Evidence map›Paper›PMID 29382074›Full record

SynthesisNutrients2018

Evidence for Dietary Fibre Modification in the Recovery and Prevention of Reoccurrence of Acute, Uncomplicated Diverticulitis: A Systematic Literature Review.

Camilla Dahl, Megan Crichton, Julie Jenkins, Romina Nucera, Sophie Mahoney, Wolfgang Marx, Skye Marshall

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Nutrients, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 5 pooled it
5.4field-weighted citation impact, top 4% 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

17 citing papers in PubMed, 5 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Guideline
  5. Pooled it
  6. Trial
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Dietary fibre in gastrointestinal health and disease.Nature reviews. Gastroenterology & hepatology · 2021
    Review
  13. Observational
  14. Diverticulitis: An Update From the Age Old Paradigm.Current problems in surgery · 2020
    Review
  15. Colonic diverticular disease.Nature reviews. Disease primers · 2020
    Review
  16. Review
  17. Review
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

7 authors at 2 institutions in 1 country.

Camilla DahlFaculty of Health Sciences & Medicine, Bond University, Robina, QLD 4226, Australia. camilla.dahl@student.bond.edu.au.
Megan CrichtonFaculty of Health Sciences & Medicine, Bond University, Robina, QLD 4226, Australia. mcrichto@bond.edu.au.
Julie JenkinsDepartment of Nutrition and Dietetics, Robina Hospital, Robina, QLD 4226, Australia. juliejenkins11@gmail.com.
Romina NuceraDepartment of Nutrition and Dietetics, Robina Hospital, Robina, QLD 4226, Australia. Romina.Nucera@health.qld.gov.au.
Sophie MahoneyFaculty of Health Sciences & Medicine, Bond University, Robina, QLD 4226, Australia. Sophie.mahoney@student.bond.edu.au.
Wolfgang MarxFaculty of Health Sciences & Medicine, Bond University, Robina, QLD 4226, Australia. wmarx@bond.edu.au.
Skye MarshallFaculty of Health Sciences & Medicine, Bond University, Robina, QLD 4226, Australia. skye_marshall@bond.edu.au.ORCID 0000-0001-8953-5068
Bond University · AURobina Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In practice, nutrition recommendations vary widely for inpatient and discharge management of acute, uncomplicated diverticulitis. This systematic review aims to review the evidence and develop recommendations for dietary fibre modifications, either alone or alongside probiotics or antibiotics, versus any comparator in adults in any setting with or recently recovered from acute, uncomplicated diverticulitis. Intervention and observational studies in any language were located using four databases until March 2017. The Cochrane Risk of Bias tool and GRADE were used to evaluate the overall quality of the evidence and to develop recommendations. Eight studies were included. There was "very low" quality evidence for comparing a liberalised and restricted fibre diet for inpatient management to improve hospital length of stay, recovery, gastrointestinal symptoms and reoccurrence. There was "very low" quality of evidence for using a high dietary fibre diet as opposed to a standard or low dietary fibre diet following resolution of an acute episode, to improve reoccurrence and gastrointestinal symptoms. The results of this systematic review and GRADE assessment conditionally recommend the use of liberalised diets as opposed to dietary restrictions for adults with acute, uncomplicated diverticulitis. It also strongly recommends a high dietary fibre diet aligning with dietary guidelines, with or without dietary fibre supplementation, after the acute episode has resolved.

Indexed as

Acute DiseaseAnti-Bacterial AgentsDietDietary FiberDiverticulitisEvidence-Based MedicineHumansMeta-Analysis as TopicObservational Studies as TopicProbioticsRandomized Controlled Trials as TopicRecurrenceRisk FactorsAnti-Bacterial AgentsDietary Fiberbowel restdietary fibredietary restrictiondiverticular diseasediverticulitisdiverticulosisprobioticsystematic review

Identifiers

PMID29382074
PMCPMC5852713
OpenAlexW2793867260

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.