Evidence map›Paper›PMID 32900780›Full record

ArticleBMJ open respiratory research2020

How can we relieve gastrointestinal symptoms in people with cystic fibrosis? An international qualitative survey.

Sherie Smith, Nicola Rowbotham, Gwyneth Davies, Katie Gathercole, Sarah J Collins, Zoe Elliott, Sophie Herbert, Lorna Allen, Christabella Ng, Alan Smyth

Open access · goldAbstract read
In one paragraph

Article in BMJ open respiratory research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
3.0field-weighted citation impact, top 7% 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

11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Prebiotics for people with cystic fibrosis.The Cochrane database of systematic reviews · 2023
    Pooled it
  3. Opportunities and pitfalls of social media research in rare genetic diseases: a systematic review.Genetics in medicine : official journal of the American College of Medical Genetics · 2021
    Pooled it
  4. Article
  5. Article
  6. Collaboration between registered dietitians and gastroenterologists in cystic fibrosis care: Results of an international cross-sectional survey.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2025
    Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
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 6 institutions in 1 country.

Sherie SmithChild Health Obstetrics and Gynaecology, University of Nottingham, Nottingham, UK sherie.smith@nottingham.ac.uk.ORCID http://orcid.org/0000-0002-4143-5364
Nicola RowbothamChild Health Obstetrics and Gynaecology, University of Nottingham, Nottingham, UK.
Gwyneth DaviesInstitute of Child Health, UCL, London, UK.
Katie GathercolePerson with CF, University of Leeds, Leeds, West Yorkshire, UK.
Sarah J CollinsCF Department, Royal Brompton and Harefield NHS Trust, London, UK.
Zoe ElliottMother of Children with CF, Nottingham, UK.
Sophie HerbertChild Health Obstetrics and Gynaecology, University of Nottingham, Nottingham, UK.
Lorna AllenCystic Fibrosis Trust, London, UK.
Christabella NgChild Health Obstetrics and Gynaecology, University of Nottingham, Nottingham, UK.
Alan SmythChild Health Obstetrics and Gynaecology, University of Nottingham, Nottingham, UK.
University of Nottingham · GBCystic Fibrosis Trust · GBMother and Child Foundation · GBRoyal Brompton & Harefield NHS Foundation Trust · GBUniversity College London · GBUniversity of Leeds · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRelieving gastrointestinal (GI) symptoms was identified as a 'top ten' priority by our James Lind Alliance Priority Setting Partnership in cystic fibrosis (CF). We conducted an online survey to find out more about the effect of GI symptoms in CF.

methodsWe co-produced an online survey distributed to the CF community via web-based platforms. The survey consisted of open and closed questions designed to help us learn more about the effects of GI symptoms for people with CF (pwCF). We analysed the data using descriptive statistics and thematic analysis. We promoted the survey via social media and web-based platforms which allowed respondents from any country to take part. Our participants came from the CF community, including: adults and children with CF, parents and close family of pwCF and healthcare professionals (HCPs) working with pwCF.

resultsThere were 276 respondents: 90 (33%) pwCF, 79 (29%) family, 107 (39%) HCPs. The most commonly reported symptoms by lay respondents were stomach cramps/pain, bloating and a 'combination of symptoms'. The top three symptoms that HCPs said were reported to them were reduced appetite, bloating and constipation. Almost all (94% (85/90)) HCPs thought medications helped to relieve GI symptoms but only 58% (82/141) of lay respondents agreed.

conclusionsOur survey has shown that GI symptoms among our participants are prevalent and intrude on daily lives of pwCF. There is a need for well-designed clinical studies to provide better evidence for management of GI symptoms and complications.

Indexed as

Attitude of Health PersonnelAdolescentAdultAgedChildChild, PreschoolCystic FibrosisFemaleGastrointestinal DiseasesHumansInfantInfant, NewbornInternationalityInternetMaleMiddle Agedcystic fibrosis

Identifiers

PMID32900780
PMCPMC7478045
OpenAlexW3049768806

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.