Evidence map›Paper›PMID 40888250›Full record

Observational studyJournal of pediatric gastroenterology and nutrition2025

Specific phenotypes may drive an increased incidence of pediatric inflammatory bowel disease in South-Eastern Norway.

Svend Andersen, Tomm Bernklev, Ketil Størdal, Milada C Hagen, Vendel A Kristensen, Randi Opheim, Christine Olbjørn, Jon Rove, Emma E Løvlund, Hans K Holm and 3 more

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of pediatric gastroenterology and nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02727959 (Inflammatory Bowel Disease in South Eastern Norway), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT02727959 completednot on this map

Inflammatory Bowel Disease in South Eastern Norway (IBSEN III). Clinical Epidemiology, Diagnostic and Prognostic Factors in Inflammatory Bowel Disease.

TypeobservationalSponsorOslo University HospitalRan2017 to 2019Enrolled2,286ConditionsColitis, Ulcerative, Crohn Disease, Inflammatory Bowel Disease
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
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

13 authors.

Svend AndersenInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.ORCID https://orcid.org/0000-0002-0283-2789
Tomm BernklevInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Ketil StørdalInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Milada C HagenFaculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway.
Vendel A KristensenInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Randi OpheimDepartment of Gastroenterology, Oslo University Hospital, Oslo, Norway.
Christine OlbjørnDepartment of Paediatric and Adolescent Medicine, Akershus University Hospital, Lørenskog, Norway.
Jon RovePediatric Department, Oslo University Hospital, Oslo, Norway.
Emma E LøvlundDepartment of Pediatric and Adolescent Medicine, Østfold Hospital Trust, Grålum, Norway.
Hans K HolmPediatric Department, Innlandet Hospital Trust, Lillehammer, Norway.
Batool AballiPediatric Department, Innlandet Hospital Trust, Elverum, Norway.
Marte L HøivikInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Gøri PerminowPediatric Department, Oslo University Hospital, Oslo, Norway.

Funding

South-Eastern Health Authorities in NorwayTakeda Pharmaceuticals, Pfizer, Ferring Pharmaceuticals, Tillots Pharma, and DAM FoundationTakeda Pharmaceuticals; Pfizer; Ferring Pharmaceuticals; Tillots Pharma; DAM Foundation
6 · The paper itself

Abstract

objectivesPediatric inflammatory bowel disease (PIBD) incidence has increased in recent decades but may be stabilizing, prompting exploration of incidence changes, disease distribution, and severity.

methodsFrom 2017 to 2019, patients under 18 years with PIBD symptoms were recruited from nine hospitals in South-Eastern Norway for Inflammatory Bowel Disease in South-Eastern Norway III (IBSEN III), a population-based inception cohort study. The primary outcome was a diagnosis of any PIBD subtype as defined by revised Porto criteria. Paris classification system defined disease phenotypes, and descriptions of covariates were gathered from patients in IBSEN III.

resultsWe identified 324 PIBD patients, with 216 consenting to the IBSEN III study. The crude incidence rate was 17.8 per 100,000 person-years (PY) (95% confidence interval [CI]: 15.9-19.8). Crohn's disease (CD) was found in 118 patients (54.6%); 48% had ileocolonic distribution, 40% had upper gastrointestinal disease, and 12.8% had perianal disease. Complications (stricturing and/or penetrating) were noted in 18%. Ulcerative colitis (UC) was diagnosed in 78 patients (36.1%), predominantly pancolitis (41%), with 30% having proctitis. One in five suffered severe disease. IBD unclassified was found in 20 patients (9.3%). PIBD incidence in those under 16 was 13.6/100,000 PY, up from 4.7 in the IBSEN study 27 years ago. Terminal ileitis (11%-23%) and proctitis (14%-25%) rose from IBSEN (1990-1993) to IBSEN III, while stricturing/penetrating disease changed insignificantly (17%-16%).

conclusionsThe incidence of PIBD has risen in South-Eastern Norway, with increased cases of terminal ileitis in CD, unchanged stricturing/penetrating disease, and increased proctitis in UC compared to the original IBSEN study. CLINICAL

trial registrationClinicalTrials.gov identifier: NCT02727959.

Indexed as

Colitis, UlcerativeCrohn DiseaseInflammatory Bowel DiseasesAdolescentChildChild, PreschoolCohort StudiesFemaleHumansIncidenceInfantMaleNorwayPhenotypeSeverity of Illness IndexIBSEN IIIParis classificationPCDAIpopulation‐basedPUCAI

Identifiers

PMID40888250
PMCPMC12580466

What OpenQuestion holds

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Registered trials

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.