ArticleTherapeutic advances in gastroenterology2025
Risk of malnutrition increases in the year prior to surgery among patients with inflammatory bowel disease.
Article in Therapeutic advances in gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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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.
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Who cites it
2 citing papers in PubMed.
- Article
- Comment on: Risk of malnutrition increases in the year prior to surgery among patients with inflammatory bowel disease.Therapeutic advances in gastroenterology · 2025Article
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14 authors.
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Abstract
Background: In patients with inflammatory bowel disease (IBD) who need intestinal resection, prior data suggest that earlier surgical intervention may be associated with improved outcomes. However, surgery is often deferred for additional trials of advanced therapies, which potentially shifts patients from a fit to a frail preoperative state. Objectives: This study aimed to evaluate clinical changes that occur in the year prior to intestinal resection in patients with IBD. Design: Retrospective cohort study. Methods: This was a multi-hospital retrospective study of patients ⩾18 years old who underwent initial IBD-related intestinal resection between January 1, 2018 and May 31, 2023. Clinical characteristics and radiographical skeletal muscle mass were compared using the Wilcoxon Signed-Rank test for continuous variables and McNemar's test for categorical variables. Results: A total of 170 patients were included (120 with Crohn's disease, 40 with ulcerative colitis, and 10 with indeterminate colitis), with a median disease duration of 7.4 years (interquartile range (IQR) 3.3-13.8). Median age at surgery was 32.6 years (IQR 25.9-44.9), and 51% were female. In the month prior to surgery as compared to the 6-12 months prior, individuals were more likely to have an IBD-related hospitalization (31% vs 5%, Conclusion: In the 6-12 months prior to an IBD-related intestinal resection, as compared to the month prior, individuals were less likely to be malnourished, have an infection, or need hospitalization for IBD. This suggests that minimizing delays to surgery may lead to improved outcomes.
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