Evidence map›Paper›PMID 36166573›Full record

ArticleInflammatory bowel diseases2023

The Impact of Disease Activity on Sexual and Erectile Dysfunction in Patients With Inflammatory Bowel Disease.

Thomas C Mules, Akhilesh Swaminathan, Esther Hirschfeld, Grace M Borichevsky, Chris M Frampton, Andrew S Day, Richard B Gearry

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in Inflammatory bowel diseases, 2023. 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 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

13 citing papers in PubMed, 28 citations in OpenAlex.

  1. Sexual dysfunction is highly prevalent in patients with active perianal fistulizing Crohn's disease: Outcomes from a large national prospective cohort study.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026
    Article
  2. Article
  3. Article
  4. Review
  5. Observational
  6. Discovering a new paradigm: Gut microbiota as a central modulator of sexual health.World journal of gastrointestinal pathophysiology · 2025
    Review
  7. Article
  8. Review
  9. Associations with sexual dysfunction among a Canadian cohort with inflammatory bowel disease.Journal of the Canadian Association of Gastroenterology · 2025
    Article
  10. Article
  11. Article
  12. Review
  13. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Thomas C MulesDepartment of Gastroenterology, Christchurch Hospital, Canterbury District Health Board, Canterbury, New Zealand.
Akhilesh SwaminathanDepartment of Gastroenterology, Christchurch Hospital, Canterbury District Health Board, Canterbury, New Zealand.ORCID 0000-0003-1954-844X
Esther HirschfeldDepartment of Medicine, University of Otago, Christchurch, Canterbury, New Zealand.
Grace M BorichevskyCentre for Free Radical Research, University of Otago, Christchurch, Canterbury, New Zealand.
Chris M FramptonDepartment of Medicine, University of Otago, Christchurch, Canterbury, New Zealand.
Andrew S DayDepartment of Paediatrics, University of Otago, Christchurch, Canterbury, New Zealand.
Richard B GearryDepartment of Gastroenterology, Christchurch Hospital, Canterbury District Health Board, Canterbury, New Zealand.
University of Otago · NZChristchurch Hospital · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIncreased disease activity may be a risk factor for sexual dysfunction (SD) in patients with inflammatory bowel disease (IBD). This study investigated associations between objective measures of disease activity and sexual function.

methodsAdults with IBD undergoing ileocolonoscopy were prospectively recruited. Demographic, sexual function (Female Sexual Function Index and International Index of Erectile Function), disease activity (endoscopic, biomarker, and symptoms), psychological symptoms, and quality-of-life data were collected. Rates of SD and erectile dysfunction (ED) were compared between patients with active and inactive inflammation and symptoms using the Fisher's exact test. Logistic regression examined associations between SD and ED, and disease characteristics and psychological symptoms.

resultsA total of 159 participants were included, 97 had Crohn's disease and 85 were women. SD was reported in 36 of 59 and 13 of 59 sexually active women and men, respectively and ED in 22 of 59 sexually active men. Rates of SD and ED were similar between individuals with active and inactive IBD based on endoscopic indices (P > .05) and biomarkers (P > .05). Women with active IBD symptoms experienced significantly higher rates of SD (P < .05), but men did not (P > .05). Multivariable logistic regression identified that symptoms of severe depression (odds ratio, 5.77; 95% confidence interval, 1.59-20.94) were associated with SD in women, and severe anxiety (odds ratio, 15.62; 95% confidence interval, 1.74-140.23) was associated with ED in men.

conclusionsObjective measures of disease activity are not associated with SD or ED in patients with IBD. Clinicians should consider concomitant psychological symptoms contributing to the sexual health of patients with IBD.

Indexed as

Crohn DiseaseErectile DysfunctionInflammatory Bowel DiseasesSexual Dysfunction, PhysiologicalAdultFemaleHumansMaleQuality of LifeSexual Behaviorerectile dysfunctioninflammatory bowel diseasequality of lifesexual dysfunction

Identifiers

PMID36166573
PMCPMC10393211
OpenAlexW4297338134

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.