Evidence map›Paper›PMID 40434285›Full record

ArticleAlimentary pharmacology & therapeutics2025

Functional Dyspepsia and Its Subgroups: Prevalence and Impact in the Rome IV Global Epidemiology Study.

J Tack, O S Palsson, S I Bangdiwala, J Schol, F Carbone, K Van Den Houte, B Broeders, D Drossman, D L Dumitrascu, X Fang and 11 more

Abstract read
In one paragraph

Article 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 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Sleep and Disorders of Gut-Brain Interaction.Gastroenterology & hepatology · 2026
    Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Observational
  12. Review
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

21 authors.

J TackRome Foundation Research Institute, Raleigh, North Carolina, USA.
O S PalssonRome Foundation Research Institute, Raleigh, North Carolina, USA.
S I BangdiwalaRome Foundation Research Institute, Raleigh, North Carolina, USA.
J ScholTranslational Research Center for Gastrointestinal Disorders (TARGID), University of Leuven, Belgium.
F CarboneGastroenterology-Hepatology Division, Leuven University Hospitals, Leuven, Belgium.
K Van Den HouteTranslational Research Center for Gastrointestinal Disorders (TARGID), University of Leuven, Belgium.
B BroedersTranslational Research Center for Gastrointestinal Disorders (TARGID), University of Leuven, Belgium.ORCID https://orcid.org/0000-0001-6050-8461
D DrossmanRome Foundation Research Institute, Raleigh, North Carolina, USA.
D L DumitrascuIuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
X FangDepartment of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.ORCID https://orcid.org/0000-0002-5600-8779
S FukudoTohoku University Graduate School of Medicine, Department of Behavioral Medicine, Sendai, Japan.ORCID https://orcid.org/0000-0003-2265-0349
U C GhoshalDepartment of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGI), Lucknow, India.ORCID https://orcid.org/0000-0003-0221-8495
J KellowDiscipline of Medicine, Northern Clinical School, University of Sydney, Sydney, Australia.
R KhatunRome Foundation Research Institute, Raleigh, North Carolina, USA.
E OkekeDepartment of Medicine, University of Jos, Jos University Teaching Hospital, Jos, Nigeria.
E M QuigleyCenter for Digestive Disorder, Gastroenterology and Hepatology, Houston Methodist Hospital and Weill Cornell Medical College, Houston, Texas, USA.ORCID https://orcid.org/0000-0003-4151-7180
M SchmulsonLaboratory of Liver, Pancreas and Motility (HIPAM), unit of Research in Experimental Medicine, Faculty of Medicine, Universidad Nacional Autónoma de Mexico (UNAM). Hospital General de México, Mexico City, Mexico.
M SimrénRome Foundation Research Institute, Raleigh, North Carolina, USA.
W E WhiteheadCenter for Functional GI & Motility Disorders, University of North Carolina-Chapel Hill, Chapel Hill, North Carolina, USA.ORCID https://orcid.org/0000-0001-6587-7602
P WhorwellNeurogastroenterology Unit, Manchester University NHS Foundation Trust, Wythenshawe Hospital, Manchester, UK.
A D SperberRome Foundation Research Institute, Raleigh, North Carolina, USA.ORCID https://orcid.org/0000-0002-7634-3689

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFunctional dyspepsia (FD) is one of the most common disorders of gut-brain interaction (DGBI). Varying reported population prevalences probably reflect different definitions and methodological approaches.

aimTo study the prevalence and impact of FD and its subgroups in an internet survey.

methodsA total of 54,127 respondents from 26 countries completed the survey including the Rome IV diagnostic questionnaire, Patient Health Questionnaire-4 (PHQ-4), PHQ-12, PROMIS Global-10, demographics, and medical history. Respondents reporting a history of relevant organic disease, or fulfilling criteria for self-induced or cyclic vomiting, or cannabinoid hyperemesis were excluded.

resultsRome IV FD prevalence was 7.2% (range 2.2%-12.3%), significantly higher in women and decreased with age. The most prominent subtype was postprandial distress syndrome (PDS) (66.6%). Rome IV IBS was found in 26.1% of those fulfilling FD criteria. Functional heartburn and chronic nausea and vomiting criteria were fulfilled in, respectively, 9.0% and 7.0%. Fulfilling FD symptom criteria was significantly associated with increased prevalence of anxiety and depression and with lower quality of life and higher healthcare seeking behaviour.

conclusionsRome IV FD is one of the most prevalent DGBI globally. Across countries, it is associated with female sex, younger age, psychological distress, reduced quality of life, and higher health care utilisation. PDS is the dominant subgroup. Overlapping other DGBI are present in a minority.

Indexed as

DyspepsiaAdolescentAdultAgedFemaleGlobal HealthHumansMaleMiddle AgedPrevalenceQuality of LifeSurveys and QuestionnairesYoung Adult

Identifiers

PMID40434285
PMCPMC12239946

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.