Evidence map›Paper›PMID 32146601›Full record

ArticleDigestive diseases and sciences2021

Gynecological Disorders in Patients with Non-celiac Wheat Sensitivity.

Maurizio Soresi, Salvatore Incandela, Pasquale Mansueto, Giuseppe Incandela, Francesco La Blasca, Francesca Fayer, Alberto D'Alcamo, Ada Maria Florena, Antonio Carroccio

Registry-linked trialOpen access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Digestive diseases and sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04769180 (Extraintestinal Manifestations in Non Celiac Wheat Sensitivity), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 33% 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.

NCT04769180 completednot on this map

Extraintestinal Manifestations in Non Celiac Wheat Sensitivity

TypeobservationalSponsorUniversity of PalermoRan2000 to 2021Enrolled200ConditionsNon-celiac Gluten SensitivityArmsEvaluation of extraintestinal manifestations
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Co-morbidities associated with non-coeliac gluten sensitivity.Gastroenterology and hepatology from bed to bench · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Maurizio SoresiInternal Medicine Unit, Department of Health Promotion Sciences, Maternal and Infant Care, Internal Medicine and Medical Specialties (PROMISE), University of Palermo, 90129, Palermo, Italy.
Salvatore IncandelaGynecology Unit, Giovanni Paolo II Hospital, Sciacca, Italy.
Pasquale MansuetoInternal Medicine Unit, Department of Health Promotion Sciences, Maternal and Infant Care, Internal Medicine and Medical Specialties (PROMISE), University of Palermo, 90129, Palermo, Italy.
Giuseppe IncandelaInternal Medicine Unit, Department of Health Promotion Sciences, Maternal and Infant Care, Internal Medicine and Medical Specialties (PROMISE), University of Palermo, 90129, Palermo, Italy.
Francesco La BlascaInternal Medicine Unit, Department of Health Promotion Sciences, Maternal and Infant Care, Internal Medicine and Medical Specialties (PROMISE), University of Palermo, 90129, Palermo, Italy.
Francesca FayerInternal Medicine Unit, Department of Health Promotion Sciences, Maternal and Infant Care, Internal Medicine and Medical Specialties (PROMISE), University of Palermo, 90129, Palermo, Italy.
Alberto D'AlcamoInternal Medicine Unit, Department of Health Promotion Sciences, Maternal and Infant Care, Internal Medicine and Medical Specialties (PROMISE), University of Palermo, 90129, Palermo, Italy.
Ada Maria FlorenaPathology Unit, Department of Health Promotion Sciences, Maternal and Infant Care, Internal Medicine and Medical Specialties (PROMISE), University of Palermo, 90129, Palermo, Italy.
Antonio CarroccioInternal Medicine Unit, Department of Health Promotion Sciences, Maternal and Infant Care, Internal Medicine and Medical Specialties (PROMISE), University of Palermo, 90129, Palermo, Italy. acarroccio@hotmail.com.
University of Palermo · IT

Funding

Italian Health Ministry Grant PE-2016- 02363692
6 · The paper itself

Abstract

backgroundNon-celiac wheat sensitivity (NCWS) most frequently presents clinically with irritable bowel syndrome (IBS)-like symptoms, although many extra-intestinal manifestations have also been attributed to it. No studies to date have evaluated the presence and frequency of gynecological symptoms in NCWS.

aimTo evaluate the frequency of gynecological disorders in patients with NCWS. PATIENTS AND

methodsSixty-eight women with NCWS were included in the study. A questionnaire investigating gynecological symptoms and recurrent cystitis was administered, and patients reporting symptoms were then examined by specialists. Three control groups were selected: 52 patients with IBS not related to NCWS, 56 patients with celiac disease (CD), and 71 healthy controls.

results59% of the patients with NCWS showed gynecological symptoms, a higher frequency than in healthy controls (P = 0.04), IBS controls (P = 0.01) and CD controls (P = 0.02). Menstrual cycle alterations were more frequent in patients with NCWS than in healthy controls (26.5% vs 11.3%; P = 0.03); the patients with NCWS suffered from recurrent vaginitis (16%) and dyspareunia (6%) significantly more frequently than healthy controls. Twenty-nine percent of patients with NCWS reported recurrent cystitis, a finding higher than in the control groups (vs healthy P = 0.0001, vs IBS P = 0.001, vs CD controls P = 0.04). Microbiological examinations were negative in most of the patients with NCWS and recurrent vaginitis or cystitis. During the 1-year follow-up, 46% of patients with menstrual disorders and 36% with recurrent vaginitis reported resolution of symptoms on a wheat-free diet.

conclusionsPatients with NCWS showed a significantly higher frequency of gynecological symptoms and recurrent cystitis than patients with IBS.

Indexed as

Celiac DiseaseAdultCystitisDiet, Gluten-FreeFemaleFollow-Up StudiesHumansIrritable Bowel SyndromeMiddle AgedProspective StudiesVaginitisWheat HypersensitivityYoung AdultCystitisIrritable bowel syndromeMenstrual cycle abnormalitiesNon-celiac wheat sensitivityObstetric diseasesVaginitis

Identifiers

PMID32146601
OpenAlexW3010143508

What OpenQuestion holds

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Registered trials

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.