ReviewInflammatory bowel diseases2026
Bowel urgency in inflammatory bowel disease: A concept analysis.
Review in Inflammatory bowel diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBowel urgency is a distressing and often underrecognized symptom of inflammatory bowel disease (IBD). It represents a sudden and compelling need to defecate that is difficult to defer and strongly affects patients' quality of life. Despite its clinical importance, the concept of bowel urgency remains poorly characterized and inconsistently measured across studies.
aimsThis review aims to clarify the conceptual boundaries of bowel urgency, summarize recent clinical and mechanistic evidence, and provide a framework to guide its assessment and management in clinical practice and research.
methodsA narrative concept analysis was conducted using Walker and Avant's 8-step method. Evidence from clinical, physiological, and patient-reported outcome studies published between 2016 and 2025 was integrated across major databases (MEDLINE, PsycInfo, Scopus, Web of Science) to identify defining attributes, antecedents, and consequences of bowel urgency in IBD.
resultsSeven defining attributes were identified: sudden onset, perceived uncontrollability, compressed time to toilet, fear or risk of incontinence, anticipatory anxiety, behavioral planning or avoidance, and persistence despite inflammatory quiescence. Biological antecedents include rectal inflammation, hypersensitivity, and altered pelvic floor function, while psychosocial factors such as vigilance and anxiety contribute to chronicity. Consequences extend from emotional distress and reduced social participation to increased healthcare utilization. Current tools, including the Urgency Numeric Rating Scale, capture intensity but fail to reflect multidimensional impact.
conclusionsBowel urgency is a multidimensional clinical construct with physiological, psychological, and behavioral components. Its systematic assessment should become a routine element of IBD care and a standardized endpoint in clinical trials. Developing and validating a multidimensional, IBD-specific urgency measure would bridge symptom monitoring and patient-centered outcomes.
Indexed as
Identifiers
What OpenQuestion holds
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.