Evidence map›Paper›PMID 37580878›Full record

ArticleInflammatory bowel diseases2024

The Impact of Cannabis Use on Clinical Outcomes in Inflammatory Bowel Disease: A Population-based Longitudinal Cohort Study.

Danny Glickman, Shannon Dalessio, Wesley M Raup-Konsavage, Kent E Vrana, Matthew D Coates

Abstract read
In one paragraph

Article in Inflammatory bowel diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Cannabis Use and Risk of Chronic Rhinosinusitis and Sinus Surgery.Laryngoscope investigative otolaryngology · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
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  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Danny GlickmanPenn State College of Medicine, Hershey, PA, USA.
Shannon DalessioPenn State College of Medicine, Department of Medicine, Division of Gastroenterology and Hepatology, Hershey, PA, USA.
Wesley M Raup-KonsavagePenn State College of Medicine, Department of Pharmacology, Hershey, PA, USA.
Kent E VranaPenn State College of Medicine, Department of Pharmacology, Hershey, PA, USA.
Matthew D CoatesPenn State College of Medicine, Department of Pharmacology, Hershey, PA, USA.ORCID 0000-0001-8976-5015

Funding

Penn State Clinical and Translational Science InstituteUL1TR002014 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KRASCHNEWSKI, JENNIFER L. · 2016 to 2025
$33.7M
AI-based Mapping of Complex Cannabis Extracts in Pain PathwaysR01AT012053 · NCCIH · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI Nikolay Dokholyan, KENT E VRANA · 2023 to 2026
$2.4M
The Role of the Voltage-Gated Sodium Channel, NaV1.8, in Silent Inflammatory Bowel DiseaseR01DK122364 · NIDDK · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI COATES, MATTHEW D · 2020 to 2023
$1.5M
NCATS NIH HHS UL1 TR002014NCCIH NIH HHS R01 AT012053NCCIH NIH HHS R01AT012053NIDDK NIH HHS R01 DK122364NIDDK NIH HHS R01DK122364NIH HHS
6 · The paper itself

Abstract

backgroundCannabis use is common in inflammatory bowel disease (IBD). Recent studies demonstrated that use of cannabis may relieve symptoms; however, it is still unclear how safe cannabis and its derivatives are for IBD patients. We performed this study to evaluate the impact of cannabis use on several key clinical outcomes in IBD.

methodsWe performed a retrospective study using the TriNetX Diamond Network. Cannabis use and noncannabis use subcohorts were identified for 3 patient groups: (1) IBD, (2) Crohn's disease (CD), and (3) ulcerative colitis (UC). Baseline differences between subcohorts for each group were controlled by propensity score matching. In each group, we compared relative incidence of emergency department (ED) visits, hospitalization, corticosteroid use, opioid use, IBD-related surgery, and death between cannabis users and noncannabis users.

resultsInflammatory bowel disease cannabis users demonstrated an increased risk for corticosteroid use (risk ratios [R],1.095; 95% CI, 1.021-1.174; P = .011), ED visits (RR, 2.143; 95% CI, 2.034-2.257; P < .001), hospitalizations (RR, 1.925; 95% CI, 1.783-2.079; P < .001) and opioid use (RR, 1.35; 95% CI, 1.14-1.6); P < .001), but not an increased risk of IBD-related surgery or death. The CD and UC groups exhibited similar outcomes, except only CD demonstrated an increased risk for corticosteroid and opioid use.

conclusionsCannabis use in IBD patients is associated with several poor clinical outcomes, including increased risk of corticosteroid and opioid use, ED visits and hospitalization, though not IBD-related surgery or death. It is not clear what drives these risks or whether they are directly related to IBD-associated disease activity or other factors. Further prospective studies are warranted to more carefully investigate these relationships.

Indexed as

Colitis, UlcerativeCrohn DiseaseHospitalizationAdrenal Cortex HormonesAdultAnalgesics, OpioidCannabisEmergency Service, HospitalFemaleHumansInflammatory Bowel DiseasesLongitudinal StudiesMaleMarijuana UseMiddle AgedPropensity ScoreAdrenal Cortex HormonesAnalgesics, OpioidcannabisCrohn’s diseaseinflammatory bowel diseaseulcerative colitis

Identifiers

PMID37580878
PMCPMC11219477

What OpenQuestion holds

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Registered trials

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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.