Evidence mapPaperPMID 40917833Full record

SynthesisFrontiers in medicine2025

The role of GLP-1 receptor agonists in IBD-related surgery and IBD-related complications of inflammatory bowel disease among patients with metabolic comorbidities: a systematic review and meta-analysis.

Mengqi Yang, Yujia Huo, Zhining Liu, Guannan Bai, Dongjun He, Lin Zhang

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
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

6 authors.

Mengqi Yang *The Faculty of Pharmacy and Pharmaceutical Science, Monash University, Melbourne, VIC, Australia.
Yujia Huo *The School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
Zhining LiuDepartment of General Surgery, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Guannan BaiDepartment of Child Health Care, Children's Hospital, National Clinical Research Center for Child Health, Zhejiang University School of Medicine, Hangzhou, China.
Dongjun HeDepartment of Endocrinology, The Second People's Hospital of Quzhou, Quzhou, China.
Lin ZhangThe School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Glucagon-like peptide-1 receptor agonists (GLP-1RAs) are widely used for type 2 diabetes and obesity, and emerging evidence suggests potential immunomodulatory effects. However, few studies have evaluated their role in inflammatory bowel disease (IBD), and no comprehensive clinical trials exist. This meta-analysis aimed to assess the association between GLP-1RA use and IBD-related surgeries and complications. Methods: A systematic literature search was conducted in PubMed, Embase, and Web of Science from inception to March 2025. Cohort studies comparing IBD patients treated with GLP-1RAs versus non-users were included. Two reviewers independently performed study selection and data extraction. Random-effects meta-analyses were performed using log-transformed effect sizes. Heterogeneity was assessed using I Results: Six studies were included, providing eight effect estimates (two studies contributed two cohorts each). Three of the six included studies (50%) were non-peer-reviewed conference abstracts, which may affect interpretability. For IBD-related surgery (4 effect estimates), GLP-1RA use was significantly associated with lower risk (pooled estimate: 0.45; 95% CI: 0.35-0.59; I Conclusion: GLP-1RA use may reduce the risk of IBD-related surgery among IBD patients with metabolic comorbidities. Findings for IBD-related complications should be interpreted with caution due to substantial heterogeneity and the inclusion of abstract-only studies. Further prospective research is warranted. Systematic review registration: This systematic review was prospectively registered with the International Prospective Register of Systematic Reviews (PROSPERO), under registration ID CRD420251015882. The full protocol is publicly accessible through the PROSPERO database at https://www.crd.york.ac.uk/prospero/. No amendments were made to the original protocol. Any changes arising during the peer-review process will be transparently documented in the final publication.

Indexed as

cohort studiesCrohn’s diseaseGLP-1RAIBDinflammatory bowel diseasemeta-analysissystematic reviewulcerative colitis

Identifiers

PMID40917833
PMCPMC12408605

What Socratic holds

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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 Socratic graph.