Evidence map›Paper›PMID 32665397›Full record

SynthesisBMJ open gastroenterology2020

Correlation between gastrointestinal symptoms and disease severity in patients with COVID-19: a systematic review and meta-analysis.

Jing Liu, Min Cui, Tao Yang, Ping Yao

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMJ open gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Acute Gastrointestinal Injury and Feeding Intolerance as Prognostic Factors in Critically Ill COVID-19 Patients.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022
    Article
  5. Article
  6. Mortality is not increased in SARS-CoV-2 infected persons with hepatitis C virus infection.Liver international : official journal of the International Association for the Study of the Liver · 2021
    Article
  7. Review
  8. Potential intestinal infection and faecal-oral transmission of SARS-CoV-2.Nature reviews. Gastroenterology & hepatology · 2021
    Review
  9. Review
  10. Rates and characteristics of SARS-CoV-2 infection in persons with hepatitis C virus infection.Liver international : official journal of the International Association for the Study of the Liver · 2021
    Article
  11. Article
  12. Article
  13. A COVID-19 Case Complicated byJournal of medical cases · 2020
    Article
  14. Gastrointestinal manifestations of COVID-19 in a single center in the Eastern Province of Saudi Arabia.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
    Observational
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

4 authors.

Jing LiuGastroenterology, Xinjiang Medical University Affiliated First Hospital, Urumqi, Xinjiang, China.
Min CuiGastroenterology, Xinjiang Medical University Affiliated First Hospital, Urumqi, Xinjiang, China.
Tao YangGastroenterology, Xinjiang Medical University Affiliated First Hospital, Urumqi, Xinjiang, China.
Ping YaoGastroenterology, Xinjiang Medical University Affiliated First Hospital, Urumqi, Xinjiang, China 15757826085@163.com.ORCID 0000-0002-7785-1626

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo study the correlation between gastrointestinal (GI) symptoms and disease severity in patients with COVID-19.

designWe searched six databases including three Chinese and three English databases for all the published articles on COVID-19. Studies were screened according to inclusion and exclusion criteria. The relevant data were extracted and all the statistical analyses were performed using Revman5.3.

resultIn a meta-analysis of 9 studies, comprising 3022 patients, 479 patients (13.7%, 95% CI 0.125 to 0.149) had severe disease and 624 patients (14.7%, 95% CI 0.136 to 0.159) had GI symptoms. Of 624 patients with GI symptoms, 118 patients had severe disease (20.5%, 95% CI 0.133 to 0.276) and of 2397 cases without GI symptoms, 361 patients had severe disease (18.2%, 95% CI 0.129 to 0.235). Comparing disease severity of patients with and without GI symptoms, the results indicated: I²=62%, OR=1.21, 95% CI 0.94 to 1.56, p=0.13; there was no statistically significant difference between the two groups. The funnel plot was symmetrical with no publication bias.

conclusionCurrent results are not sufficient to demonstrate a significant correlation between GI symptoms and disease severity in patients with COVID-19.

Indexed as

BetacoronavirusCoronavirus InfectionsCOVID-19Gastrointestinal DiseasesHumansPandemicsPneumonia, ViralSARS-CoV-2Severity of Illness Indexdiarrhoeagastric functiongastrointestinal function

Identifiers

PMID32665397
PMCPMC7359194

What OpenQuestion holds

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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.