Evidence map›Paper›PMID 37048741›Full record

ArticleJournal of clinical medicine2023

Reversibility of Frail Phenotype in Patients with Inflammatory Bowel Diseases.

Silvia Salvatori, Irene Marafini, Martina Franchin, Diletta Lavigna, Mattia Brigida, Chiara Venuto, Livia Biancone, Emma Calabrese, Diana Giannarelli, Giovanni Monteleone

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. A Comprehensive Review of Geriatric Syndromes and Assessment in Older Adults With Inflammatory Bowel Diseases.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2025
    Pooled it
  2. Observational
  3. Review
  4. Review
  5. Article
  6. Review
  7. Sarcopenia and frailty in inflammatory bowel disease: Emerging concepts and evidence.JGH open : an open access journal of gastroenterology and hepatology · 2024
    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

10 authors at 3 institutions in 1 country.

Silvia SalvatoriGastroenterology Unit, Policlinico Universitario Tor Vergata, 00133 Rome, Italy.ORCID 0000-0002-4980-6289
Irene MarafiniGastroenterology Unit, Policlinico Universitario Tor Vergata, 00133 Rome, Italy.
Martina FranchinGastroenterology Unit, Policlinico Universitario Tor Vergata, 00133 Rome, Italy.
Diletta LavignaGastroenterology Unit, Policlinico Universitario Tor Vergata, 00133 Rome, Italy.
Mattia BrigidaGastroenterology Unit, Policlinico Universitario Tor Vergata, 00133 Rome, Italy.ORCID 0000-0001-8507-855X
Chiara VenutoGastroenterology Unit, Policlinico Universitario Tor Vergata, 00133 Rome, Italy.
Livia BianconeGastroenterology Unit, Policlinico Universitario Tor Vergata, 00133 Rome, Italy.ORCID 0000-0002-9056-1957
Emma CalabreseGastroenterology Unit, Policlinico Universitario Tor Vergata, 00133 Rome, Italy.
Diana GiannarelliFacility of Epidemiology and Biostatistics, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy.ORCID 0000-0002-6085-1195
Giovanni MonteleoneGastroenterology Unit, Policlinico Universitario Tor Vergata, 00133 Rome, Italy.ORCID 0000-0003-1339-9076
University of Rome Tor Vergata · ITPoliclinico Tor Vergata · ITAgostino Gemelli University Polyclinic · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

It was recently reported that frailty status can negatively influence the clinical course of patients with inflammatory bowel diseases (IBDs). Our recent study demonstrated that 20% of patients with an IBD are frail, and disease activity increases the risk of frailty. In the present study, we prospectively monitored this subgroup of frail patients, assessed whether the frailty status was reversible, and analyzed factors associated with frailty reversibility. Of the sixty-four frail patients with IBD enrolled, five (8%) were lost during the follow-up period and one (2%) underwent a colectomy. Eleven out of the fifty-eight (19%) patients maintained a frail phenotype during a median follow-up of 8 months (range 6-19 months), and thirty-five (60%) and twelve (21%) became pre-frail or fit, respectively. A comparison of the 58 patients at baseline and at the end of the study showed that frail phenotype reversibility occurred more frequently in patients who achieved clinical remission. A multivariate analysis showed that the improvement of the frail phenotype was inversely correlated with the persistence of clinically active disease (OR:0.1; 95% CI: 0.02-0.8) and a history of extra-intestinal manifestations (OR:0.1; 95% CI: 0.01-0.6) and positively correlated with the use of biologics (OR: 21.7; 95% CI: 3.4-263). Data indicate that the frail phenotype is a reversible condition in most IBD patients, and such a change relies on the improvement in disease activity.

Indexed as

Crohn’s diseasefrailtyIBDreversibility of frailtyulcerative colitis

Identifiers

PMID37048741
PMCPMC10095533
OpenAlexW4362581194

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.