Evidence map›Paper›PMID 39737520›Full record

Observational studyNeurogastroenterology and motility2025

Symptom Patterns in Adults With Cyclic Vomiting Syndrome: A 6-Month Prospective Observational Study.

Yaozhu J Chen, Danielle Rodriguez, Camilla A Richmond, William L Hasler, David J Levinthal, B U K Li, Ioannis Petrakis, Karin S Coyne, Melody Wu, Jan Tack and 1 more

Abstract readObservational Study
In one paragraph

Observational study in Neurogastroenterology and motility, 2025. 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. Article
  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

11 authors.

Yaozhu J ChenTakeda Development Center Americas Inc., Cambridge, Massachusetts, USA.ORCID https://orcid.org/0000-0003-4552-2294
Danielle RodriguezEvidera, Bethesda, Maryland, USA.
Camilla A RichmondTakeda Development Center Americas Inc., Cambridge, Massachusetts, USA.
William L HaslerMayo Clinic Arizona, Scottsdale, Arizona, USA.
David J LevinthalUniversity of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.ORCID https://orcid.org/0000-0001-8453-8382
B U K LiMedical College of Wisconsin, Milwaukee, Wisconsin, USA.ORCID https://orcid.org/0000-0003-0355-3201
Ioannis PetrakisTakeda Development Center Americas Inc., Cambridge, Massachusetts, USA.
Karin S CoyneEvidera, Bethesda, Maryland, USA.
Melody WuTakeda Development Center Americas Inc., Cambridge, Massachusetts, USA.
Jan TackDepartment of Gastroenterology, University Hospital Leuven, Leuven, Belgium.
Thangam VenkatesanMedical College of Wisconsin, Milwaukee, Wisconsin, USA.ORCID https://orcid.org/0000-0002-8095-7456

Funding

Takeda Pharmaceuticals U.S.A.
6 · The paper itself

Abstract

backgroundData are limited on the natural history and symptom patterns of cyclic vomiting syndrome (CVS), a disorder of gut-brain interaction characterized by recurrent stereotypical vomiting, retching, and nausea episodes.

methodsA 6-month, observational, remote study prospectively assessed symptom patterns in adults with CVS using an electronic daily diary. Patients recorded their disease experience, including CVS symptoms and associated severity, in the daily diary. The study defined a CVS episode start as the first day of 5 or more vomiting and/or retching (V + R) events. Episode end was defined as the first day of ≥ 7 (prespecified main analysis) or ≥ 4 (sensitivity analysis) days without any diary V + R events. KEY

resultsEighty-eight of 93 (94.6%) enrolled patients (62 female; mean age, 37.7 years) had daily diary data recorded during the study; 61 (69.3%) patients had at least one episode. In the prespecified main analysis, 191 episodes (median, 0.6 per 30 diary days) were reported (median duration, 3.0 days); 17.8% of the episodes lasted > 10 days. In the sensitivity analysis, 248 episodes (median, 0.7 per 30 diary days) were reported (median duration, 2.0 days). Thirteen of 88 (14.8%) patients with diary data had interepisodic V + R (reported V + R events without meeting the threshold for study-defined episode). Other CVS-related (non-V + R) symptoms (most frequently nausea, abdominal pain, and sweating) were reported more frequently during the episode versus the interepisodic period. CONCLUSIONS AND INFERENCES: This prospective longitudinal study shows marked heterogeneity of CVS episodes and highlights the need to better define and characterize episodes in these patients.

Indexed as

VomitingAdultFemaleHumansMaleMiddle AgedNauseaProspective StudiesYoung Adultcyclic vomiting syndromenatural historypatient‐reported outcomesretchingsymptom patternsvomiting

Identifiers

PMID39737520
PMCPMC11748820

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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.