Evidence map›Paper›PMID 34347149›Full record

ArticleJournal of neurology2022

Prevalence and predictors of bowel dysfunction in a large multiple sclerosis outpatient population: an Italian multicenter study.

Bisecco Alvino, Fornasiero Arianna, Bianco Assunta, Cortese Antonio, d'Amico Emanuele, Mataluni Giorgia, Sinisi Leonardo, Spitaleri Daniele, Docimo Renato, Maria Chiara Buscarinu and 14 more

Erratum issuedOpen access · hybridAbstract readMulticenter Study
In one paragraph

Article in Journal of neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

12 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Innovative multidisciplinary tool for screening bowel and bladder symptoms in multiple sclerosis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Vitamin D and Depressive Symptoms in Adults with Multiple Sclerosis: A Scoping Review.International journal of environmental research and public health · 2021
    Article
  10. Article
  11. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors at 8 institutions in 1 country.

Bisecco AlvinoMS Center-I Division of Neurology, Department of Advanced Medical and Surgical Sciences, Università degli Studi della Campania "Luigi Vanvitelli", Napoli, Italia, piazza Miraglia, 2, 80138, Naples, Italy.
Fornasiero AriannaDepartment of Neurosciences, Mental Health and Sensory Organs, Sapienza University, Roma, Italy.
Bianco AssuntaFondazione Policlinico Universitario A. Gemelli IRCCS and, Università Cattolica del Sacro Cuore, Roma, Italy.
Cortese AntonioDepartment of Human Neurosciences, Sapienza University of Rome, Roma, Italy.
d'Amico EmanueleDepartment GF Ingrassia, University of Catania, Catania, Italy.
Mataluni GiorgiaMultiple Sclerosis Clinical and Research Unit, Department of Systems Medicine, Tor Vergata University and Hospital, Roma, Italy.
Sinisi LeonardoUOC di Neurologia e Centro Sclerosi Multipla, Ospedale San Paolo, ASL Napoli 1 Centro, Napoli, Italy.
Spitaleri DanieleUOC di Neurologia e Centro Sclerosi Multipla, Azienda Ospedaliera San Giuseppe Moscati, Avellino, Italy.
Docimo RenatoCentro Sclerosi Multipla, Presidio Ospedaliero "San Giuseppe Moscati", ASL Caserta, Aversa, CE, Italy.
Maria Chiara BuscarinuDepartment of Neurosciences, Mental Health and Sensory Organs, Sapienza University, Roma, Italy.
Mirabella MassimilianoFondazione Policlinico Universitario A. Gemelli IRCCS and, Università Cattolica del Sacro Cuore, Roma, Italy.
Sebastiano Giuseppe CrisafulliDepartment of Human Neurosciences, Sapienza University of Rome, Roma, Italy.
Zanghì AuroraDepartment GF Ingrassia, University of Catania, Catania, Italy.
Carolina Gabri NicolettiMultiple Sclerosis Clinical and Research Unit, Department of Systems Medicine, Tor Vergata University and Hospital, Roma, Italy.
Salvetti MarcoDepartment of Neurosciences, Mental Health and Sensory Organs, Sapienza University, Roma, Italy.
Baione ViolaDepartment of Human Neurosciences, Sapienza University of Rome, Roma, Italy.
Patti FrancescoDepartment GF Ingrassia, University of Catania, Catania, Italy.
Alessandra Girolama MarfiaMultiple Sclerosis Clinical and Research Unit, Department of Systems Medicine, Tor Vergata University and Hospital, Roma, Italy.
Sibilia GraziaUOC di Neurologia e Centro Sclerosi Multipla, Ospedale San Paolo, ASL Napoli 1 Centro, Napoli, Italy.
Scarano ValentinaUOC di Neurologia e Centro Sclerosi Multipla, Azienda Ospedaliera San Giuseppe Moscati, Avellino, Italy.
Orlando DavideUOD Endoscopia Digestiva, Azienda Ospedaliero-Universitaria Sant'Andrea, Roma, Italy.
Stabile GiovanniMS Center-I Division of Neurology, Department of Advanced Medical and Surgical Sciences, Università degli Studi della Campania "Luigi Vanvitelli", Napoli, Italia, piazza Miraglia, 2, 80138, Naples, Italy.
Tedeschi GioacchinoMS Center-I Division of Neurology, Department of Advanced Medical and Surgical Sciences, Università degli Studi della Campania "Luigi Vanvitelli", Napoli, Italia, piazza Miraglia, 2, 80138, Naples, Italy.
Antonio GalloMS Center-I Division of Neurology, Department of Advanced Medical and Surgical Sciences, Università degli Studi della Campania "Luigi Vanvitelli", Napoli, Italia, piazza Miraglia, 2, 80138, Naples, Italy. antonio.gallo@unicampania.it.ORCID http://orcid.org/0000-0002-2203-6237
Sapienza University of Rome · ITUniversity of Campania "Luigi Vanvitelli" · ITUniversity of Catania · ITAzienda Ospedaliera S.Giuseppe Moscati · ITOspedale San Paolo · ITUniversità Cattolica del Sacro Cuore · ITAzienda Ospedaliera Sant'Andrea · ITPresidio Ospedaliero · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBowel dysfunction (BD) is reported as a common and disabling symptom in multiple sclerosis (MS) patients. To date, no studies have explored the prevalence of these symptoms in a large multicenter outpatient setting. The aims of the present study are to assess: (i) the prevalence of BD in a large multicenter Italian MS population, and (ii) the correlation between clinico-demographic variables and the severity of BD.

methodsEach of the nine participating center screened MS patients prospectively: 1100 subjects were enrolled. All patients underwent the Expanded Disability Status Scale (EDSS) and completed the Neurogenic Bowel Dysfunction score (NBDs). Multivariable linear and logistic regression models were used to assess the association between NBDs and several clinico-demographic variables.

resultsFourteen percent of MS patients showed a moderate/severe BD (NBDs > 10); this percentage increased in patients with high disability, ranging from 26 to 32%. Moderate/severe BD was more frequent in MS patients with: progressive phenotypes, higher disability, older age, and longer disease duration. NBDs severity was predicted by female sex, ambulation impairment and bladder symptoms.

conclusionThis study confirms the relatively high prevalence of moderate/severe BD in a large, multicenter, unselected, outpatient MS population. BD appears to be mainly associated to female sex and MS-related disability.

Indexed as

Gastrointestinal DiseasesMultiple SclerosisPersons with DisabilitiesFemaleHumansOutpatientsPrevalenceBowelGut dysfunctionMulticenter studyMultiple sclerosisSymptoms

Identifiers

PMID34347149
PMCPMC8857096
OpenAlexW3189471007

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.