Evidence map›Paper›PMID 33554101›Full record

ArticleJournal of translational autoimmunity2021

Quality of life in patients with primary biliary cholangitis: A cross-geographical comparison.

Lorenzo Montali, Andrea Gragnano, Massimo Miglioretti, Alessandra Frigerio, Luca Vecchio, Alessio Gerussi, Laura Cristoferi, Vincenzo Ronca, Daphne D'Amato, Sarah Elizabeth O'Donnell and 12 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of translational autoimmunity, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07161245 (A Randomized Clinical Trial on the Improvement of Fatigue in Patients With Primary Biliary Cholangitis by Implementation of a Multimodal Rehabilitation Program and Study of Its Pathophysiological Mechanisms), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.7field-weighted citation impact, top 15% 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.

NCT07161245 narecruitingnot on this mapstarted 2025, after this paper: background citation

A Randomized Clinical Trial on the Improvement of Fatigue in Patients With Primary Biliary Cholangitis by Implementation of a Multimodal Rehabilitation Program and Study of Its Pathophysiological Mechanisms

TypeinterventionalSponsorHospital Clinic of BarcelonaRan2025 to 2026Enrolled64ConditionsPrimary Biliary Cholangitis (PBC)ArmsMultimodal prehabilitation, standard of care
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 24 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. [Predictive value of neutrophil/lymphocyte ratio in the prognosis of primary biliary cholangitis].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025
    Article
  6. Quality Measures to Enhance the Management and Treatment of Primary Biliary Cholangitis: A Delphi Consensus Study.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Article
  7. Article
  8. Article
  9. 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

22 authors at 6 institutions in 4 countries.

Lorenzo MontaliDepartment of Psychology, University of Milan Bicocca, Milan, Italy.
Andrea GragnanoDepartment of Psychology, University of Milan Bicocca, Milan, Italy.
Massimo MigliorettiDepartment of Psychology, University of Milan Bicocca, Milan, Italy.
Alessandra FrigerioDepartment of Psychology, University of Milan Bicocca, Milan, Italy.
Luca VecchioDepartment of Psychology, University of Milan Bicocca, Milan, Italy.
Alessio GerussiDivision of Gastroenterology, Department of Medicine and Surgery, University of Milan Bicocca, Milan, Italy.
Laura CristoferiDivision of Gastroenterology, Department of Medicine and Surgery, University of Milan Bicocca, Milan, Italy.
Vincenzo RoncaDivision of Gastroenterology, Department of Medicine and Surgery, University of Milan Bicocca, Milan, Italy.
Daphne D'AmatoDivision of Gastroenterology, Department of Medicine and Surgery, University of Milan Bicocca, Milan, Italy.
Sarah Elizabeth O'DonnellDivision of Gastroenterology, Department of Medicine and Surgery, University of Milan Bicocca, Milan, Italy.
Clara MancusoDivision of Gastroenterology, Department of Medicine and Surgery, University of Milan Bicocca, Milan, Italy.
Martina LucàDivision of Gastroenterology, Department of Medicine and Surgery, University of Milan Bicocca, Milan, Italy.
Minami YagiDepartment of Medicine, Teikyo University School of Medicine, Tokyo, Japan.
Anna ReigLiver Unit, Hospital Clínic, University of Barcelona, IDIBAPS, CIBERehd, Barcelona, Spain.
Laura JopsonInstitute of Cellular Medicine, Newcastle University, Newcastle Upon Tyne, UK.
Sesé PilarLiver Unit, Hospital Clínic, University of Barcelona, IDIBAPS, CIBERehd, Barcelona, Spain.
Dave JonesInstitute of Cellular Medicine, Newcastle University, Newcastle Upon Tyne, UK.
Albert ParesLiver Unit, Hospital Clínic, University of Barcelona, IDIBAPS, CIBERehd, Barcelona, Spain.
George MellsDepartment of Medical Genetics, University of Cambridge, Cambridge, UK.
Atsushi TanakaDepartment of Medicine, Teikyo University School of Medicine, Tokyo, Japan.
Marco CarboneDivision of Gastroenterology, Department of Medicine and Surgery, University of Milan Bicocca, Milan, Italy.
Pietro InvernizziDivision of Gastroenterology, Department of Medicine and Surgery, University of Milan Bicocca, Milan, Italy.
Azienda Ospedaliera San Gerardo · ITUniversity of Milano-Bicocca · ITHospital Clínic de Barcelona · ESNewcastle University · GBTeikyo University · JPUniversity of Cambridge · GB

Funding

Medical Research Council MR/L001489/1
6 · The paper itself

Abstract

BACKGROUND &

aimsSeveral symptoms impair the quality of life (QoL) of patients with primary biliary cholangitis (PBC). They are reported to vary significantly in different countries. Aim of our study was to explore whether there is a geographical clustering that accounts for symptoms in PBC.

methodsData was analysed from four cohorts of PBC patients from the UK, Spain, Japan and Italy using the PBC-27 scale.

resultsOverall, 569 patients from four cohorts were identified, including 515 females (90.5%) with a mean age of 61 years. The analysis provided evidence for strict factorial invariance of the scale, a robust indicator of its validity for cross-cultural research. The mean of the fatigue domain of British patients was significantly greater than that of the Japanese (p ​< ​0.05), Italian (p ​< ​0.05), and Spanish patients (p ​< ​0.001). The mean of the cognitive domain after 54 years of age, was significantly greater in the British patients than in the Japanese (p ​< ​0.05) and Spanish patients (p ​< ​0.01). However, after 69 years of age, there were not significant differences between countries. The mean of the emotion domain after 54 years of age, was greater in the British that in the Spanish (p ​< ​0.01) and Italian patients (p ​< ​0.01).

conclusionsDifferences in the four countries concerning fatigue, cognitive and emotional dysfunction were found. The association of latitude and symptoms might provide new insights into the role of sun exposure, genetics and/or cultural component into disease phenotype in PBC.

Indexed as

AutoimmunityCholestasisFatigueLiver

Identifiers

PMID33554101
PMCPMC7843515
OpenAlexW3119769852

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.