Evidence map›Paper›PMID 7672685›Full record

Trial reportGut1995

A controlled study of bone mineral density in patients with inflammatory bowel disease.

J A Silvennoinen, T J Karttunen, S E Niemelä, J J Manelius, J K Lehtola

Abstract readClinical TrialRandomized Controlled Trial
In one paragraph

Trial report in Gut, 1995. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
–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

43 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. The association between theFrontiers in genetics · 2026
    Article
  8. Article
  9. Reduced bone mass and preserved marrow adipose tissue in patients with inflammatory bowel diseases in long-term remission.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2017
    Article
  10. Article
  11. Sex-Specific Issues in Inflammatory Bowel Disease.Gastroenterology & hepatology · 2015
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. High prevalence of vitamin K and D deficiency and decreased BMD in inflammatory bowel disease.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2009
    Article
  18. Article
  19. Improvement of lumbar bone mass after infliximab therapy in Crohn's disease patients.Canadian journal of gastroenterology = Journal canadien de gastroenterologie · 2007
    Article
  20. Bone mineral density in Iranian patients with inflammatory bowel disease.International journal of colorectal disease · 2006
    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

5 authors.

J A SilvennoinenDepartment of Internal Medicine, University Hospital of Oulu, Finland.
T J Karttunen
S E Niemelä
J J Manelius
J K Lehtola

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To assess the prevalence of and risk factors for low bone mineral density in inflammatory bowel disease (IBD), 152 IBD patients and 73 healthy controls were studied. Sixty seven patients had ulcerative colitis, 78 had Crohn's disease (52 of them (66.7%) had ileal disease), and seven had indeterminate colitis. Bone mineral density values (g/cm2) measured by dual energy x ray absorbtiometry at the spine (L2-L4), the femoral neck, Ward's triangle, and the trochanter were 1.177, 0.948, 0.850, and 0.838 in the patients and 1.228 (p = 0.034), 1.001 (p = 0.009), 0.889 (NS), and 0.888 (p = 0.012) in the control group, respectively. The type or extent of the disease or previous small bowel resection did not have any significant effect on the bone mineral density values. There was a weak, but statistically significant negative correlation between bone mineral density and the total lifetime corticosteroid dose (in the lumbar spine r = -0.164, p = 0.04, the femoral neck r = -0.185, p = 0.02, Ward's triangle r = -0.167, p = 0.04, and the trochanter r = -0.237, p = 0.003). The patients whose lifetime corticosteroid dose (prednisone/prednisolone) was more than 10 g had especially low bone mineral density (p < 0.05 compared with the groups with no or less than 5 g of corticosteroid). The patients who had never taken peroral corticosteroids did not have decreased bone mineral density. In conclusion, IBD patients have significantly lower bone mineral density values than healthy controls, but the difference is not so great as has been reported previously. Low bone mineral density values in these patients are related to high lifetime corticosteroid doses.

Indexed as

Bone DensityAdrenal Cortex HormonesAdultBody Mass IndexColectomyColitis, UlcerativeCrohn DiseaseFemaleHumansMaleMiddle AgedOsteoporosisProspective StudiesAdrenal Cortex Hormones

Identifiers

PMID7672685
PMCPMC1382771

What OpenQuestion holds

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Read underepoch 390

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.