Evidence map›Paper›PMID 32955192›Full record

ArticleClinical and translational gastroenterology2020

The Incidence of Chronic Mesenteric Ischemia in the Well-Defined Region of a Dutch Mesenteric Ischemia Expert Center.

Luke G Terlouw, Mandy Verbeten, Desirée van Noord, Marjolein Brusse-Keizer, Ruth R Beumer, Robert H Geelkerken, Marco J Bruno, Jeroen J Kolkman, Dutch Mesenteric Ischemia Study Group

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Clinical and translational gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07059520 (Translesional PRESSURE Measurements to Assess Clinical Relevance of a Mesenteric Artery Stenosis), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% 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.

NCT07059520 recruitingnot on this mapstarted 2025, after this paper: background citation

Translesional PRESSURE Measurements to Assess Clinical Relevance of a Mesenteric Artery Stenosis (PRESSURE-study)

Typeobservational_patient_registrySponsorErasmus Medical CenterRan2025 to 2028Enrolled125ConditionsChronic Mesenteric Ischemia, Ischemia, Mesenteric
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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  5. [Epidemiology and diagnostics of mesenteric ischemia].Chirurgie (Heidelberg, Germany) · 2024
    Review
  6. Outcomes of open revascularization for chronic mesenteric ischemia at a tertiary care center in India.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2023
    Article
  7. Article
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  9. Article
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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

9 authors at 5 institutions in 1 country.

Luke G TerlouwDepartment of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, the Netherlands.
Mandy VerbetenDepartment of Gastroenterology and Hepatology, Medisch Spectrum Twente, Enschede, the Netherlands.
Desirée van NoordDepartment of Gastroenterology and Hepatology, Franciscus Gasthuis & Vlietland, Rotterdam, the Netherlands.
Marjolein Brusse-KeizerMedical School Twente, Medisch Spectrum Twente, Enschede, the Netherlands.
Ruth R BeumerDepartment of General Medicine, University Medical Center Groningen, Groningen, the Netherlands.
Robert H GeelkerkenDepartment of Vascular Surgery, Medisch Spectrum Twente, Enschede, the Netherlands.
Marco J BrunoDepartment of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, the Netherlands.
Jeroen J KolkmanDepartment of Gastroenterology and Hepatology, Medisch Spectrum Twente, Enschede, the Netherlands.
Dutch Mesenteric Ischemia Study Group
Medisch Spectrum Twente · NLErasmus MC · NLSint Franciscus Gasthuis · NLUniversity Medical Center Groningen · NLUniversity of Twente · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aimed to determine the incidence of chronic mesenteric ischemia (CMI) and to examine the influence of the etiological cause, location, and severity of a mesenteric artery stenosis on the probability of having CMI.

methodsA prospective database, containing the details of all patients with suspected CMI referred to a renowned CMI expert center, was used. Patients residing within the expert centers' well-defined region, between January 2014 and October 2019, were included. CMI was diagnosed when patients experienced sustained symptom improvement after treatment.

resultsThis study included 358 patients, 75 had a ≥50% atherosclerotic stenosis of 1 vessel (CMI 16%), 96 of 2 or 3 vessels (CMI 81%), 81 celiac artery compression (CMI 25%), and 84 no stenosis (CMI 12%). In total, 138 patients were diagnosed with CMI, rendering a mean incidence of 9.2 (95% confidence interval [CI] 6.2-13.7) per 100,000 inhabitants. Atherosclerotic CMI was most common, with a mean incidence of 7.2 (95% CI 4.6-11.3), followed by median arcuate ligament syndrome 1.3 (95% CI 0.5-3.6) and chronic nonocclusive mesenteric ischemia 0.6 (95% CI 0.2-2.6). The incidence of CMI was highest in female patients (female patients 12.0 [95% CI 7.3-19.6] vs male patients 6.5 [95% CI 3.4-12.5]) and increased with age. CMI was more prevalent in the presence of a ≥70% atherosclerotic single-vessel stenosis of the superior mesenteric artery (40.6%) than the celiac artery (5.6%). DISCUSSION: The incidence of CMI is higher than previously believed and increases with age. Probability of CMI seems highest in suspected CMI patients with multivessel disease or a ≥70% atherosclerotic single-vessel superior mesenteric artery stenosis.

Indexed as

AdultAgedAge FactorsAtherosclerosisChronic DiseaseConstriction, PathologicFemaleHumansIncidenceMaleMedian Arcuate Ligament SyndromeMesenteric Artery, SuperiorMesenteric IschemiaMiddle AgedNetherlandsProspective Studies

Identifiers

PMID32955192
PMCPMC7431271
OpenAlexW3047537707

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.