Evidence map›Paper›PMID 30411389›Full record

SynthesisAlimentary pharmacology & therapeutics2018

Systematic review: the consequences of psychosocial effects of inflammatory bowel disease on patients' reproductive health.

Satvinder Purewal, Sarah Chapman, Wladyslawa Czuber-Dochan, Christian Selinger, Helen Steed, Matthew J Brookes

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Alimentary pharmacology & therapeutics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 7% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 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

6 authors at 5 institutions in 1 country.

Satvinder PurewalInstitute of Sport and Human Science, Faculty of Education, Health and Wellbeing, University of Wolverhampton, Wolverhampton, UK.ORCID 0000-0002-9505-0806
Sarah ChapmanDepartment of Pharmacy & Pharmacology, University of Bath, Bath, UK.
Wladyslawa Czuber-DochanFlorence Nightingale Faculty of Nursing, Midwifery & Palliative Care, London, UK.ORCID 0000-0002-9889-1248
Christian SelingerSt James University Hospital, Leeds, UK.ORCID 0000-0003-2022-5859
Helen SteedThe Royal Wolverhampton NHS Trust, New Cross Hospital, Wolverhampton, UK.ORCID 0000-0002-5202-9273
Matthew J BrookesThe Royal Wolverhampton NHS Trust, New Cross Hospital, Wolverhampton, UK.ORCID 0000-0002-8782-0292
New Cross Hospital · GBFlorence Nightingale Foundation · GBSt James's University Hospital · GBUniversity of Bath · GBUniversity of Wolverhampton · GB

Funding

Crohn's and Colitis, UKRotha Abraham Bequest Fund
6 · The paper itself

Abstract

backgroundHigh levels of voluntary childlessness and pregnancy-related fears have been reported amongst inflammatory bowel disease (IBD) patients.

aimsTo investigate what factors determine IBD patients' childbearing decisions; and to examine psychosocial consequences of IBD on various aspects of patients' reproductive health.

methodsSix electronic databases were searched in a pre-specified and structured manner.

resultsA total of 41 articles with data on 7122 patients were included. Between one-fifth to one-third of IBD patients had chosen voluntary childlessness. Around 50% of all IBD patients have poor knowledge of pregnancy-related issues in IBD. Poor knowledge of pregnancy-related issues in IBD was associated with voluntary childlessness. Observational studies have found preconception counselling is associated with patients choosing parenthood. Pregnancy-related fears and concerns are multifaceted, stemming partly from lack of knowledge of pregnancy-related issues in IBD. Many female patients are considered at increased risk for pregnancy because between one-fifth to one-third of patients do not use contraception. Research evidence for sexual dysfunction after disease diagnosis and treatment is inconsistent. There are limited data on patients' pregnancy, postpartum and parenting experiences. A few shortcomings of the literature are evident; sample sizes were small, participation rates were low, use of non-validated questionnaires was common, and few studies included men and/or ethnic minority groups. The design of intervention studies is also weak.

conclusionThis review recommends pre-conception counselling for all IBD patients of childbearing age to tackle poor knowledge and allow patients to make an informed decision on their reproductive health.

Indexed as

Reproductive HealthAdultCross-Sectional StudiesFemaleFertilizationHumansInflammatory Bowel DiseasesMalePregnancyPregnancy ComplicationsReproductive BehaviorSurveys and Questionnaires

Identifiers

PMID30411389
PMCPMC6587548
OpenAlexW2899893176

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.