Evidence map›Paper›PMID 37767305›Full record

ArticleGE Portuguese journal of gastroenterology2023

Clinical, Economic, and Humanistic Impact of Short-Bowel Syndrome/Chronic Intestinal Failure in Portugal (PARENTERAL Study).

Raul Silva, Paula Guerra, Anabela Rocha, Miguel Correia, Ricardo Ferreira, Jorge Fonseca, Eduardo Lima, António Oliveira, Marta Vargas Gomes, Diogo Ramos and 2 more

Erratum issuedOpen access · diamondAbstract read
In one paragraph

Article in GE Portuguese journal of gastroenterology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Quality of life and healthcare resource utilization among adult patients with short bowel syndrome: A mixed-methods study leveraging an integrated database.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2026
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  10. A Narrative Review of Patient-Reported Outcome Measures and Their Application in Recent Pediatric Surgical Research: Advancing Knowledge and Offering New Perspectives to the Field.European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie · 2024
    Review
  11. Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 1 country.

Raul SilvaPaediatrics Department, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal.
Paula GuerraPaediatrics Department, Centro Hospitalar Universitário de São João, Porto, Portugal.
Anabela RochaSurgery Department, Centro Hospitalar e Universitário do Porto, Porto, Portugal.
Miguel CorreiaPaediatrics Department, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal.
Ricardo FerreiraPaediatrics Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
Jorge FonsecaGastroenterology Department, Hospital Garcia de Orta, Lisboa, Portugal.
Eduardo LimaSurgery Department, Centro Hospitalar Universitário de São João, Porto, Portugal.
António OliveiraSurgery Department, Centro Hospitalar de Trás-os-Montes e Alto Douro, Vila Real, Portugal.
Marta Vargas GomesExigo Consultores, Lisboa, Portugal.
Diogo RamosExigo Consultores, Lisboa, Portugal.
Valeska AndreozziExigo Consultores, Lisboa, Portugal.
Marisa D SantosSurgery Department, Centro Hospitalar e Universitário do Porto, Porto, Portugal.
Centro Hospitalar do Porto · PTHospital de São João · PTUnidade Local de Saúde de São José · PTHospitais da Universidade de Coimbra · PTHospital Garcia de Orta · PTUnidade Local de Saúde de Trás-os-Montes e Alto Douro · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: This study aimed to assess the clinical, economic, and humanistic impact of short-bowel syndrome/chronic intestinal failure (SBS/CIF) in Portugal. Methods: This is a retrospective multicenter cohort chart review study, with a cross-sectional component for quality-of-life (QoL) evaluation. Inclusion criteria comprised patients with SBS/CIF, aged ≥1 year, with stable parenteral nutrition (PN). Data collection included patient chart review over a 12-month period and patient/caregiver self-report and SF-36/PedsQL™ questionnaires. Main endpoints comprised clinical and PN characterization, healthcare resource use (HRU), direct costs, and patient QoL. Results: Thirty-one patients were included (11 adults and 20 children). Patients' mean age (standard deviation [SD]) was 57.9 (14.3) years in adults and 7.5 (5.0) years in children, with a mean time since diagnosis of 10.2 (5.9) and 6.6 (4.2) years, respectively. PN was administered for a mean of 5.2 and 6.6 days/week in adults and children, respectively; home PN occurred in 81.8% of adults and 90.0% of children for a mean of 9.6 and 10.8 months/year, respectively. The mean annual number of hospitalizations was 1.9 and 2.0 which lasted for a mean of 34.0 and 29.4 days in adults and children, respectively. Twenty-one and forty hospitalization episodes were reported in adults and children, respectively, of which 71.4% and 85.0% were due to catheter-related complications. Mean annual direct costs per patient amounted to 47,857.53 EUR in adults and 74,734.50 EUR in children, with PN and hospitalizations as the main cost-drivers. QoL assessment showed a clinically significant impaired physical component in adults and a notable deterioration in the school functioning domain in children. Conclusion: In Portugal, SBS/CIF patient management is characterized by a substantial therapeutic burden and HRU, translating into high direct costs and a substantial impairment of the adults' physical function and children's school functioning.

Indexed as

Chronic intestinal failureCost of illness analysisHealthcare resource utilizationParenteral nutritionQuality of lifeShort-bowel syndrome

Identifiers

PMID37767305
PMCPMC10521323
OpenAlexW4294970311

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.