Evidence map›Paper›PMID 34175936›Full record

ArticleJournal of Crohn's & colitis2021

Inflammatory Bowel Disease Increases the Risk of Venous Thromboembolism in Children: A Population-Based Matched Cohort Study.

M Ellen Kuenzig, Alain Bitton, Matthew W Carroll, Gilaad G Kaplan, Anthony R Otley, Harminder Singh, Geoffrey C Nguyen, Anne M Griffiths, Therese A Stukel, Laura E Targownik and 19 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of Crohn's & colitis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
4.7field-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.

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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Thrombotic Risk and Hemostatic Profiles in Pediatric Inflammatory Bowel Disease: Association with Disease Activity.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2026
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  7. Illustrated State-of-the-Art Capsules of the ISTH 2024 Congress.Research and practice in thrombosis and haemostasis · 2024
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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

29 authors at 16 institutions in 1 country.

M Ellen KuenzigSickKids Inflammatory Bowel Disease Centre, Division of Gastroenterology, Hepatology and Nutrition, The Hospital for Sick Children, Toronto, Ontario, Canada.ORCID 0000-0002-3984-8426
Alain BittonMcGill University Health Centre, Division of Gastroenterology and Hepatology, Montreal, Québec, Canada.
Matthew W CarrollDivision of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada.
Gilaad G KaplanDepartments of Medicine and Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.
Anthony R OtleyDepartment of Pediatrics, Dalhousie University, Halifax, Nova Scotia, Canada.
Harminder SinghUniveristy of Manitoba IBD Clinical and Research Centre, University of Manitoba, Winnipeg, Manitoba, Canada.
Geoffrey C NguyenICES, Toronto, Ontario, Canada.ORCID 0000-0001-7083-7429
Anne M GriffithsSickKids Inflammatory Bowel Disease Centre, Division of Gastroenterology, Hepatology and Nutrition, The Hospital for Sick Children, Toronto, Ontario, Canada.
Therese A StukelICES, Toronto, Ontario, Canada.
Laura E TargownikMount Sinai Hospital Centre for Inflammatory Bowel Disease, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
Jennifer L JonesDepartment of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Sanjay K MurthyICES, Toronto, Ontario, Canada.
Jeffrey D McCurdyDepartment of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Charles N BernsteinUniveristy of Manitoba IBD Clinical and Research Centre, University of Manitoba, Winnipeg, Manitoba, Canada.ORCID 0000-0001-8041-3574
Lisa M LixDepartment of Community Health Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
Juan Nicolás Peña-SánchezDepartment of Community Health & Epidemiology, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.ORCID 0000-0002-4653-525X
David R MackDepartment of Pediatrics, University of Ottawa, Ottawa, Ontario, Canada.
Kevan JacobsonDepartment of Pediatrics, BC Children's Hospital Research Institute, University of British Columbia, Vancouver, British Columbia, Canada.ORCID 0000-0001-7269-8557
Wael El-MataryDepartment of Pediatrics, University of Manitoba, Winnipeg, Manitoba, Canada.ORCID 0000-0001-6417-7583
Trevor J B DummerSchool of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
Stephen G FungICES, Toronto, Ontario, Canada.
Sarah SpruinICES, Toronto, Ontario, Canada.
Zoann NugentUniveristy of Manitoba IBD Clinical and Research Centre, University of Manitoba, Winnipeg, Manitoba, Canada.
Divine TanyingohDepartments of Medicine and Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.
Yunsong CuiDepartment of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Christopher FilliterLady Davis Institute of Medical Research, Jewish General Hospital, Montreal, Québec, Canada.
Stephanie CowardDepartments of Medicine and Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.
Shabnaz SiddiqICES, Toronto, Ontario, Canada.
Eric I BenchimolSickKids Inflammatory Bowel Disease Centre, Division of Gastroenterology, Hepatology and Nutrition, The Hospital for Sick Children, Toronto, Ontario, Canada.ORCID 0000-0001-8855-3598
University of Ottawa · CADalhousie University · CAUniversity of Calgary · CAUniversity of Manitoba · CAAgricultural Research Institute of Ontario · CAMount Sinai Hospital · CAUniversity of British Columbia · CAUniversity of Toronto · CACancerCare Manitoba · CAGeorge & Fay Yee Centre for Healthcare Innovation · CAInstitute for Clinical Evaluative Sciences · CAJewish General Hospital · CAMcGill University Health Centre · CASickKids Foundation · CAUniversity of Alberta · CAUniversity of Saskatchewan · CA

Funding

CIHR 201409FDN-333131-FDN-CECC-164898Crohn's and Colitis Canada
6 · The paper itself

Abstract

BACKGROUND AND

aimsAlthough venous thromboembolism [VTE] is a well-known complication of inflammatory bowel disease [IBD] in adults, limited data exist on the risk in children. We report the incidence of VTE among children with and without IBD.

methodsWe conducted a matched cohort study within a distributed network of population-based Canadian provincial health administrative databases. Children <16 years diagnosed with IBD were identified using validated algorithms from administrative data in Alberta, Manitoba, Nova Scotia, Ontario and Québec and compared to age- and sex-matched children without IBD. Hospitalizations for VTE within 5 years of IBD diagnosis were identified. Generalized linear mixed-effects models were used to pool province-specific incidence rates and incidence rate ratios [IRR] with 95% confidence intervals [CI]. Hazard ratios [HR] from Cox proportional hazards models were pooled with fixed-effects meta-analysis.

resultsThe 5-year incidence of VTE among 3593 children with IBD was 31.2 [95% CI 23.7-41.0] per 10 000 person-years [PY] compared to 0.8 [95% CI 0.4-1.7] per 10 000 PY among 16 289 children without IBD [unadjusted IRR 38.84, 95% CI 16.59-90.83; adjusted HR 22.91, 95% CI 11.50-45.63]. VTE was less common in Crohn's disease than ulcerative colitis [unadjusted IRR 0.47, 95% CI 0.27-0.83; adjusted HR 0.52, 95% CI 0.29-0.94]. The findings were similar for deep vein thrombosis and pulmonary embolism when comparing children with and without IBD.

conclusionsThe risk of VTE is much higher in children with IBD than controls without IBD. While the absolute risk is low, we found a higher incidence rate than previously described in the pediatric literature.Conference Presentation: An abstract based on the data included in this paper was presented at Canadian Digestive Diseases Week [Montréal, Canada] in March 2020.

Indexed as

CanadaChildChild HealthCohort StudiesDatabases, FactualFemaleHumansIncidenceInflammatory Bowel DiseasesMaleRisk FactorsVenous Thromboembolismcomplicationsepidemiologyhealth administrative datainflammatory bowel diseasepaediatricsroutinely collected health dataVenous thromboembolism

Identifiers

PMID34175936
PMCPMC8684458
OpenAlexW3177467683

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.