Evidence map›Paper›PMID 34790245›Full record

ReviewEvidence-based complementary and alternative medicine : eCAM2021

Effectiveness of Non-Pharmacological Interventions for Irritable Bowel Syndrome: A Systematic Review.

Florent Amsallem, Stéphane Sanchez, Xavier Armoiry, François Mion

Open access · hybridAbstract readReview
In one paragraph

Review in Evidence-based complementary and alternative medicine : eCAM, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 17% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. 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

4 authors at 2 institutions in 2 countries.

Florent AmsallemINSERM, U1032 LABTAU, Université Claude Bernard Lyon 1, 69000 Lyon, France.ORCID https://orcid.org/0000-0002-0766-0082
Stéphane SanchezUnité de Recherche Clinique et Recherche en Soins, CH de Troyes, 10000 Troyes, France.ORCID https://orcid.org/0000-0002-0925-6948
Xavier ArmoiryFaculté de Pharmacie (ISPB), UMR CNRS 5510 MATEIS, Université de Lyon, 69000 Lyon, France.ORCID https://orcid.org/0000-0002-2145-6723
François MionINSERM, U1032 LABTAU, Université Claude Bernard Lyon 1, 69000 Lyon, France.ORCID https://orcid.org/0000-0002-2908-1591
Université Claude Bernard Lyon 1 · FRCentre Hospitalier de Troyes · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionGiven the complexity of the therapeutic management of irritable bowel syndrome (IBS), alternative non-pharmacological therapies are frequently offered to patients. The aim of this study was to conduct a systematic review in order to establish the current evidence base for non-pharmacological interventions (body-directed and mind-body therapies) in the management of IBS. MATERIALS AND

methodsThe literature was searched in several electronic databases (PubMed (including Medline), Web of Science (Clarivate Analytics), Scopus (Elsevier), ScienceDirect (Elsevier), Cochrane Library (Wiley), and Wiley Online Library (Wiley)) for randomized controlled trials (RCTs) published in the English language from 1990 to 2020. Effectiveness outcomes were examined through the change in overall IBS symptoms or abdominal pain up to 12 months after treatment.

results11 studies (parallel-group RCTs) were identified that enrolled 1590 participants in total. Body-directed therapies (acupuncture and osteopathic medicine) showed a beneficial effect compared with standard medical treatment for overall IBS symptoms at 6 months follow-up, while no study found any difference between body-directed and sham therapies for abdominal pain or overall IBS symptoms. It was not possible to conclude whether hypnotherapy was superior to standard medical treatment or supportive therapy for overall IBS symptoms or abdominal pain due to discordant results.

conclusionsAlthough body-directed therapies such as acupuncture and osteopathic medicine may be beneficial for overall IBS symptoms, higher-quality RCTs are needed to establish the clinical benefit of non-pharmacological interventions for IBS. An important challenge will be the definition of the optimal control groups to be used in non-pharmacological trials.

Identifiers

PMID34790245
PMCPMC8592737
OpenAlexW3213899207

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.