Evidence map›Paper›PMID 31119844›Full record

ArticleNeurogastroenterology and motility2019

Reduction in IBS symptom severity is not paralleled by improvement in quality of life in patients with irritable bowel syndrome.

Zsa Zsa R M Weerts, Lisa Vork, Zlatan Mujagic, Daniel Keszthelyi, Martine A M Hesselink, Joanna Kruimel, Carsten Leue, Jean W M Muris, Daisy M A E Jonkers, Ad A M Masclee

Open access · hybridAbstract read
In one paragraph

Article in Neurogastroenterology and motility, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
5.2field-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

22 citing papers in PubMed, 53 citations in OpenAlex.

  1. Trial
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  6. The Impact and Interactions of Race and Gender on Healthcare Use and Spending in Irritable Bowel Syndrome.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2025
    Article
  7. Effects ofNutrients · 2024
    Article
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  13. The impact of vestibular schwannoma and its management on employment.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2022
    Article
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  15. Effect ofWorld journal of gastroenterology · 2022
    Observational
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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

10 authors at 2 institutions in 1 country.

Zsa Zsa R M WeertsDivision of Gastroenterology-Hepatology, NUTRIM, Maastricht University Medical Center, Maastricht, The Netherlands.ORCID 0000-0001-7522-9916
Lisa VorkDivision of Gastroenterology-Hepatology, NUTRIM, Maastricht University Medical Center, Maastricht, The Netherlands.ORCID 0000-0001-7316-3191
Zlatan MujagicDivision of Gastroenterology-Hepatology, NUTRIM, Maastricht University Medical Center, Maastricht, The Netherlands.ORCID 0000-0001-5211-0381
Daniel KeszthelyiDivision of Gastroenterology-Hepatology, NUTRIM, Maastricht University Medical Center, Maastricht, The Netherlands.
Martine A M HesselinkDivision of Gastroenterology-Hepatology, NUTRIM, Maastricht University Medical Center, Maastricht, The Netherlands.
Joanna KruimelDivision of Gastroenterology-Hepatology, NUTRIM, Maastricht University Medical Center, Maastricht, The Netherlands.
Carsten LeueDepartment of Psychiatry and Psychology, Maastricht University Medical Center, Maastricht, the Netherlands.
Jean W M MurisDepartment of Family Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands.
Daisy M A E JonkersDivision of Gastroenterology-Hepatology, NUTRIM, Maastricht University Medical Center, Maastricht, The Netherlands.
Ad A M MascleeDivision of Gastroenterology-Hepatology, NUTRIM, Maastricht University Medical Center, Maastricht, The Netherlands.
Maastricht University Medical Centre · NLMaastricht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIrritable bowel syndrome (IBS) is a brain-gut disorder, of which the natural course varies between patients and is difficult to predict. This study aimed to evaluate symptom evolution over a 5-year follow-up period and to identify baseline predictors for symptom severity and quality of life (QoL) at follow-up.

methodsMaastricht IBS cohort participants completed questionnaires upon inclusion regarding demographics and lifestyle, gastrointestinal (GI) symptoms, anxiety and depression, and QoL. The same questionnaires, in addition to others, were completed after 5 years. Rome criteria were confirmed face-to-face at initial enrollment and through telephonic interviews at follow-up. KEY

resultsAt a mean follow-up of 4.7 years, 379 patients were approached of whom 203 (53.7%) responded. Of these, 161 were reached by telephone and analyzed; 49 (30.4%) did not fulfill the Rome III criteria at follow-up and had lower levels of GI symptoms and GI-specific anxiety compared to those remaining Rome III-positive (P < 0.001). However, Rome III-negative patients had comparable levels of QoL and life satisfaction, comorbid anxiety and depression, work absenteeism, and impaired productivity. No baseline predictors were found for being Rome III-positive or Rome III-negative. However, greater age and lower baseline physical QoL predicted lower physical QoL at follow-up (P < 0.005 and P < 0.01, respectively), while lower baseline mental QoL predicted lower mental QoL at follow-up (P = 0.005). Additionally, higher anxiety and depression scores at follow-up were associated with lower QoL and life satisfaction at follow-up (P < 0.001). CONCLUSIONS AND INFERENCES: Long-term QoL and general well-being might depend on concurrent psychological symptoms, rather than GI symptom improvement.

Indexed as

AdultCohort StudiesFemaleHumansIrritable Bowel SyndromeMaleMiddle AgedQuality of LifeSurveys and QuestionnairesSymptom Assessmentirritable bowel syndromenatural historyquality of lifeRome criteriasymptom evolution

Identifiers

PMID31119844
PMCPMC6852246
OpenAlexW2945672222

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.