Prevalence of Extraintestinal Manifestations in Inflammatory Bowel Disease: A Systematic Review and Meta-analysis.

Background Inflammatory bowel disease (IBD) is a multisystem disease impacting various body systems including musculoskeletal, ocular, skin, hepatobiliary, pulmonary, cardiac, and haematological systems. The extraintestinal manifestations of IBD are frequent, common in both ulcerative colitis (UC) a...

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Publicado en:Inflammatory Bowel Diseases Vol. 30; no. 2; pp. 230 - 240
Autores principales: Kilic, Yakup, Kamal, Shahed, Jaffar, Farah, Sriranganathan, Danujan, Quraishi, Mohammed Nabil, Segal, Jonathan P
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: Oxford University Press / USA Feb2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2024
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      pub: Oxford University Press / USA
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        atl: Prevalence of Extraintestinal Manifestations in Inflammatory Bowel Disease: A Systematic Review and Meta-analysis.
      aug:
        au:
          Kilic, Yakup
          Kamal, Shahed
          Jaffar, Farah
          Sriranganathan, Danujan
          Quraishi, Mohammed Nabil
          Segal, Jonathan P
        affil: Department of Radiology, University College London Hospitals NHS Foundation Trust , 235 Euston Road, London NW1 2BU , United Kingdom
      sug:
        subj:
          Inflammatory Bowel Diseases Physiopathology
          Human
          Systematic Review
          Meta Analysis
          Embase
          PubMed
          Inflammatory Bowel Diseases Complications
          Skin Diseases Risk Factors
      ab: Background Inflammatory bowel disease (IBD) is a multisystem disease impacting various body systems including musculoskeletal, ocular, skin, hepatobiliary, pulmonary, cardiac, and haematological systems. The extraintestinal manifestations of IBD are frequent, common in both ulcerative colitis (UC) and Crohn's disease (CD), and impact the morbidity and mortality of patients. Methods The Embase, Embase classic, and PubMed databases were searched between January 1979 and December 2021. A random effects model was performed to find the pooled prevalence of joint, ocular, and skin extraintestinal manifestations of UC and CD. Results Fifty-two studies were included that reported on 352 454 patients. The prevalence of at least 1 joint, ocular, or skin extraintestinal manifestation in all IBD, UC, and CD was 24%, 27%, and 35% respectively. The prevalence between UC and CD were similar for pyoderma gangrenosum and axial joint manifestations. Ocular manifestations were found to be more common in CD than in UC. Peripheral joint manifestations and erythema nodosum were found to be more common in CD than UC. Discussion To our knowledge, this is the first meta-analysis that reports on the prevalence of at least 1 joint, ocular, or skin extraintestinal manifestation in IBD. Our results are largely consistent with figures and statements quoted in the literature. However, our findings are based on significantly larger cohort sizes. Thus, our results have the potential to better power studies and more accurately counsel patients.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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