Evidence map›Paper›PMID 39131245›Full record

ArticleGastro hep advances2022

Poor Patient-Reported Outcomes and Impaired Work Productivity in Patients With Inflammatory Bowel Disease in Remission.

Raymond K Cross, Jenny S Sauk, Joe Zhuo, Ryan W Harrison, Samantha J Kerti, Kelechi Emeanuru, Jacqueline O'Brien, Harris A Ahmad, Antoine G Sreih, Joehl Nguyen and 2 more

Abstract read
In one paragraph

Article in Gastro hep advances, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

12 authors.

Raymond K CrossDivision of Gastroenterology and Hepatology, Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland.
Jenny S SaukUCLA Vatche & Tamar Manoukian Division of Digestive Diseases, Department of Medicine, Ronald Reagan UCLA Medical Center, Los Angeles, California.
Joe ZhuoBristol Myers Squibb, Princeton, New Jersey.
Ryan W HarrisonDepartments of Biostatistics and Epidemiology and Outcomes Research, CorEvitas, LLC (formerly known as Corrona, LLC), Waltham, Massachusetts.
Samantha J KertiDepartments of Biostatistics and Epidemiology and Outcomes Research, CorEvitas, LLC (formerly known as Corrona, LLC), Waltham, Massachusetts.
Kelechi EmeanuruDepartments of Biostatistics and Epidemiology and Outcomes Research, CorEvitas, LLC (formerly known as Corrona, LLC), Waltham, Massachusetts.
Jacqueline O'BrienDepartments of Biostatistics and Epidemiology and Outcomes Research, CorEvitas, LLC (formerly known as Corrona, LLC), Waltham, Massachusetts.
Harris A AhmadBristol Myers Squibb, Princeton, New Jersey.
Antoine G SreihBristol Myers Squibb, Princeton, New Jersey.
Joehl NguyenDivision of Gastroenterology, Hepatology, and Nutrition, Department of Medicine, University of North Carolina Eshleman School of Pharmacy, Chapel Hill, North Carolina.
Sara N HorstDivision of Gastroenterology & Hepatology Clinical Services, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
David HudesmanNew York University, Langone Health, New York, New York.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: This study aimed to evaluate associations between disease severity, patient-reported outcomes (PROs), and work productivity in patients with inflammatory bowel disease (IBD [Crohn's disease (CD) and ulcerative colitis (UC)]). Methods: Patients diagnosed with CD or UC enrolled in CorEvitas' IBD Registry (May 2017 to September 2019) were included (N = 1543; CD, n = 812; UC, n = 731). Disease severity was assessed using the Harvey-Bradshaw Index (CD) and partial Mayo Score (UC); psychosocial PROs (Patient-Reported Outcomes Measurement Information System [PROMIS]) and work productivity (Work Productivity and Activity Impairment [WPAI]) were assessed. Univariable and multivariable regression analyses assessed associations between PROs and disease severity. Results: Among CD patients, 67.4% were in remission, 19.2% had mild disease, and 13.4% had moderate/severe disease; among UC patients, 52.7% were in remission, 35.3% had mild disease, and 12.0% had moderate/severe disease. For CD patients in remission, unadjusted percentages of patients with PROMIS scores outside normal limits ranged from 18.9% (depression) to 34.9% (fatigue). For CD patients in remission, 54.3% reported work productivity loss, and 57.1% reported activity impairment. The unadjusted percentage of UC patients in remission with scores outside normal limits ranged from 15.7% (depression) to 28.7% (fatigue) for PROMIS and 10.5% (absenteeism) to 43.5% (activity impairment) for WPAI. Impairment increased with IBD severity. Congruently, adjusted estimates showed significant impairment in PROMIS and WPAI scores for CD and UC patients in remission. Conclusion: In this real-world analysis, IBD patients across the spectrum of activity, from remission to severe disease, experienced impaired psychosocial function and reduced work productivity. Impairment, even among patients in remission, indicates an unmet need in this patient population.

Indexed as

Crohn’s DiseaseReal-WorldRegistryUlcerative Colitis

Identifiers

PMID39131245
PMCPMC11307635

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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.