Evidence map›Paper›PMID 31361710›Full record

ArticleJournal of clinical gastroenterology

The Impact of Stool Consistency on Bowel Movement Satisfaction in Patients With IBS-C or CIC Treated With Linaclotide or Other Medications: Real-World Evidence From the CONTOR Study.

Douglas C A Taylor, Jessica L Abel, Jalpa A Doshi, Carolyn Martin, Alyssa Goolsby Hunter, Breanna Essoi, Stephanie Korrer, David S Reasner, Robyn T Carson, William D Chey

Abstract read
In one paragraph

Article in Journal of clinical gastroenterology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Trial
  2. 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.

Douglas C A TaylorIronwood Pharmaceuticals Inc., Cambridge, MA.
Jessica L AbelAllergan plc, Madison, NJ.
Jalpa A DoshiDepartment of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Carolyn MartinOptum, Eden Prairie, MN.
Alyssa Goolsby HunterOptum, Eden Prairie, MN.
Breanna EssoiOptum, Eden Prairie, MN.
Stephanie KorrerOptum, Eden Prairie, MN.
David S ReasnerIronwood Pharmaceuticals Inc., Cambridge, MA.
Robyn T CarsonAllergan plc, Madison, NJ.
William D CheyDivision of Gastroenterology, Department of Internal Medicine, University of Michigan, Ann Arbor, MI.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

goalsThis study aimed to characterize the impact of stool consistency on patient-reported bowel movement (BM) satisfaction in patients with irritable bowel syndrome with constipation (IBS-C) or chronic idiopathic constipation, with a focus on linaclotide.

backgroundAs new medications for constipation become available, understanding patients' perceptions of treatment effects may help clinicians manage patient expectations and inform clinical decision-making. MATERIALS AND

methodsData were derived from the Chronic Constipation and IBS-C Treatment and Outcomes Real-world Research Platform (CONTOR) study from 2 patient-reported 7-day daily BM diaries to create a dataset of 2922 diaries representing 26,524 BMs for 1806 participants. Binary variables were created for: medication(s) used in the past 24 hours and categorization of BMs as loose or watery stools (LoWS), hard or lumpy stools (HoLS), or intermediate (neither LoWS nor HoLS). The relationship between stool consistency, medication use, and BM satisfaction was analyzed using logistic regression with SEs corrected for repeated observations.

resultsBMs characterized as intermediate stools and LoWS were satisfactory more often (61.2% and 51.2%, respectively) than HoLS (19.4%). Participants who reported taking linaclotide rated a similar proportion of BMs as satisfactory when described as LoWS (65.6%) or intermediate (64.1%). Linaclotide use was associated with higher odds of BMs being reported as satisfactory compared with nonlinaclotide use (odds ratio: 1.23, P<0.05).

conclusionsOverall, CONTOR participants were more likely to report BMs classified as LoWS or intermediate as satisfactory, versus HoLS. Participants taking linaclotide were more likely to be satisfied, particularly those reporting LoWS, versus those not taking linaclotide.

Indexed as

Irritable Bowel SyndromePatient SatisfactionConstipationDatabases, FactualDefecationFecesFemaleGuanylyl Cyclase C AgonistsHumansInsurance Claim ReviewMaleMiddle AgedPeptidesPharmaceutical PreparationsSurveys and QuestionnairesGuanylyl Cyclase C AgonistslinaclotidePeptidesPharmaceutical Preparations

Identifiers

PMID31361710
PMCPMC6791496

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LicenceCC BY-NC-ND
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Registered trials

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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.