Evidence map›Paper›PMID 32971231›Full record

Observational studyClinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association2022

Baseline Predictors of Longitudinal Changes in Symptom Severity and Quality of Life in Patients With Suspected Gastroparesis.

Allen A Lee, Krishna Rao, Henry P Parkman, Richard W McCallum, Irene Sarosiek, Linda A Nguyen, John M Wo, Michael I Schulman, Baharak Moshiree, Satish Rao and 2 more

Registry-linked trialOpen access · greenAbstract readObservational Study
In one paragraph

Observational study in Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02022826 (Clinical Management With SmartPill Motility Monitoring System and Validation of the SmartPill Five Hour Cutoff in Patients With Symptoms of Gastroparesis), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 27% 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.

NCT02022826 naterminatednot on this map

Clinical Management With SmartPill Motility Monitoring System and Validation of the SmartPill Five Hour Cutoff in Patients With Symptoms of Gastroparesis

TypeinterventionalSponsorMedtronic - MITGRan2014 to 2017Enrolled167ConditionsGastroparesisArmsSmartPill Monitoring System
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Scoping review: the social and emotional impacts of gastroparesis.Translational gastroenterology and hepatology · 2024
    Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 9 institutions in 1 country.

Allen A LeeDivision of Gastroenterology, University of Michigan, Ann Arbor, Michigan; Division of Gastroenterology, University of Vermont, Burlington, Vermont. Electronic address: allenlee@umich.edu.
Krishna RaoDivision of Infectious Diseases, University of Michigan, Ann Arbor, Michigan.
Henry P ParkmanSection of Gastroenterology, Temple University, Philadelphia, Pennsylvania.
Richard W McCallumSection of Gastroenterology, Texas Tech University, El Paso, Texas.
Irene SarosiekSection of Gastroenterology, Texas Tech University, El Paso, Texas.
Linda A NguyenDivision of Gastroenterology, Stanford University, Stanford, California.
John M WoDivision of Gastroenterology, Indiana University, Indianapolis, Indiana.
Michael I SchulmanFlorida Digestive Health Associate, Largo, Florida.
Baharak MoshireeUniversity of North Carolina, Charlotte, North Carolina.
Satish RaoDivision of Gastroenterology, Augusta University, Augusta, Georgia.
Braden KuoDivision of Gastroenterology, Massachusetts General Hospital, Boston, Massachusetts.
William L HaslerDivision of Gastroenterology, University of Michigan, Ann Arbor, Michigan.
Texas Tech University · USUniversity of Michigan · USAugusta University · USIndiana University – Purdue University Indianapolis · USMassachusetts General Hospital · USStanford University · USTemple University · USUniversity of North Carolina at Charlotte · USUniversity of Vermont · US

Funding

Systems biology of Clostridium difficile infectionU01AI124255 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SCHLOSS, PATRICK DAVID, YOUNG, VINCENT B · 2016 to 2020
$9.8M
Institutional Career Development CoreKL2TR002241 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ELLINGROD, VICKI L · 2017 to 2021
$6.9M
A Systems Biology Approach Using Fecal Microbiota and Metabolomics to Identify Novel Subtypes in Irritable Bowel Syndrome.K23DK124567 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LEE, ALLEN A · 2021 to 2023
$729k
NCATS NIH HHS KL2 TR002241NIAID NIH HHS U01 AI124255NIDDK NIH HHS K23 DK124567
6 · The paper itself

Abstract

BACKGROUND &

aimsWhether gastric emptying tests predict longitudinal outcomes in patients with symptoms of gastroparesis is unclear. We aimed to determine whether baseline gastric emptying tests and gut motility parameters could impact longitudinal symptom(s) and quality of life (QOL) in a prospective, observational cohort study of patients with symptoms of gastroparesis.

methodsOne hundred fifty patients with gastroparesis symptoms underwent simultaneous scintigraphy (GES) and wireless motility capsule (WMC) measurement of gastric emptying and other motility parameters. Patient Assessment of Upper Gastrointestinal Symptoms and Quality of Life were administered at baseline, and 3 and 6 months after testing. Multivariable generalized linear marginal models were fit to determine which baseline parameters predict longitudinal changes in symptoms and QOL.

resultsOverall upper GI symptoms and QOL scores were moderate in severity at baseline and significantly improved over 6 months. Clinical variables, including female gender, harder stools by Bristol stool form score, and presence of functional dyspepsia (FD) by Rome III criteria, were predictive of more severe upper GI symptoms. Even after controlling for these clinical factors, delayed gastric emptying by GES or WMC was associated with worse symptom severity and QOL scores. Low gastric and elevated small bowel contractile parameters by WMC were also independently associated with more severe upper GI symptoms and worse QOL scores.

conclusionsBaseline features, including demographic and clinical variables, delayed gastric emptying and abnormal gastrointestinal contractility, were independent predictors of more severe longitudinal symptoms and worse quality of life outcomes. These factors may help to risk stratify patients and guide treatment decisions. ClinicalTrials.gov no: NCT02022826.

Indexed as

GastroparesisQuality of LifeFemaleGastric EmptyingGastrointestinal TransitHumansProspective StudiesRadionuclide ImagingGastric EmptyingGastrointestinal MotilityLongitudinal OutcomesScintigraphyWireless Motility Capsule

Identifiers

PMID32971231
PMCPMC8719906
OpenAlexW3087110352

What OpenQuestion holds

Textmetadata
LicenceTDM
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.