Evidence map›Paper›PMID 36747090›Full record

ReviewNature reviews. Rheumatology2023

Systemic sclerosis gastrointestinal dysmotility: risk factors, pathophysiology, diagnosis and management.

Zsuzsanna H McMahan, Subhash Kulkarni, Joan Chen, Jiande Z Chen, Ramnik J Xavier, P Jay Pasricha, Dinesh Khanna

Erratum issued Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Rheumatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT06646913 (Transcutaneous Electrical Nerve Stimulation in Scleroderma), which is not on this map. Cited by 51 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 4 pooled it
12.2field-weighted citation impact, top 1% 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.

NCT06646913 nacompletednot on this mapstarted 2024, after this paper: background citation

Transcutaneous Electrical Nerve Stimulation in Scleroderma

TypeinterventionalSponsorUniversity of MichiganRan2024 to 2025Enrolled11ConditionsScleroderma, Gastroparesis, Systemic Sclerosis (SSc)ArmsTranscutaneous Electrical Nerve Stimulation
3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 4 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Guideline
  5. Review
  6. Article
  7. Clinical Image: Esophageal dilation and stenosis in systemic sclerosis.Arthritis & rheumatology (Hoboken, N.J.) · 2026
    Article
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  9. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Zsuzsanna H McMahanDivision of Rheumatology, Johns Hopkins University, Baltimore, MD, USA.ORCID 0000-0003-1412-4453
Subhash KulkarniDivision of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Joan ChenDivision of Gastroenterology, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0001-9425-3209
Jiande Z ChenDivision of Gastroenterology, University of Michigan, Ann Arbor, MI, USA.
Ramnik J XavierDivision of Gastroenterology, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0002-5630-5167
P Jay PasrichaDivision of Gastroenterology, Johns Hopkins University, Baltimore, MD, USA.
Dinesh KhannaDivision of Rheumatology, University of Michigan, Ann Arbor, MI, USA. khannad@med.umich.edu.
University of Michigan · USJohns Hopkins University · USBeth Israel Deaconess Medical Center · USBroad Institute · US

Funding

Outcomes Research in Rheumatic DiseasesK24AR063120 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KHANNA, DINESH · 2012 to 2022
$1.6M
Scleroderma and Gastrointestinal Disease: Insights into Clinical Phenotypes and Disease PathogenesisK23AR071473 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI MCMAHAN, ZSUZSANNA HORTOBAGYI · 2018 to 2022
$808k
NIAMS NIH HHS K23 AR071473NIAMS NIH HHS K24 AR063120
6 · The paper itself

Abstract

Nearly all patients with systemic sclerosis (SSc) are negatively affected by dysfunction in the gastrointestinal tract, and the severity of gastrointestinal disease in SSc correlates with high mortality. The clinical complications of this dysfunction are heterogeneous and include gastro-oesophageal reflux disease, gastroparesis, small intestinal bacterial overgrowth, intestinal pseudo-obstruction, malabsorption and the requirement for total parenteral nutrition. The abnormal gastrointestinal physiology that promotes the clinical manifestations of SSc gastrointestinal disease throughout the gastrointestinal tract are diverse and present a range of therapeutic targets. Furthermore, the armamentarium of medications and non-pharmacological interventions that can benefit affected patients has substantially expanded in the past 10 years, and research is increasingly focused in this area. Here, we review the details of the gastrointestinal complications in SSc, tie physiological abnormalities to clinical manifestations, detail the roles of standard and novel therapies and lay a foundation for future investigative work.

Indexed as

Gastrointestinal DiseasesScleroderma, SystemicHumansRisk Factors

Identifiers

PMID36747090
OpenAlexW4319303105

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.