Evidence map›Paper›PMID 31236001›Full record

Observational studyWorld journal of gastroenterology2019

Increased risk of atrial fibrillation in patients with inflammatory bowel disease: A nationwide population-based study.

You-Jung Choi, Eue-Keun Choi, Kyung-Do Han, Jiesuck Park, Inki Moon, Euijae Lee, Won-Seok Choe, So-Ryoung Lee, Myung-Jin Cha, Woo-Hyun Lim and 1 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in World journal of gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
6.4field-weighted citation impact, top 3% 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

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Review
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  4. Cardiac Manifestations in Behçet's Syndrome.Current rheumatology reports · 2025
    Review
  5. Article
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  12. Association between inflammatory bowel disease and atrial fibrillation: A systematic review andInternational journal of cardiology. Heart & vasculature · 2024
    Review
  13. Article
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  16. Review
  17. Article
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  19. Review
  20. Cardiovascular manifestations of inflammatory bowel diseases and the underlying pathogenic mechanisms.American journal of physiology. Regulatory, integrative and comparative physiology · 2023
    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

11 authors at 1 institution in 1 country.

You-Jung ChoiDepartment of Internal Medicine, Seoul National University Hospital, Seoul 03080, South Korea.
Eue-Keun ChoiDepartment of Internal Medicine, Seoul National University Hospital, Seoul 03080, South Korea. choiek17@snu.ac.kr.
Kyung-Do HanDepartment of Biostatistics, College of Medicine, The Catholic University of Korea, Seoul 03083, South Korea.
Jiesuck ParkDepartment of Internal Medicine, Seoul National University Hospital, Seoul 03080, South Korea.
Inki MoonDepartment of Internal Medicine, Seoul National University Hospital, Seoul 03080, South Korea.
Euijae LeeDepartment of Internal Medicine, Seoul National University Hospital, Seoul 03080, South Korea.
Won-Seok ChoeDepartment of Internal Medicine, Seoul National University Hospital, Seoul 03080, South Korea.
So-Ryoung LeeDepartment of Internal Medicine, Seoul National University Hospital, Seoul 03080, South Korea.
Myung-Jin ChaDepartment of Internal Medicine, Seoul National University Hospital, Seoul 03080, South Korea.
Woo-Hyun LimDepartment of Internal Medicine, Seoul National University Boramae Medical Center, Seoul 07061, South Korea.
Seil OhDepartment of Internal Medicine, Seoul National University Hospital, Seoul 03080, South Korea.
Seoul National University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInflammatory bowel disease (IBD), a chronic inflammatory disease of the gastrointestinal tract, could play a role in the pathophysiology of atrial fibrillation (AF).

aimTo investigate the association between IBD and AF development.

methodsWe performed a population-based cohort study using records in the Korean National Health Insurance Services database between 2010 and 2014. A total of 37696 patients with IBD (12349 with Crohn's disease and 25397 with ulcerative colitis) were identified. The incidence rate of newly diagnosed AF in patients with IBD was compared with that in a 3 times larger cohort of 113088 age- and sex-matched controls without IBD.

resultsDuring 4.9 ± 1.3 years of follow-up, 1120 patients newly diagnosed with AF (348 in the IBD group and 772 in controls) were identified. After adjustments using multivariable Cox proportional hazards, patients with IBD were at a 36% [95% confidence interval (CI) 20%-54%] higher risk of AF than controls. The association between IBD and the development of AF was stronger in younger than in older patients. Patients without cardiovascular risk factors showed a higher risk of AF primarily. Additionally, patients receiving immun-omodulators [Hazard ration (HR) 1.46, 95%CI 1.31-1.89], systemic corticosteroids (HR 1.37, 95%CI 1.10-1.71), or biologics agents (HR 2.38, 95%CI 1.51-3.75) were at higher risk of AF than patients without them.

conclusionIBD significantly increased the risk of AF, and the impact of IBD on developing AF was in patients with moderate to severe disease.

Indexed as

AdultAtrial FibrillationColitis, UlcerativeCrohn DiseaseFemaleFollow-Up StudiesHumansImmunologic FactorsIncidenceMaleMiddle AgedRepublic of KoreaRetrospective StudiesRisk AssessmentRisk FactorsSeverity of Illness IndexImmunologic FactorsAtrial fibrillationColitis, UlcerativeCrohn’s diseaseInflammatory bowel disease

Identifiers

PMID31236001
PMCPMC6580358
OpenAlexW2953115546

What OpenQuestion holds

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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.