Evidence map›Paper›PMID 30725303›Full record

ArticleDigestive diseases and sciences2019

Presence of Irritable Bowel Syndrome Symptoms in Quiescent Inflammatory Bowel Disease Is Associated with High Rate of Anxiety and Depression.

Lilani P Perera, Mark Radigan, Corinne Guilday, Indrani Banerjee, Daniel Eastwood, Reji Babygirija, Benson T Massey

Abstract read
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In one paragraph

Article in Digestive diseases and sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
4.6field-weighted citation impact, top 5% 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. IBS and IBD-One Letter, Much Pain, Few Treatments.Digestive diseases and sciences · 2025
    Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Effect ofJournal of clinical medicine · 2023
    Article
  11. Article
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  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Life expectancy and health-adjusted life expectancy in people with inflammatory bowel disease.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2020
    Article
  19. Review
  20. 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 4 institutions in 1 country.

Lilani P PereraInflammatory Bowel Disease Center, Aurora Healthcare, 975 Port Washington Rd, Grafton, WI, 53024, USA. Lilani.Perera@aurora.org.ORCID http://orcid.org/0000-0002-5844-6430
Mark RadiganMedical College of Wisconsin, Milwaukee, WI, USA.
Corinne GuildayWashington University, St. Louis, MO, USA.
Indrani BanerjeeMichigan State University, East Lansing, MI, USA.
Daniel EastwoodDivision of Biostatistics, Medical College of Wisconsin, Milwaukee, WI, USA.
Reji BabygirijaAurora Research Institute, Milwaukee, WI, USA.
Benson T MasseyMedical College of Wisconsin, Milwaukee, WI, USA.
Medical College of Wisconsin · USAurora Health Care · USMichigan State University · USWashington University in St. Louis · US

Funding

Clincal and Translational Science AwardUL1TR000055 · NCATS · MEDICAL COLLEGE OF WISCONSIN · PI SHAKER, REZA NONE · 2012 to 2015
$11.3M
NCATS NIH HHS UL1 TR000055
6 · The paper itself

Abstract

backgroundInflammatory bowel disease (IBD; Crohn's disease, CD and Ulcerative colitis, UC) and irritable bowel syndrome (IBS) have overlapping symptoms. Few prevalence studies of IBS in quiescent IBD have used colonoscopy with histology to confirm inactive disease. The aims were (1) to determine the percentage of IBD patients in deep remission whose persistent IBS-like symptoms (IBD/IBS+) would cause them to be classified as having active disease, based on the calculation of Harvey Bradshaw Index (HBI) or UC disease activity index (UCDAI); (2) to identify demographic and disease characteristics that are associated with IBD/IBS+.

methodsThis was a prospective study at a single tertiary care IBD center. 96/112 patients with colonoscopy and histology confirmed quiescent disease consented and completed Rome III criteria for IBS Survey, and the hospital anxiety and depression scale (HADS). Other demographic and disease specific data were collected.

results36% (28/77) and 37% (7/19) of CD and UC patients, respectively, met diagnostic criteria for IBS. Significantly higher HBI/UCDAI scores (p = 0.005) and low short inflammatory bowel disease questionnaire (SIBDQ) scores (p ≤ 0.0001) were seen in IBD/IBS+ patients. 29% of patients in deep remission were mis-categorized by HBI/UCDAI as having active disease when they fulfilled Rome III criteria for IBS. Psychiatric diagnosis (OR 3.53 95% CI 1.2-10.2) and earlier onset of IBD (OR 1.056 95% CI 1.015-1.096) were associated with IBD/IBS+. Patients fulfilling IBS criteria had higher hospital anxiety and depression scale (HADS).

conclusionIBD/IBS+ affect scoring of IBD disease activity scales and become less useful in guiding treatment plans.

Indexed as

AdolescentAdultAnxietyBiological ProductsBiopsyColitis, UlcerativeColonoscopyCrohn DiseaseDepressionFemaleHumansImmunosuppressive AgentsIrritable Bowel SyndromeMaleMiddle AgedPrevalenceBiological ProductsImmunosuppressive AgentsCrohn’s diseaseDisease activity measurementsInflammatory bowel diseaseIrritable bowel syndromeUlcerative colitis

Identifiers

PMID30725303
OpenAlexW2912018111

What OpenQuestion holds

Textmetadata
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.