Evidence map›Paper›PMID 37743921›Full record

ReviewFrontiers in nutrition2023

Nutritional status in perianal Crohn's disease: are we underestimating the impact?

Bruno Augusto Alves Martins, Oswaldo de Moraes Filho, Ana Carolina Benvindo Lopes, Ricardo Jacarandá de Faria, Clíslian Silva, Gabriela de Oliveira Lemos, Dannilo Brito Silveira, João Batista de Sousa

Abstract readReview
In one paragraph

Review in Frontiers in nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
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

8 authors.

Bruno Augusto Alves MartinsMedical Sciences Postgraduate Program, School of Medicine, University of Brasilia, Brasília, Brazil.
Oswaldo de Moraes FilhoMedical Sciences Postgraduate Program, School of Medicine, University of Brasilia, Brasília, Brazil.
Ana Carolina Benvindo LopesIBD Unit, Department of Gastroenterology, Hospital Universitário de Brasília, Brasília, Brazil.
Ricardo Jacarandá de FariaIBD Unit, Department of Gastroenterology, Hospital Universitário de Brasília, Brasília, Brazil.
Clíslian SilvaDepartment of Nutrition and Dietetics, Hospital Universitário de Brasília, Brasília, Brazil.
Gabriela de Oliveira LemosMultiprofessional Nutritional Therapy Team, Hospital Universitário de Brasília, Brasília, Brazil.
Dannilo Brito SilveiraDepartment of Colorectal Surgery, Hospital de Base-IGESDF, Brasília, Brazil.
João Batista de SousaMedical Sciences Postgraduate Program, School of Medicine, University of Brasilia, Brasília, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Symptomatic perianal disease is common in patients with Crohn's disease (CD), and perianal fistulas represent the primary form of anal involvement. This type of involvement is associated with a poor prognosis and a disabling course. The treatment is challenging and involves both surgical and medical approaches. Despite combined therapy, a significant portion of patients may still require proctectomy to control the symptoms. Consequently, investigating factors that may influence the outcome of perianal disease remains a priority area of research in CD. Nutritional deficiencies are well documented among CD patients with luminal forms of involvement and are closely related to poor clinical outcomes, therapy response, and postoperative complications. As a result, leading guidelines recommend regular nutritional assessment and correction of nutritional deficiencies in patients requiring a surgical approach. Despite these recommendations and the high rate of surgeries among CD patients with perianal disease, there is a shortage of studies addressing the real impact of nutritional status on the course and outcomes of perianal disease. This knowledge gap underscores the importance of further research to understand better and improve the management of perianal CD. This narrative review aims to provide an overview of nutritional status assessment and the influence of nutritional status on the outcomes of patients with perianal CD.

Indexed as

Crohn’s diseasemalnutrition(MeSH terms): inflammatory bowel diseasesnutritional statusrectal fistula

Identifiers

PMID37743921
PMCPMC10512412

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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.