Evidence map›Paper›PMID 38831715›Full record

SynthesisBJS open2024

Genetic, epigenetic and environmental factors in diverticular disease: systematic review.

Hannah N Humphrey, Pauline Sibley, Eleanor T Walker, Deborah S Keller, Francesco Pata, Dale Vimalachandran, Ian R Daniels, Frank D McDermott

Abstract readSystematic Review
In one paragraph

Synthesis in BJS open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Utility of Colonoscopy After Acute Colonic Diverticulitis.Diagnostics (Basel, Switzerland) · 2026
    Review
  2. Article
  3. 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.

Hannah N HumphreyDepartment of Colorectal Surgery, Royal Devon University Healthcare Foundation Trust, Exeter, UK.ORCID 0000-0002-1238-9741
Pauline SibleyDepartment of Colorectal Surgery, Royal Devon University Healthcare Foundation Trust, Exeter, UK.ORCID 0009-0005-4274-271X
Eleanor T WalkerDepartment of Colorectal Surgery, Royal Devon University Healthcare Foundation Trust, Exeter, UK.ORCID 0000-0003-2810-8200
Deborah S KellerDepartment of Surgery, Lankenau Medical Center and Lankenau Institute for Medical Research, Wynnewood, Pennsylvania, USA.ORCID 0000-0002-8645-6206
Francesco PataDepartment of Pharmacy, Health and Nutritional Sciences, University of Calabria, Rende, Italy.ORCID 0000-0003-2634-1199
Dale VimalachandranDepartment of Molecular & Cancer Medicine, Institute of Cancer Medicine, University of Liverpool, Liverpool, UK.ORCID 0000-0001-5817-8969
Ian R DanielsDepartment of Colorectal Surgery, Royal Devon University Healthcare Foundation Trust, Exeter, UK.ORCID 0000-0002-9114-0812
Frank D McDermottDepartment of Colorectal Surgery, Royal Devon University Healthcare Foundation Trust, Exeter, UK.ORCID 0000-0002-4891-1191

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiverticulosis is a normal anatomical variant of the colon present in more than 70% of the westernized population over the age of 80. Approximately 3% will develop diverticulitis in their lifetime. Many patients present emergently, suffer high morbidity rates and require substantial healthcare resources. Diverticulosis is the most common finding at colonoscopy and has the potential for causing a significant morbidity rate and burden on healthcare. There is a need to better understand the aetiology and pathogenesis of diverticular disease. Research suggests a genetic susceptibility of 40-50% in the formation of diverticular disease. The aim of this review is to present the hypothesized functional effects of the identified gene loci and environmental factors.

methodsA systematic literature review was performed using PubMed, MEDLINE and Embase. Medical subject headings terms used were: 'diverticular disease, diverticulosis, diverticulitis, genomics, genetics and epigenetics'. A review of grey literature identified environmental factors.

resultsOf 995 articles identified, 59 articles met the inclusion criteria. Age, obesity and smoking are strongly associated environmental risk factors. Intrinsic factors of the colonic wall are associated with the presence of diverticula. Genetic pathways of interest and environmental risk factors were identified. The COLQ, FAM155A, PHGR1, ARHGAP15, S100A10, and TNFSF15 genes are the strongest candidates for further research.

conclusionThere is increasing evidence to support the role of genomics in the spectrum of diverticular disease. Genomic, epigenetic and omic research with demographic context will help improve the understanding and management of this complex disease.

Indexed as

Epigenesis, GeneticGenetic Predisposition to DiseaseDiverticular DiseasesGene-Environment InteractionHumansObesityRisk Factors

Identifiers

PMID38831715
PMCPMC11148476

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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.