Evidence map›Paper›PMID 31972620›Full record

ArticleThe American journal of gastroenterology2020

Understanding the Scope of Do-It-Yourself Fecal Microbiota Transplant.

Chiazotam Ekekezie, Bryce K Perler, Anna Wexler, Catherine Duff, Christian John Lillis, Colleen R Kelly

Abstract read
In one paragraph

Article in The American journal of gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Awareness and acceptability of gut microbiome transfer.Frontiers in gastroenterology (Lausanne, Switzerland) · 2024
    Article
  5. Microbiota-Based Live Biotherapeutic Products forInfection and drug resistance · 2024
    Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. Mapping the Landscape of Do-it-Yourself Medicine.Citizen science : theory and practice · 2022
    Article
  15. Observational
  16. Article
  17. Article
  18. Article
  19. Regulation, risk and safety of Faecal Microbiota Transplant.Infection prevention in practice · 2020
    Review
  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

6 authors.

Chiazotam EkekezieDivision of Gastroenterology, Stanford Medical School, Stanford, California.
Bryce K PerlerDepartment of Medicine, Alpert Medical School of Brown University, Providence, Rhode Island.
Anna WexlerDepartment of Medical Ethics and Health Policy, University of Pennsylvania, Philadelphia, Pennsylvania.
Catherine DuffThe Fecal Transplant Foundation, Louisville, Kentucky.
Christian John LillisPeggy Lillis Foundation, Brooklyn, New York.
Colleen R KellyDepartment of Medicine, Alpert Medical School of Brown University, Providence, Rhode Island.

Funding

Do-it-Yourself and Direct-to-Consumer Medicine and Science: Assessing the Public Health Issues and Regulatory GapsDP5OD026420 · OD · UNIVERSITY OF PENNSYLVANIA · PI WEXLER, ANNA · 2018 to 2022
$2.0M
NIH HHS DP5 OD026420
6 · The paper itself

Abstract

objectivesFecal microbiota transplantation (FMT) has emerged as an effective treatment option for Clostridioides difficile infection (CDI) and is considered an investigational therapy for a number of other diseases. Social media has facilitated widespread exposure of the public to the gut microbiome and FMT, ultimately acting as a catalyst for the Do-It-Yourself (DIY)-FMT movement. The aims of this study were to identify factors that influenced willingness to pursue DIY-FMT including common indications, screening processes, sample preparation, and self-reported efficacy and safety outcomes.

methodsA twenty-five-point cross-sectional survey was posted online through the websites and social media pages of the Peggy Lillis Foundation, The Fecal Transplant Foundation, and The Power of Poop. Responses were cataloged through the Research Electronic Data Capture tool, and descriptive analyses were performed.

resultsEighty-four respondents completed the survey between January 2018 and February 2019. The majority were female (71%) and white (92%). Most (80%) reported performing FMT on themselves; 87% used Internet resources to assist in the process, and 92% knew their stool donor. Inflammatory bowel disease (35%) and irritable bowel syndrome (29%) were the 2 most common conditions that respondents attempted to treat. Only 12% reported adverse events, whereas 82% reported improvement in their condition. DISCUSSION: DIY-FMT is being used for many indications, including those for which there is little evidence. There was a high self-reported success rate among respondents with few adverse events. There is a need for increased awareness around DIY-FMT and research around this phenomenon, which may impact public health.

Indexed as

Fecal Microbiota TransplantationSelf CareAdultClostridioides difficileClostridium InfectionsCross-Sectional StudiesFecesFemaleGastrointestinal MicrobiomeHumansMaleMiddle AgedSocial MediaSurveys and Questionnaires

Identifiers

PMID31972620
PMCPMC7359198

What OpenQuestion holds

Textmetadata
LicenceTDM
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.