Evidence map›Paper›PMID 37667803›Full record

ArticleTherapeutic advances in gastroenterology2023

Handgrip strength and risk of malnutrition are associated with an increased risk of hospitalizations in inflammatory bowel disease patients.

Katherine Bedard, Lorian Taylor, Naheed Rajabali, Karen Kroeker, Brendan Halloran, Guanmin Meng, Maitreyi Raman, Puneeta Tandon, Juan G Abraldes, Farhad Peerani

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in gastroenterology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 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. Article
  3. Review
  4. 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

10 authors at 2 institutions in 1 country.

Katherine BedardDepartment of Medicine, Faculty of Graduate Studies and Research, University of Alberta, Edmonton, AB, Canada.ORCID https://orcid.org/0000-0001-5133-5853
Lorian TaylorDepartment of Medicine, University of Calgary, Calgary, AB, Canada.
Naheed RajabaliDivision of Geriatric Medicine, University of Alberta, Edmonton, AB, Canada.
Karen KroekerDivision of Gastroenterology, University of Alberta, Edmonton, AB, Canada.
Brendan HalloranDivision of Gastroenterology, University of Alberta, Edmonton, AB, Canada.
Guanmin MengDivision of Gastroenterology, University of Alberta, Edmonton, AB, Canada.
Maitreyi RamanDepartment of Medicine, University of Calgary, Calgary, AB, Canada.ORCID https://orcid.org/0000-0002-9129-3632
Puneeta TandonDivision of Gastroenterology, University of Alberta, Edmonton, AB, Canada.
Juan G AbraldesDivision of Gastroenterology, University of Alberta, Edmonton, AB, Canada.
Farhad PeeraniDivision of Gastroenterology, University of Alberta, 1-59 Zeidler Ledcor Centre, 8540 - 112 Street NW, Edmonton AB T6G 2P8, Canada.
University of Alberta · CAUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In patients with inflammatory bowel disease (IBD), frailty is independently associated with mortality and morbidity. Objectives: This study aimed to extend this work to determine the association between the clinical frailty scale (CFS), handgrip strength (HGS), and malnutrition with IBD-related hospitalizations and surgeries. Design: IBD patients ⩾18 years of age were prospectively enrolled from two ambulatory care clinics in Alberta, Canada. Methods: Frailty was defined as a CFS score ⩾4, dynapenia as HGS < 16 kg for females and <27 kg for males, malnutrition using the subjective global assessment (SGA), and the risk of malnutrition using either the abridged patient-generated SGA (abPG-SGA), or the Saskatchewan Inflammatory Bowel Disease Nutrition Risk Tool (SaskIBD-NRT). Logarithm relative hazard graphs and multivariable logistic regression models adjusting for relevant confounders were constructed. Results: One hundred sixty-one patients (35% ulcerative colitis, 65% Crohn's disease) with a mean age of 42.2 (±15.9) years were followed over a mean period of 43.9 (±10.1) months. Twenty-seven patients were hospitalized, and 13 patients underwent IBD-related surgeries following baseline. While the CFS (aHR 1.34; Conclusion: HGS, the abPG-SGA, and the SaskIBD-NRT were independently associated with an increased risk of IBD-related hospitalizations. Future studies should aim to validate other frailty assessments in the IBD population in order to better tailor care for all IBD patients.

Indexed as

dynapeniafrailtyhospitalizationsinflammatory bowel diseasemalnutrition

Identifiers

PMID37667803
PMCPMC10475242
OpenAlexW4386310961

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.