Evidence map›Paper›PMID 31636478›Full record

Observational studyWorld journal of gastroenterology2019

Quality of life, work productivity impairment and healthcare resources in inflammatory bowel diseases in Brazil.

Rogerio S Parra, Julio M F Chebli, Heda M B S Amarante, Cristina Flores, Jose M L Parente, Odery Ramos, Milene Fernandes, Jose J R Rocha, Marley R Feitosa, Omar Feres and 20 more

Open access · bronzeAbstract readMulticenter StudyObservational 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 50 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 2 pooled it
7.0field-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

50 citing papers in PubMed, 2 syntheses or guidelines pooled it, 85 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. The War in Gaza and Barriers to Inflammatory Bowel Disease Care.JGH open : an open access journal of gastroenterology and hepatology · 2025
    Article
  16. Article
  17. Observational
  18. Quality of life of inflammatory bowel diseases patients in france with EQ-5D-5 L: the QALY-MICI study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  19. Article
  20. 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

30 authors at 8 institutions in 2 countries.

Rogerio S ParraDepartment of Surgery and Anatomy, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirao Preto, SP 14049-900, Brazil. rsparra@hcrp.usp.br.
Julio M F ChebliInflammatory Bowel Disease Center, Federal University of Juiz de Fora, Juiz de Fora, MG 36036-247, Brazil.
Heda M B S AmaranteHospital de Clinicas da Universidade Federal do Parana, Curitiba, PR 80060-900, Brazil.
Cristina FloresHospital de Clinicas de Porto Alegre, Porto Alegre - RS 90035-007, Brazil.
Jose M L ParenteUniversidade Federal do Piaui, Teresina, PI 64073-500, Brazil.
Odery RamosHospital de Clínicas da Universidade Federal do Parana, Curitiba, PR 80060-900, Brazil.
Milene FernandesCTI Clinical Trial & Consulting Services, Lisbon 1070-274, Portugal.
Jose J R RochaDepartment of Surgery and Anatomy, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirao Preto, SP 14049-900, Brazil.
Marley R FeitosaDepartment of Surgery and Anatomy, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirao Preto, SP 14049-900, Brazil.
Omar FeresDepartment of Surgery and Anatomy, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirao Preto, SP 14049-900, Brazil.
Antonio S ScottonCMIP Centro Mineiro de Pesquisa, Juiz de Fora, MG 36010-570, Brazil.
Rodrigo B NonesHospital Nossa Senhora das Gracas, Curitiba, PR 80810-040, Brazil.
Murilo M LimaHospital Universitario da Universidade Federal do Piaui, Teresina, PI 64049-550, Brazil.
Cyrla ZaltmanCarolina D Gonçalves, Isabella M Guimaraes, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ 21941-913, Brazil.
Carolina D Goncalves
Isabella M Guimaraes
Genoile O SantanaUniversidade do Estado da Bahia, - Salvador, BA 41150-000, Brazil.
Ligia Y SassakiDepartment of Internal Medicine, Botucatu Medical School at Sao Paulo State University (UNESP), Botucatu, SP 18618-687, Brazil.
Rogerio S HossneDepartment of Internal Medicine, Botucatu Medical School at Sao Paulo State University (UNESP), Botucatu, SP 18618-687, Brazil.
Mauro BafuttoInstituto Goiano de Gastroenterologia e Endoscopia Digestiva Ltda, Goiania, GO 74535-170, Brazil.
Roberto L K JuniorKaiser Clinica, Sao Jose do Rio Preto, SP 15015-110, Brazil.
Mikaell A G FariaKaiser Clinica, Sao Jose do Rio Preto, SP 15015-110, Brazil.
Sender J MiszputenEscola Paulista de Medicina, Sao Paulo, SP 04023-900, Brazil.
Tarcia N F GomesUNIFESP, Disciplina de Gastroenterologia, Sao Paulo, SP 04040-002, Brazil.
Wilson R CatapaniFaculdade de Medicina do ABC, Santo Andre, SP 09060-870, Brazil.
Anderson A FariaFaculdade de Medicina UFMG, Belo Horizonte, MG, 30130-100, Brazil.
Stella C S SouzaFaculdade de Medicina UFMG, Belo Horizonte, MG, 30130-100, Brazil.
Rosana F CaratinTakeda Pharmaceuticals Brazil, Sao Paulo, SP 04709-011, Brazil.
Juliana T SenraTakeda Pharmaceuticals Brazil, Sao Paulo, SP 04709-011, Brazil.
Maria L A FerrariFaculdade de Medicina UFMG, Belo Horizonte, MG, 30130-100, Brazil.
Universidade de São Paulo · BRUniversidade Estadual Paulista (Unesp) · BRUniversidade Federal do Piauí · BRAssociação Paulista de Medicina · BRClinical Trial and Consulting · USFaculdade de Medicina do ABC · BRInstituto de Gastroenterologia de Goiânia · BRUniversidade Federal de Juiz de Fora · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInflammatory bowel diseases (IBD) have been associated with a low quality of life (QoL) and a negative impact on work productivity compared to the general population. Information about disease control, patient-reported outcomes (PROs), treatment patterns and use of healthcare resources is relevant to optimizing IBD management.

aimTo describe QoL and work productivity and activity impairment (WPAI), treatment patterns and use of healthcare resources among IBD patients in Brazil.

methodsA multicenter cross-sectional study included adult outpatients who were previously diagnosed with moderate to severe Crohn's disease (CD) or ulcerative colitis (UC). At enrolment, active CD and UC were defined as having a Harvey Bradshaw Index ≥ 8 or a CD Activity Index ≥ 220 or calprotectin > 200 µg/g or previous colonoscopy results suggestive of inadequate control (per investigator criteria) and a 9-point partial Mayo score ≥ 5, respectively. The PRO assessment included the QoL questionnaires SF-36 and EQ-5D-5L, the Inflammatory Bowel Disease Questionnaire (IBDQ), and the WPAI questionnaire. Information about healthcare resources and treatment during the previous 3 years was collected from medical records. Chi-square, Fisher's exact and Student's

resultsOf the 407 patients in this study (CD/UC: 64.9%/35.1%, mean age 42.9/45.9 years, 54.2%/56.6% female, 38.3%/37.1% employed), 44.7%/25.2% presented moderate-to-severe CD/UC activity, respectively, at baseline. Expressed in median values for CD/UC, respectively, the SF-36 physical component was 46.6/44.7 and the mental component was 45.2/44.2, the EQ-visual analog scale score was 80.0/70.0, and the IBDQ overall score was 164.0/165.0. Moderate to severe activity, female gender, being unemployed, a lower educational level and lower income were associated with lower QoL (

conclusionModerate to severe IBD activity, especially among CD patients, is associated with a substantial impact on QoL, work productivity impairment and an increased number of IBD surgeries and hospitalizations in Brazil.

Indexed as

Patient Reported Outcome MeasuresQuality of LifeAdultBrazilColitis, UlcerativeCrohn DiseaseCross-Sectional StudiesEmploymentFacilities and Services UtilizationFemaleHospitalizationHumansMaleMiddle AgedPatient Acceptance of Health CareProspective StudiesCrohn’s diseaseHealthcare resourcesInflammatory bowel diseaseQuality of lifeUlcerative colitis

Identifiers

PMID31636478
PMCPMC6801193
OpenAlexW2980571487

What OpenQuestion holds

Textmetadata
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.