Evidence map›Paper›PMID 41714311›Full record

ArticleAlimentary pharmacology & therapeutics2026

Novel Symptom Subgroups in Patients With Irritable Bowel Syndrome Are Associated With Healthcare Utilisation in Secondary and Tertiary Care.

Vivek C Goodoory, Mais Khasawneh, Christy Riggott, Dipesh H Vasant, Maria Eugenicos, Imran Aziz, Maura Corsetti, Peter A Paine, Ryan Danvers, Karen McKinnie and 3 more

Abstract read
In one paragraph

Article in Alimentary pharmacology & therapeutics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

1 citing paper in PubMed.

  1. 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

13 authors.

Vivek C GoodooryLeeds Institute of Medical Research at St. James's, University of Leeds, Leeds, UK.ORCID https://orcid.org/0000-0001-9483-5604
Mais KhasawnehLeeds Institute of Medical Research at St. James's, University of Leeds, Leeds, UK.
Christy RiggottLeeds Institute of Medical Research at St. James's, University of Leeds, Leeds, UK.
Dipesh H VasantNeurogastroenterology Unit, Wythenshawe Hospital, Gastrointestinal Medicine and Surgery, Manchester University NHS Foundation Trust, Manchester, UK.
Maria EugenicosDepartment of Gastroenterology, Western General Hospital, Edinburgh, UK.
Imran AzizDivision of Clinical Medicine, School of Medicine and Population Health, University of Sheffield, Sheffield, UK.ORCID https://orcid.org/0000-0003-4313-0553
Maura CorsettiDepartment of Gastroenterology, Queen's Medical Centre, Nottingham, UK.ORCID https://orcid.org/0000-0003-2957-4684
Peter A PaineDepartment of Gastroenterology, Salford Royal NHS Foundation Trust, Manchester, UK.
Ryan DanversNeurogastroenterology Unit, Wythenshawe Hospital, Gastrointestinal Medicine and Surgery, Manchester University NHS Foundation Trust, Manchester, UK.
Karen McKinnieNeurogastroenterology Unit, Wythenshawe Hospital, Gastrointestinal Medicine and Surgery, Manchester University NHS Foundation Trust, Manchester, UK.
Debbie BushDepartment of Gastroenterology, Queen's Medical Centre, Nottingham, UK.
Christopher J BlackLeeds Institute of Medical Research at St. James's, University of Leeds, Leeds, UK.ORCID https://orcid.org/0000-0001-5449-3603
Alexander C FordLeeds Institute of Medical Research at St. James's, University of Leeds, Leeds, UK.ORCID https://orcid.org/0000-0001-6371-4359

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

aimsCurrent classification systems for irritable bowel syndrome (IBS) based on bowel habit do not consider psychological impact. We applied a previously validated latent class analysis (LCA) model to a cohort of patients with IBS in secondary and tertiary care to assess whether it predicted levels of healthcare utilisation.

methodsWe applied our LCA model to a referral population with IBS. As described previously, we assigned cluster membership based on gastrointestinal symptom severity and psychological burden. We assessed demographics, symptom severity and quality of life at baseline and levels of healthcare utilisation during 12 months of longitudinal follow-up according to cluster.

resultsWe recruited 379 patients, of whom 249 (65.7%) met the Rome IV criteria. Those in the four clusters with higher psychological burden had more severe symptoms on the IBS-SSS and lower quality of life scores (p < 0.001 for both). Rates of discharge were generally lower in clusters with higher psychological burden (p = 0.05). Rates of prescribing a drug for IBS (p = 0.001), the mean number of drugs prescribed for IBS (p < 0.001) and the mean number of different drug types prescribed for IBS (p < 0.001 for trend) were highest in the four clusters with higher psychological burden.

conclusionsIn patients with IBS in secondary and tertiary care, the LCA model identified groups of individuals with more severe symptoms and greater impairments in quality of life at baseline and significantly higher rates of healthcare utilisation during longitudinal follow-up.

Indexed as

Irritable Bowel SyndromePatient Acceptance of Health CareTertiary Health CareAdultFemaleHumansLatent Class AnalysisLongitudinal StudiesMaleMiddle AgedQuality of LifeSecondary Health CareSeverity of Illness IndexSymptom Burdenhealthcare utilisationirritable bowel syndromelatent class analysisprognosissubgrouping

Identifiers

PMID41714311
PMCPMC13170633

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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.