Evidence map›Paper›PMID 31365426›Full record

ArticleGastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates

Patient Understanding of "Flare" and "Remission" of Inflammatory Bowel Disease.

Itishree Trivedi, Erin Darguzas, Salva N Balbale, Alyse Bedell, Shilpa Reddy, Joel R Rosh, Laurie Keefer

Abstract read
In one paragraph

Article in Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

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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

7 authors.

Itishree TrivediItishree Trivedi, MD, MS, Division of Gastroenterology and Hepatology, Northwestern University Feinberg School of Medicine, Chicago; and Center for Healthcare Studies, Northwestern University, Chicago, Illinois. Erin Darguzas, APN, Division of Gastroenterology and Hepatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois. Salva N. Balbale, MS, Division of Gastroenterology and Hepatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois; and Center for Healthcare Studies, Northwestern University, Chicago, Illinois. Alyse Bedell, MS, Division of Gastroenterology and Hepatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois. Shilpa Reddy, Northwestern University, Chicago, Illinois. Joel R. Rosh, MD, Division of Pediatric Gastroenterology, Goryeb Children's Hospital/Atlantic Health, Morristown, New Jersey. Laurie Keefer, PhD, Division of Gastroenterology and Hepatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois; Center for Healthcare Studies, Northwestern University, Chicago, Illinois; and Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, New York.
Erin Darguzas
Salva N Balbale
Alyse Bedell
Shilpa Reddy
Joel R Rosh
Laurie Keefer

Funding

Training Grant in Gastrointestinal Physiology and PsychologyT32DK101363 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI PANDOLFINO, JOHN E · 2014 to 2018
$1.2M
AHRQ HHS T32 HS000078NIDDK NIH HHS T32 DK101363
6 · The paper itself

Abstract

Patients with inflammatory bowel disease have adopted medical jargon terms of "flare" and "remission," but what they mean by these terms is ill-defined and may have implications for nurse-patient communication and treatment expectancy. The aim of this study was to elicit patients' understanding of "flare" and "remission." Individuals with self-reported inflammatory bowel disease were recruited through social media. A web-based survey, with closed and open-ended questions, was administered. Conventional content analysis was used to evaluate respondents' perceptions of jargon terms. A word cloud was generated to augment analysis by visualization of word use frequency. A majority of the 34 respondents had a symptom-focused understanding and described these terms as alternating states. Various symptoms were understood to signify "flare," which was largely attributed to lifestyle factors. Corroborated by the word cloud, there was rare mention of inflammation or tissue damage. This study demonstrates that an understanding of "flare" and "remission" by patients with inflammatory bowel disease is largely symptom-based. The role of inflammation, medication failure, and targets of inflammatory bowel disease treatment beyond symptom control are not currently well known to patients with inflammatory bowel disease. To create a shared understanding of symptoms and treatment goals between the patient and the nurse, patient education on emerging expectations of inflammatory bowel disease care should be prioritized.

Indexed as

Disease ProgressionHealth Knowledge, Attitudes, PracticePatient Reported Outcome MeasuresAdolescentAdultBiological ProductsComprehensionFemaleHumansInflammatory Bowel DiseasesMaleMiddle AgedQualitative ResearchRemission, SpontaneousSensitivity and SpecificitySeverity of Illness IndexBiological Products

Identifiers

PMID31365426
PMCPMC8569695

What OpenQuestion holds

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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.