestinal Diseases, ParasiticIrritable Bowel SyndromeMaleNeuroticismOdds RatioPrevalenceRisk FactorsAnti-Bacterial AgentsFunctional Gastrointestinal DisordersGastrointestinal InfectionsMicrobesPost-Infectious Irritable Bowel Syndrome

Identifiers

PMID28069350
PMCPMC5367939
OpenAlexW2571057940

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.