Evidence map›Paper›PMID 30425031›Full record

ArticleJMIR research protocols2018

Living With Inflammatory Bowel Disease: Protocol for a Longitudinal Study of Factors Associated With Symptom Exacerbations.

Kelcie Witges, Laura E Targownik, Clove Haviva, John R Walker, Lesley A Graff, Kathryn A Sexton, Lisa Lix, Michael Sargent, Kathy Vagianos, Charles N Bernstein

Abstract read
In one paragraph

Article in JMIR research protocols, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. What Is a Flare? The Manitoba Living With IBD Study.Inflammatory bowel diseases · 2022
    Article
  3. Article
  4. 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

10 authors.

Kelcie WitgesIBD Clinical and Research Centre, University of Manitoba, Winnipeg, MB, Canada.ORCID http://orcid.org/0000-0002-0960-0761
Laura E TargownikIBD Clinical and Research Centre, University of Manitoba, Winnipeg, MB, Canada.ORCID http://orcid.org/0000-0002-4366-9076
Clove HavivaIBD Clinical and Research Centre, University of Manitoba, Winnipeg, MB, Canada.ORCID http://orcid.org/0000-0003-3266-5755
John R WalkerIBD Clinical and Research Centre, University of Manitoba, Winnipeg, MB, Canada.ORCID http://orcid.org/0000-0002-5349-1689
Lesley A GraffIBD Clinical and Research Centre, University of Manitoba, Winnipeg, MB, Canada.ORCID http://orcid.org/0000-0002-0743-3189
Kathryn A SextonIBD Clinical and Research Centre, University of Manitoba, Winnipeg, MB, Canada.ORCID http://orcid.org/0000-0003-0348-7750
Lisa LixIBD Clinical and Research Centre, University of Manitoba, Winnipeg, MB, Canada.ORCID http://orcid.org/0000-0001-8685-3212
Michael SargentIBD Clinical and Research Centre, University of Manitoba, Winnipeg, MB, Canada.ORCID http://orcid.org/0000-0001-9129-2990
Kathy VagianosIBD Clinical and Research Centre, University of Manitoba, Winnipeg, MB, Canada.ORCID http://orcid.org/0000-0001-7688-0989
Charles N BernsteinIBD Clinical and Research Centre, University of Manitoba, Winnipeg, MB, Canada.ORCID http://orcid.org/0000-0001-8041-3574

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere has been limited longitudinal research that has comprehensively evaluated possible factors in the exacerbation of inflammatory bowel disease (IBD) symptoms with or without associated inflammation. Evolving Web-based technologies facilitate frequent monitoring of patients' experiences and allow a fine-grained assessment of disease course.

objectiveWe aimed to prospectively identify factors associated with symptom exacerbation and inflammation in IBD including psychological functioning, diet, health behaviors, and medication adherence.

methodsBetween June 2015 and May 2017, we enrolled adults with IBD, recruited from multiple sources, who had been symptomatically active at least once within the prior 2 years. They completed a Web-based survey every 2 weeks for 1 year and submitted a stool sample at baseline, 26 weeks, and 52 weeks. Any participant reporting a symptom exacerbation was matched to a control within the cohort, based on disease type, sex, age, and time of enrollment; both were sent a supplemental survey and stool collection kit. Biweekly surveys included validated measures of the disease course, psychological functioning, health comorbidities, and medication use. Intestinal inflammation was identified through fecal calprotectin (positive level >250 μg/g stool).

resultsThere were 155 participants enrolled with confirmed IBD, 66.5% (103/155) with Crohn disease and 33.5% (52/155) with ulcerative colitis, of whom 98.7% (153/155) completed the study. Over the 1-year period, 47.7% (74/155) participants experienced a symptom exacerbation. The results of analyses on risk factors for symptom exacerbations are pending.

conclusionsWe recruited and retained a longitudinal IBD cohort that will allow the determination of risk factors for symptom exacerbation with and without inflammation. This will increase understanding of symptom exacerbations among persons with IBD. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR1-10.2196/11317.

Indexed as

Crohn diseasedietflareinflammatory bowel diseasesurveyulcerative colitisWeb-based

Identifiers

PMID30425031
PMCPMC6256106

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.