Evidence map›Paper›PMID 42376455›Full record

ArticleInflammatory intestinal diseases

Impact of Bowel Rest on Hospitalized Patients with Ulcerative Colitis.

Nobuaki Shu, Yuki Ohta, Jun Kato, Kento Shimizu, Hiromi Arakawa, Yoshiki Matsubara, Takuya Ohashi, Tomomi Ozaki, Toshiyuki Ito, Ryo Saito and 14 more

Abstract read
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In one paragraph

Article in Inflammatory intestinal diseases. 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

24 authors.

Nobuaki ShuDepartment of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba, Japan.
Yuki OhtaDepartment of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba, Japan.
Jun KatoDepartment of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba, Japan.
Kento ShimizuDepartment of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba, Japan.
Hiromi ArakawaDepartment of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba, Japan.
Yoshiki MatsubaraDepartment of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba, Japan.
Takuya OhashiDepartment of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba, Japan.
Tomomi OzakiDepartment of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba, Japan.
Toshiyuki ItoDepartment of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba, Japan.
Ryo SaitoDepartment of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba, Japan.
Yusuke OzekiDepartment of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba, Japan.
Miyuki IwasakiDepartment of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba, Japan.
Makoto FuruyaDepartment of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba, Japan.
Chihiro GotoDepartment of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba, Japan.
Ryosuke HorioDepartment of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba, Japan.
Akane KurosugiDepartment of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba, Japan.
Michiko SonodaDepartment of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba, Japan.
Tsubasa IshikawaDepartment of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba, Japan.
Hirotaka OuraDepartment of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba, Japan.
Tatsuya KanekoDepartment of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba, Japan.
Takashi TaidaDepartment of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba, Japan.
Kenichiro OkimotoDepartment of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba, Japan.
Keiko SaitoDepartment of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba, Japan.
Tomoaki MatsumuraDepartment of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Bowel rest has traditionally been practiced for hospitalized patients with severe ulcerative colitis (UC). Most available evidence for bowel rest in UC originates from the prebiologic era. Therefore, this study evaluated the clinical impact of bowel rest in hospitalized patients with UC under modern therapy. Methods: A retrospective study was performed at a single tertiary hospital, where a change in institutional policy for hospitalized UC patients replaced essential bowel rest with early oral feeding in October 2019. Hospitalized UC patients were classified according to the timing of admission into a bowel rest group (group BR; February 2017-September 2019) and a non-bowel rest group (group non-BR; October 2019-October 2023). The primary outcome was colectomy avoidance. Secondary outcomes included hospital length of stay (LOS), central venous catheter (CVC) use, and related complications such as venous thromboembolism (VTE) and catheter-related bloodstream infection (CRBSI). Results: A total of 76 patients were analyzed (38 per group). Colectomy avoidance rate was similar in both groups (84.2% each, Conclusions: Among UC patients able to tolerate oral intake, oral intake was associated with shorter hospitalization and reduced CVC use, suggesting that routine bowel rest may not provide additional benefit.

Indexed as

Bowel restColectomyHospitalizationNutritional managementUlcerative colitis

Identifiers

PMID42376455
PMCPMC13313625

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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.