Evidence map›Paper›PMID 41769455›Full record

ArticleCureus2026

Internet Dietary Guidance for Pediatric Inflammatory Bowel Disease: A Quality and Readability Crisis.

Rachel A Donaldson, Nicole F Miller, Bruno P Chumpitazi, John L Lyles

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Rachel A DonaldsonPediatric Gastroenterology, Duke University School of Medicine, Durham, USA.
Nicole F MillerPediatric Gastroenterology, Duke University School of Medicine, Durham, USA.
Bruno P ChumpitaziPediatric Gastroenterology, Duke University School of Medicine, Durham, USA.
John L LylesPediatric Gastroenterology, Duke University School of Medicine, Durham, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiet and nutritional therapy are treatment options for children with inflammatory bowel disease (IBD). Parents of children with medical conditions often turn to the internet for medical guidance. However, the quality and readability of internet dietary information for pediatric IBD are currently unknown. The objective of this study was to evaluate the quality and readability of websites about diet for pediatric IBD.

methodsTop internet websites for the searches "IBD, diet, children," "Crohn's disease, diet, children," and "ulcerative colitis, diet, children" were rated using the DISCERN instrument, a validated tool for rating consumer health information, on a scale of 1-5 to assess reliability, information quality, and overall quality (5 = highest reliability or quality). The Flesch-Kincaid grade level (FKGL) was used to determine website readability.

resultsThe mean reliability scores were 3.1 for searches on "IBD, diet, children," 3.0 for "Crohn's disease, diet, children," and 3.1 for "ulcerative colitis, diet, children." The corresponding mean information quality scores were 2.5, 2.5, and 2.4, and the mean overall quality scores were 2.8, 2.7, and 2.9. The mean reading grade levels required to understand the content per FKGL were 11.9, 10.8, and 11.1. Across the websites, 23 highly variable dietary recommendations were made.

conclusionsFor internet search results about diet and pediatric IBD, mean scores indicated moderate website reliability but poor information quality and overall quality. Websites were written at approximately an 11th-grade reading level, above the recommended standard for patient education. Dietary recommendations were numerous and inconsistent.

Indexed as

crohn's diseasedietinternetnutritionpediatric inflammatory bowel diseasereadabilityulcerative colitis

Identifiers

PMID41769455
PMCPMC12937026

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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.