Evidence map›Paper›PMID 34945205›Full record

ArticleJournal of clinical medicine2021

Evaluation of Anorectal Function in Perianal Crohn's Disease: A Pilot Study.

Andreia Albuquerque, John Casey, Grace Fairlamb, Lesley A Houghton, Christian Selinger

Registry-linked trialAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03819257 (Evaluation of Anorectal Function in Perianal Crohn's Disease), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT03819257 completednot on this map

Evaluation of Anorectal Function in Perianal Crohn's Disease: a Pilot Study.

TypeobservationalSponsorThe Leeds Teaching Hospitals NHS TrustRan2019 to 2020Enrolled16ConditionsCrohn DiseaseArmsEndoanal ultrasound, High-resolution anorectal manometry, Balloon expulsion test
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Controversies in fecal incontinence.World journal of gastroenterology · 2025
    Article
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

5 authors.

Andreia AlbuquerqueGastroenterology Department, St. James's University Hospital, Leeds LS9 7TF, UK.
John CaseyGI Physiology Department, St. James's University Hospital, Leeds LS9 7TF, UK.
Grace FairlambGI Physiology Department, St. James's University Hospital, Leeds LS9 7TF, UK.
Lesley A HoughtonLeeds Institute of Medical Research, St. James's University Hospital, Leeds LS9 7TF, UK.ORCID 0000-0002-5351-0229
Christian SelingerGastroenterology Department, St. James's University Hospital, Leeds LS9 7TF, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPerianal Crohn's disease is a disabling condition, with little known about anorectal function in healed/inactive perianal Crohn's disease; Aim: To evaluate anorectal function in a cohort of patients with treated/healed perianal Crohn's disease; Methods: Prospective cohort study, including high-resolution anorectal manometry, balloon expulsion test, and 3D-endoanal ultrasound in all patients; Results: Of the 16 patients studied (mean age ± SD, 42 ± 13 years), 12 (75%) were men. A laceration of the internal anal sphincter and/or anal scarring was seen in nine (56%) patients; there was no laceration of the external anal sphincter. Five (56%) of these nine patients had never experienced faecal incontinence. All had normal anal resting and squeeze pressures. Manometry suggested dyssynergia in 11 (69%) patients, with only one (6%) fulfilling the criteria for obstructed defecation. Hyposensitivity for at least one sensory parameter was seen in 11 (69%) patients and hypersensitivity in five (31%) patients; Conclusions: This study detected sphincter abnormalities in more than half of patients, many of whom were asymptomatic. Alterations in rectal sensation were frequently seen, more commonly with rectal hyposensitivity.

trial registrationClinicalTrials.gov (NCT03819257).

Indexed as

3D-endoanal ultrasoundanorectal functionballoon expulsion testhigh-resolution anorectal manometryperianal Crohn’s disease

Identifiers

PMID34945205
PMCPMC8707088

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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.