Evidence map›Paper›PMID 31620651›Full record

ArticleTranslational gastroenterology and hepatology2019

Gastroesophageal reflux in cystic fibrosis across the age spectrum.

Frederick W Woodley, Don Hayes, Benjamin T Kopp, Melissa Moore-Clingenpeel, Rodrigo Strehl Machado, Christopher J Nemastil, Sudarshan Jadcherla, Carlo Di Lorenzo, Ajay Kaul, Hayat Mousa

Open access · diamondAbstract read
In one paragraph

Article in Translational gastroenterology and hepatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 21 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Cystic fibrosis and the gut.Frontline gastroenterology · 2021
    Article
  6. Review
  7. Article
  8. 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 at 3 institutions in 2 countries.

Frederick W WoodleyCenter for Motility Disorders, Division of Gastroenterology, Hepatology and Nutrition, Nationwide Children's Hospital, Columbus, OH, USA.
Don HayesDepartment of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA.
Benjamin T KoppDepartment of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA.
Melissa Moore-ClingenpeelCenter for Biostatistics, Nationwide Children's Hospital, Columbus, OH, USA.
Rodrigo Strehl MachadoUniversidad Federal de Sao Paulo, Sao Paulo, Brazil.
Christopher J NemastilDivision of Pulmonary Medicine, Nationwide Children's Hospital, Columbus, OH, USA.
Sudarshan JadcherlaDepartment of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA.
Carlo Di LorenzoCenter for Motility Disorders, Division of Gastroenterology, Hepatology and Nutrition, Nationwide Children's Hospital, Columbus, OH, USA.
Ajay KaulDivision of Gastroenterology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Hayat MousaDivision of Gastroenterology, Rady Children's Hospital, San Diego, CA, USA.
Nationwide Children's Hospital · USCincinnati Children's Hospital Medical Center · USUniversidade Federal de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundScientific advances have improved longevity in cystic fibrosis (CF) patients and many of these patients can expect to experience age-related gastrointestinal co-morbidities. We aimed to assess the extent to which age might impact gastroesophageal reflux (GER) in patients with CF.

methodsOur esophageal pH-multichannel intraluminal impedance monitoring database was searched for tracings belonging to CF patients ≥2 years old without prior fundoplication and not taking anti-reflux medications immediately prior (within 7 days) and during the study. Tracings were retrospectively analyzed; Impedance and pH variables were evaluated with respect to age and pulmonary function.

resultsTwenty-eight patients were enrolled; 16 children (3.1-17.7 years) and 12 adults (18.2-48.9 years). Among pH probe parameters, correlation analysis showed DeMeester score (P=0.011) and number of acid reflux events lasting >5 minutes (P=0.047) to be significantly correlated with age. Age was not significantly correlated with any of the impedance parameters. Age was negatively correlated with baseline impedance (BI) in the distal esophagus (r=-0.424, P=0.023) and BI was negatively correlated with several pH parameters, including reflux index (r=-0.553, P=0.002), number of total acid reflux events (r=-0.576, P=0.001), number of acid reflux events lasting >5 minutes (r=-0.534, P=0.003), and DeMeester score (r=-0.510, P=0.006). Pulmonary function (percent predicted forced expiratory volume in one minute; ppFEV

conclusionsIn a small cohort, we found evidence that age may be associated with increased acid exposure and that both age and increased acid exposure are associated with reduced BI in the distal esophagus. The negative relationship between pulmonary function and age in our cohort is not related to GER. This pilot study supports the need for esophageal assessment and treatment of GER as standard components of clinical care for an aging CF population.

Indexed as

ageCystic fibrosis (CF)esophageal pH monitoring and multichannel intraluminal impedance (EPM-MII)gastroesophageal reflux (GER)pH-impedance monitoring

Identifiers

PMID31620651
PMCPMC6789305
OpenAlexW2974338653

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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.