Evidence map›Paper›PMID 37501083›Full record

ArticleBMC gastroenterology2023

Symptoms and symptom clusters in patients newly diagnosed with inflammatory bowel disease: results from the IBSEN III Study.

Ingunn Johansen, Milada Cvancarova Småstuen, Stine Torp Løkkeberg, Vendel Ailin Kristensen, Marte Lie Høivik, Charlotte Lund, Bjørn Olsen, Vibeke Strande, Gert Huppertz-Hauss, Tone Bergene Aabrekk and 6 more

Abstract read
In one paragraph

Article in BMC gastroenterology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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.

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

14 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. The Real-World Impact of Vitamin D Supplementation on Inflammatory Bowel Disease Clinical Outcomes.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2026
    Article
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  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
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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

16 authors.

Ingunn JohansenDepartment of Health, Welfare and Organization, Østfold University College, Fredrikstad, Norway. Ingunn.johansen@hiof.no.
Milada Cvancarova SmåstuenDepartment of Health Science, Oslo Metropolitan University, Oslo, Norway.
Stine Torp LøkkebergDepartment of Health, Welfare and Organization, Østfold University College, Fredrikstad, Norway.
Vendel Ailin KristensenDepartment of Gastroenterology, Oslo University Hospital, Oslo, Norway.
Marte Lie HøivikDepartment of Gastroenterology, Oslo University Hospital, Oslo, Norway.
Charlotte LundDepartment of Gastroenterology, Oslo University Hospital, Oslo, Norway.
Bjørn OlsenInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Vibeke StrandeInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Gert Huppertz-HaussDepartment of Gastroenterology, Telemark Hospital Trust, Skien, Norway.
Tone Bergene AabrekkInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
May-Bente BengtsonDepartment of Gastroenterology, Vestfold Hospital Trust, Tønsberg, Norway.
Petr RicanekDepartment of Gastroenterology, Akershus University Hospital, Lørenskog, Norway.
Trond Espen DetlieInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Svein Oskar FrigstadDepartment of Medicine, Vestre Viken Hospital Trust, Baerum Hospital, Baerum, Norway.
Lars-Petter Jelsness-JørgensenDepartment of Health, Welfare and Organization, Østfold University College, Fredrikstad, Norway.
Randi OpheimInstitute of Health and Society, University of Oslo, Oslo, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with inflammatory bowel disease report multiple symptoms, but the relationships among co-occurring symptoms are poorly understood. This study aimed to examine the prevalence of symptoms and explore symptom clusters and possible associations between symptom clusters and socio-demographic and clinical variables in patients newly diagnosed with inflammatory bowel disease.

methodsThe IBSEN III study is a prospective population-based inception cohort of patients with inflammatory bowel disease. This study used patient data from the three largest hospitals in the study catchment area. The Memorial Symptom Assessment Scale was used to assess the prevalence of symptoms. Symptom clusters were identified using principal component analysis. Possible associations between socio-demographic and clinical variables and symptom cluster membership were estimated using regression analysis.

resultsOf the 573 patients (age, ≥18 years) diagnosed with inflammatory bowel disease, 350 (61.1%) completed the questionnaire (responders). Eleven symptoms were reported by >50% of the responders. The three most prevalent symptoms were bloating (84%), drowsiness (81%), and lack of energy (81%). Three symptom clusters were identified: psychological (56% of the patients), impaired energy (28%), and physical (16%) clusters. Multinomial regression analysis revealed that vitamin D deficiency was significantly associated with the impaired energy cluster (odds ratio=2.49, 95% confidence interval [1.00-6.2], p=0.05).

conclusionsWe found high symptom prevalence in patients newly diagnosed with inflammatory bowel disease. Three distinct symptom clusters were identified, and the psychological cluster includes >50% of the patients. Vitamin D deficiency is the only factor associated with cluster membership, namely the impaired energy cluster.

Indexed as

Colitis, UlcerativeInflammatory Bowel DiseasesVitamin D DeficiencyAdolescentHumansProspective StudiesSurveys and QuestionnairesSyndromeCDCrohn`s diseaseIBDInflammatory bowel diseaseSymptom clustersSymptomsUCUlcerative colitis

Identifiers

PMID37501083
PMCPMC10373240

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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.