Evidence map›Paper›PMID 40025830›Full record

Observational studyAlimentary pharmacology & therapeutics2025

Patient Reported Outcomes in Primary Sclerosing Cholangitis: An Australian Perspective.

Natassia Tan, Christopher Zampogna, Kate Lynch, Nicholas Hannah, Siddharth Sood, Kate Collins, Avik Majumdar, Andrew Coulshed, Ken Liu, Rohit Sawhney and 6 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Alimentary pharmacology & therapeutics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

16 authors.

Natassia TanDepartment of Gastroenterology and Hepatology, The Alfred, Melbourne, Australia.ORCID https://orcid.org/0000-0002-0967-3282
Christopher ZampognaSchool of Translational Medicine, Monash University, Melbourne, Australia.
Kate LynchDepartment of Gastroenterology and Hepatology, Royal Adelaide Hospital, Adelaide, Australia.
Nicholas HannahDepartment of Gastroenterology and Hepatology, Melbourne Health, Melbourne, Australia.ORCID https://orcid.org/0000-0002-1146-4308
Siddharth SoodDepartment of Gastroenterology and Hepatology, Melbourne Health, Melbourne, Australia.
Kate CollinsDepartment of Gastroenterology and Hepatology, Austin Health, Melbourne, Australia.
Avik MajumdarUniversity of Melbourne, Melbourne, Australia.
Andrew CoulshedAW Morrow Gastroenterology and Liver Centre, Royal Prince Alfred Hospital, Sydney, Australia.
Ken LiuAW Morrow Gastroenterology and Liver Centre, Royal Prince Alfred Hospital, Sydney, Australia.ORCID https://orcid.org/0000-0002-0453-3168
Rohit SawhneySchool of Translational Medicine, Monash University, Melbourne, Australia.
Stephen BloomSchool of Translational Medicine, Monash University, Melbourne, Australia.
John LubelDepartment of Gastroenterology and Hepatology, The Alfred, Melbourne, Australia.
William KempDepartment of Gastroenterology and Hepatology, The Alfred, Melbourne, Australia.
Stuart RobertsDepartment of Gastroenterology and Hepatology, The Alfred, Melbourne, Australia.ORCID https://orcid.org/0000-0002-9015-7997
Ammar MajeedDepartment of Gastroenterology and Hepatology, The Alfred, Melbourne, Australia.
Amanda J NicollSchool of Translational Medicine, Monash University, Melbourne, Australia.ORCID https://orcid.org/0000-0002-1855-2757

Funding

Dr. Falk Pharma
6 · The paper itself

Abstract

BACKGROUND AND

aimsPrimary sclerosing cholangitis (PSC) is a rare, cholestatic liver condition that has a significant association with inflammatory bowel disease (IBD) and impaired health-related quality of life (HRQOL). We aimed to characterise and compare validated PSC and IBD patient-reported outcomes (PRO) and determine if PRO correlated with the severity of liver disease.

methodsWe conducted a multicentre, prospective cohort study in Australia enrolling adult patients with PSC from December 2019 to August 2023. Consecutive patients completed a baseline validated PSC PRO questionnaire and a short IBD questionnaire (SIBDQ) if they had concomitant IBD. Linear regression was used to explore factors associated with poor HRQOL and the association between each HRQOL domain and the severity of liver disease.

resultsA total of 55 PSC patients were included. Most patients were male (32/55, 58%) with a median age of 44 years and a median 7 years of follow-up from PSC diagnosis. Mental and physical fatigue were the most prominent PSC symptoms. All HRQOL domain scores except PSC symptoms were significantly associated with liver disease severity. Decompensated cirrhosis and a history of cholangitis were associated with reduced HRQOL in various domains, whereas older age was protective against emotional distress (p = 0.01). IBD bowel symptoms and emotional impact had a positive correlation with PSC symptoms and emotional impact within the same patient.

conclusionThis is the first Australian study describing PSC and IBD PRO in a well-characterised prospective cohort. We have demonstrated that PSC-related PRO is significantly associated with liver disease severity. Further large-scale studies are required to further interrogate these findings.

Indexed as

Cholangitis, SclerosingInflammatory Bowel DiseasesPatient Reported Outcome MeasuresQuality of LifeAdultAustraliaFemaleHumansMaleMiddle AgedProspective StudiesSeverity of Illness IndexSurveys and Questionnairescholangitiscirrhosisdecompensated cirrhosisfatiguehealth‐related quality of lifeinflammatory bowel diseasepatient‐reported outcomesprimary sclerosing cholangitis

Identifiers

PMID40025830
PMCPMC12013783

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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.