Evidence map›Paper›PMID 41213888›Full record

ArticleNeurogastroenterology and motility2025

Painful Disorders of Gut-Brain Interaction Are More Associated With Worse Health-Related Quality of Life and Psychological Disorders Than Non-Painful Disorders in Latin American Countries.

Rômulo Marx, Antonio Barros Lopes, Rafael da Veiga Chaves Picon, Suzi Alves Camey, Olafur Palsson, Shrikant I Bangdiwala, Ami D Sperber, Albis Hani, Luis Bustos Fernandez, Max Schmulson and 1 more

Abstract read
In one paragraph

Article 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. Irritable bowel syndrome.Nature reviews. Disease primers · 2026
    Review
  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.

Rômulo MarxGastroenterology Division, Hospital de Clínicas de Porto Alegre, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Brazil.
Antonio Barros LopesGastroenterology Division, Hospital de Clínicas de Porto Alegre, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Brazil.
Rafael da Veiga Chaves PiconGastroenterology Division, Hospital de Clínicas de Porto Alegre, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Brazil.
Suzi Alves CameyHospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
Olafur PalssonDivision of Gastroenterology and Hepatology, University of North Carolina, North Carolina, USA.
Shrikant I BangdiwalaDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada.ORCID https://orcid.org/0000-0002-3111-0689
Ami D SperberFaculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.ORCID https://orcid.org/0000-0002-7634-3689
Albis HaniGastroenterology Unit, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, Colombia.
Luis Bustos FernandezCentro Médico Bustos Fernández, Buenos Aires, Argentina.
Max SchmulsonLaboratory of Liver, Pancreas and Motility (HIPAM)-unit of Research in Experimental Medicine, Faculty of Medicine, Universidad Nacional Autónoma de México (UNAM), Mexico City, Mexico.
Carlos FrancisconiGastroenterology Division, Hospital de Clínicas de Porto Alegre, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDisorders of gut-brain interaction (DGBI) are associated with reduced health-related quality of life (HRQoL) and psychological disorders. Among individuals with DGBI, abdominal pain correlates with increased healthcare-seeking and analgesic use. This study aimed to evaluate the influence of pain as a cardinal symptom on HRQoL and psychological disorders.

methodsThis is a sub-analysis of data from four Latin American countries included in the Rome Foundation Global Epidemiology Study (RFGES). DGBI were classified into (1) painful DGBI, including individuals with diagnoses characterized by pain as a primary symptom, and (2) non-painful DGBI, including individuals with only non-painful diagnoses. Prevalence rates, healthcare-seeking behavior, HRQoL (Patient-Reported Outcomes Measurement Information System Global-10 [PROMIS Global-10]), anxiety and depression (Patient Health Questionnaire-4 [PHQ-4]) and somatization (Patient Health Questionnaire-12 [PHQ-12]) were compared. KEY

resultsA total of 8069 participants from the four countries completed the RFGES online survey, including 1132 in the painful group and 1720 in the non-painful group. Participants with painful DGBI more commonly sought healthcare at least monthly compared to those with non-painful disorders (18.6% vs. 14.9%). Painful disorders were associated with significantly lower HRQoL scores and higher PHQ-4 and PHQ-12 scores, both in unadjusted and adjusted analyses (sex, age, education, and community size). CONCLUSION AND INFERENCES: In four Latin American countries, individuals with painful DGBI were more likely to seek healthcare, had worse HRQoL and exhibited greater psychological distress compared to those with non-painful DGBI. These findings highlight the need for targeted interventions for individuals with painful DGBI symptoms.

Indexed as

Abdominal PainBrain-Gut AxisGastrointestinal DiseasesMental DisordersQuality of LifeAdultAgedFemaleHumansLatin AmericaMaleMiddle AgedYoung AdultDGBIfunctional disordersHRQoLpsychosocial impactRome Foundation Global Epidemiology Study

Identifiers

PMID41213888
PMCPMC12623289

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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.