Evidence map›Paper›PMID 30560578›Full record

SynthesisNeurogastroenterology and motility2019

Lactose intolerance but not lactose maldigestion is more frequent in patients with irritable bowel syndrome than in healthy controls: A meta-analysis.

Péter Varjú, Noémi Gede, Zsolt Szakács, Péter Hegyi, Irina Mihaela Cazacu, Dániel Pécsi, Anna Fábián, Zoltán Szepes, Áron Vincze, Judit Tenk and 5 more

Registry-linked trialOpen access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Neurogastroenterology and motility, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05100719 (The Role of Irritable Bowel Syndrome in Lactose Intolerance), which is not on this map. Cited by 34 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 4 pooled it
4.8field-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.

NCT05100719 nanot yet recruitingnot on this mapstarted 2022, after this paper: background citation

The Role of Irritable Bowel Syndrome in Lactose Intolerance (LION Trial): Protocol of a Multicentre Randomized Controlled Clinical Trial

TypeinterventionalSponsorUniversity of PecsRan2022 to 2026Enrolled200ConditionsIrritable Bowel Syndrome, Lactose Intolerance, Lactose MalabsorptionArmsalverine-citrate + simethicone and lactase, alverin-citrate + simethicone with placebo
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 4 syntheses or guidelines pooled it, 60 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

15 authors at 3 institutions in 2 countries.

Péter VarjúInstitute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary.
Noémi GedeInstitute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary.
Zsolt SzakácsInstitute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary.
Péter HegyiInstitute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary.
Irina Mihaela CazacuDepartment of Gastroenterology, Research Center of Gastroenterology and Hepatology, University of Medicine and Pharmacy, Craiova, Romania.
Dániel PécsiInstitute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary.
Anna FábiánFirst Department of Medicine, Medical School, University of Szeged, Szeged, Hungary.
Zoltán SzepesFirst Department of Medicine, Medical School, University of Szeged, Szeged, Hungary.
Áron VinczeDivision of Gastroenterology, First Department of Medicine, Medical School, University of Pécs, Pécs, Hungary.
Judit TenkInstitute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary.
Márta BalaskóInstitute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary.
Zoltán RumbusInstitute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary.
András GaramiInstitute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary.
Dezső CsuporDepartment of Pharmacognosy, University of Szeged, Szeged, Hungary.
József CzimmerDivision of Gastroenterology, First Department of Medicine, Medical School, University of Pécs, Pécs, Hungary.ORCID 0000-0001-7831-3523
University of Pecs · HUUniversity of Szeged · HUUniversity of Medicine and Pharmacy of Craiova · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeIrritable bowel syndrome (IBS) affects 10%-20% of the adult population and is characterized by abdominal symptoms without relevant organic disease. There are numerous clinical trials available investigating the relationship between IBS, lactose maldigestion (LM), and lactose intolerance (LI), but there have been no meta-analyses on this topic yet. We aimed to assess the prevalence of LM, objective and subjective (self-reported) LI in IBS patients compared to healthy controls (HC) without IBS.

methodsA systematic literature search was conducted up to 24 April 2018 in PubMed, Embase, and Cochrane Library. Adult IBS patients had to be diagnosed according to the Rome criteria or other well-defined criteria system. We enrolled controlled studies including healthy adult participants without IBS, as control group. Odds ratios with 95% confidence intervals were calculated. KEY

resultsAltogether 14 articles were suitable for statistical analyses. IBS patients reported themselves significantly more frequently lactose intolerant than HCs (odds ratio [OR] = 3.499; 95% confidence interval [CI] = 1.622-7.551). Generally, there was no significant difference in the prevalence of LM based on ingested lactose dose (OR = 1.122; 95% CI = 0.929-1.356) and test type (OR = 1.156; 95% CI = 0.985-1.356). However, significantly more IBS patients had objective LI (OR = 2.521; 95% CI = 1.280-4.965). CONCLUSIONS AND INFERENCES: Lactose intolerance, but not LM is more frequent among patients with IBS compared to HCs. According to our results, IBS among other functional bowel disorders is a possible contributing factor of LI in people with LM.

Indexed as

HumansIrritable Bowel SyndromeLactose IntolerancePrevalenceirritable bowel syndromelactose intolerancelactose maldigestion

Identifiers

PMID30560578
PMCPMC7379306
OpenAlexW2904145622

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.