Evidence map›Paper›PMID 28687943›Full record

ArticleDigestive diseases and sciences2017

Symptoms of Functional Intestinal Disorders Are Common in Patients with Celiac Disease Following Transition to a Gluten-Free Diet.

Jocelyn A Silvester, Lesley A Graff, Lisa Rigaux, Charles N Bernstein, Daniel A Leffler, Ciarán P Kelly, John R Walker, Donald R Duerksen

Open access · greenAbstract read
In one paragraph

Article in Digestive diseases and sciences, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. Observational
  9. Review
  10. Review
  11. Review article: Follow-up of coeliac disease.Alimentary pharmacology & therapeutics · 2022
    Review
  12. Article
  13. Dyspepsia-Like Symptoms inInternational journal of general medicine · 2022
    Article
  14. Review
  15. Article
  16. Review
  17. Functional Dyspepsia in the Elderly.Current gastroenterology reports · 2019
    Review
  18. Article
  19. Article
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.

Jocelyn A SilvesterRady College of Medicine, Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.ORCID 0000-0002-3615-1666
Lesley A GraffRady College of Medicine, Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
Lisa RigauxSt. Boniface Hospital Research Center, Winnipeg, MB, USA.
Charles N BernsteinRady College of Medicine, Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
Daniel A LefflerBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Ciarán P KellyBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
John R WalkerRady College of Medicine, Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
Donald R DuerksenRady College of Medicine, Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada. donald.duerksen@umanitoba.ca.
University of Manitoba · CABeth Israel Deaconess Medical Center · USBoston Children's Hospital · USSt. Boniface Hospital · CA

Funding

RESEARCH TRAINING IN GASTROENTEROLOGYT32DK007760 · NIDDK · BETH ISRAEL DEACONESS MEDICAL CENTER · PI KELLY, CIARAN P · 1999 to 2019
$4.6M
CIHRNIDDK NIH HHS DK 07760NIDDK NIH HHS T32 DK007760
6 · The paper itself

Abstract

backgroundCeliac disease and functional intestinal disorders may overlap, yet the natural history of functional symptoms in patients with celiac disease is unknown.

aimTo investigate the prevalence of irritable bowel syndrome (IBS), functional dyspepsia (FD), and functional bloating (FB) symptoms among patients with celiac disease at diagnosis and during the first year of a gluten-free diet.

methodsAdults with a new diagnosis of celiac disease were surveyed at baseline, 6 months and 1 year using standardized measures for intestinal symptoms [Rome III diagnostic questionnaire and celiac symptom index (CSI)] and gluten-free diet adherence [gluten-free eating assessment tool (GF-EAT) and celiac diet adherence test].

resultsAt diagnosis, two-thirds fulfilled Rome III diagnostic questionnaire symptom criteria for IBS (52%), functional dyspepsia (27%), and/or functional bloating (9%). One year post-diagnosis, there was high adherence to a gluten-free diet as 93% reported gluten exposure less than once per month on the GF-EAT and only 8% had ongoing celiac disease symptoms (CSI score >45). The rates of those meeting IBS (22%) and functional dyspepsia (8%) symptom criteria both decreased significantly on a gluten-free diet. The prevalence of functional symptoms (any of IBS, FD or FB) at 1 year was 47%.

conclusionsLong-term follow-up of patients with celiac disease is necessary because many patients with celiac disease who are adherent to a gluten-free diet have persistent gastrointestinal symptoms.

Indexed as

AdultCeliac DiseaseCohort StudiesDiet, Gluten-FreeDyspepsiaFemaleHumansIrritable Bowel SyndromeMaleMiddle AgedProspective StudiesSurveys and QuestionnairesCeliac diseaseFunctional bloatingFunctional dyspepsiaGluten-free dietIrritable bowel syndromeProspective cohort study

Identifiers

PMID28687943
PMCPMC5738027
OpenAlexW2729066289

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.