Evidence map›Paper›PMID 32961618›Full record

ArticleColorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland2021

Assessment of sexual dysfunction in patients with perianal Crohn's disease.

R Boudiaf, D Bouchard, P Rivière, C Brochard, D Laharie, L Abramowitz, F Pigot, GREP members (Groupe de Recherche en Proctologie)

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07519850 (The "Hidden Morbidity" of Perianal Disease), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 18% 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.

NCT07519850 recruitingnot on this mapstarted 2026, after this paper: background citation

The "Hidden Morbidity" of Perianal Disease: A Prospective Evaluation of Psychosexual Health and Body Image.

Typeobservational_patient_registrySponsorAHEPA University HospitalRan2026 to 2026Enrolled60ConditionsPerianal Crohn Disease, Perianal Fistula, Fistula in Ano, Perianal AbscessArmsPatient Reported Outcome Assessment (Questionnaires)
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Sexual dysfunction is highly prevalent in patients with active perianal fistulizing Crohn's disease: Outcomes from a large national prospective cohort study.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026
    Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Refractory Crohn's Disease: Perspectives, Unmet Needs and Innovations.Clinical and experimental gastroenterology · 2024
    Review
  12. Review
  13. Review
  14. Managing complex perianal disease after anti-TNF failure: Where to go next?Current research in pharmacology and drug discovery · 2022
    Review
  15. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

R BoudiafDepartment of Gastroenterology, CHU de Bordeaux, Pessac, France.ORCID https://orcid.org/0000-0002-2943-684X
D BouchardDepartment of Proctology, Maison de Santé Bagatelle, Talence, France.ORCID https://orcid.org/0000-0003-0984-8545
P RivièreDepartment of Gastroenterology, CHU de Bordeaux, Pessac, France.ORCID https://orcid.org/0000-0001-9552-8024
C BrochardDepartment of Gastroenterology, CHU de Rennes, Rennes, France.ORCID https://orcid.org/0000-0001-7354-6301
D LaharieDepartment of Gastroenterology, CHU de Bordeaux, Pessac, France.ORCID https://orcid.org/0000-0002-4753-6676
L AbramowitzRamsay Santé, Clinique Blomet, Paris, France.ORCID https://orcid.org/0000-0002-5106-4317
F PigotDepartment of Proctology, Maison de Santé Bagatelle, Talence, France.ORCID https://orcid.org/0000-0003-0325-1086
GREP members (Groupe de Recherche en Proctologie)Department of Proctology, Hôpital Bichat, Paris, France.
Centre Hospitalier Universitaire de Bordeaux · FRHôpital Bichat-Claude-Bernard · FRCentre Hospitalier Universitaire de Rennes · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimOver the past 10 years, several studies have focused on sexuality in patients with Crohn's disease. Very few of them specifically focused on perianal disease (PD). This study aimed to compare the prevalence of sexual dysfunction (SD) in Crohn's disease patients with active PD versus controls without active PD.

methodPatients from 14 French centres with active PD, defined by the presence of symptomatic ulceration, fistula or stenosis, were arbitrarily included. They were compared with controls from the existing SEXIA cohort. Men completed the International Index of Erectile Function (IIEF) and women the Female Sexual Function Index (FSFI). The primary end-point was SD defined by FSFI < 26.55 in women and IIEF < 42.9 in men.

resultsNinety-seven patients (64 women, 33 men) and 238 controls (131 women, 107 men) were included. SD was found in 66% of the female patients versus 50% of the controls (P = 0.04). In the male population, SD was found in 30% of the cases versus 16% of the controls (P = 0.06). Erectile dysfunction affected 46% of the male patients and 43% of the controls (P = 0.8). On multivariate analysis, the predictive factor most strongly associated with SD in women was severely active anal PD defined by a perineal disease activity index > 4 [OR = 13.05 (2.32-73.44)].

conclusionWomen with active PD had an increased prevalence of SD compared with controls without active PD. In the male population, the study was unable to determine whether there was a difference as it was underpowered.

Indexed as

Crohn DiseaseErectile DysfunctionSexual Dysfunction, PhysiologicalFemaleHumansMalePrevalenceSexual BehaviorInflammatory bowel diseaseproctologysexual dysfunction

Identifiers

PMID32961618
OpenAlexW3088596159

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.