Evidence map›Paper›PMID 41825595›Full record

SynthesisAdvances in nutrition (Bethesda, Md.)2026

Study Design Complexity and Participant Completion in Dietary Trials for Inflammatory Bowel Disease: A Systematic Review and Metaresearch Study.

Laura Gregersen, Caroline Moos, Zainab Hikmat, Nathalie Fogh Rasmussen, Sofie Ronja Petersen, Berit Lilienthal Heitmann, Þórhallur Ingi Halldórsson, Vibeke Andersen, Robin Christensen

Abstract readSystematic Review
In one paragraph

Synthesis in Advances in nutrition (Bethesda, Md.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. 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

9 authors.

Laura GregersenMolecular Diagnostics and Clinical Research Unit, Department of Regional Health Research, University of Southern Denmark, Odense, Denmark; The Faculty of Health Sciences, Department of Regional Health Research, University of Southern Denmark, Odense, Denmark; Section for Biostatistics and Evidence-Based Research, the Parker Institute, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark. Electronic address: laura.gregersen@rsyd.dk.
Caroline MoosDepartment of Clinical Research, University Hospital of Southern Denmark, Hospital Sønderjylland, Aabenraa Denmark.
Zainab HikmatMolecular Diagnostics and Clinical Research Unit, Department of Regional Health Research, University of Southern Denmark, Odense, Denmark; The Faculty of Health Sciences, Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.
Nathalie Fogh RasmussenThe Faculty of Health Sciences, Department of Regional Health Research, University of Southern Denmark, Odense, Denmark; Department of Clinical Research, University Hospital of Southern Denmark, Hospital Sønderjylland, Aabenraa Denmark.
Sofie Ronja PetersenDepartment of Clinical Research, University Hospital of Southern Denmark, Hospital Sønderjylland, Aabenraa Denmark.
Berit Lilienthal HeitmannResearch Unit for Diet and Health, the Parker Institute, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark; Section for General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark; The Boden Group, Charles Perkins Centre, University of Sydney, Sydney, New South Wales, Australia.
Þórhallur Ingi HalldórssonMolecular Diagnostics and Clinical Research Unit, Department of Regional Health Research, University of Southern Denmark, Odense, Denmark; Faculty of Food and Science, School of Health Sciences, University of Iceland, Reykjavik, Iceland.
Vibeke AndersenMolecular Diagnostics and Clinical Research Unit, Department of Regional Health Research, University of Southern Denmark, Odense, Denmark; The Faculty of Health Sciences, Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.
Robin ChristensenSection for Biostatistics and Evidence-Based Research, the Parker Institute, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark; Research Unit of Rheumatology, Department of Clinical Research, University of Southern Denmark, Odense University Hospital, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dietary intervention trials in inflammatory bowel disease (IBD) are difficult to implement due to poor adherence, despite their increasing importance for disease management. We conducted a systematic review to evaluate completion rates of dietary intervention trials recruiting patients with IBD and assess completion rate associations with trial design features. We systematically searched MEDLINE (Ovid), Embase (Ovid) and CINAHL (EBSCO) databases on 13 May, 2024 for randomized controlled trials examining dietary or macronutrient supplementary intake effects in patients with IBD, excluding enteral and parenteral nutrition trials. The flow of participants and prespecified trial design features were extracted. Completion rates by study arm were estimated using a multilevel mixed-effects model. Covariates were assessed via metaregression and presented as a forest plot. For each study, the risk of bias was assessed using the Cochrane Collaboration appraisal tool (RoB2) for randomized trials and randomized cross-over trials. Three main risk of bias (RoB) domains (selection and detection biases) were associated with the completion rate. These were included to explore potential biases in the reported information. In total, 62 trials comprising 122 study arms and 3523 participants were included. The overall pooled completion rate was 0.84 [95% confidence interval (CI): 0.80, 0.87] with lower rates of completion in trials published within the last 10 y. Low completion rates were associated with fecal sampling (0.75, 95% CI: 0.50, 1.00), study duration of 4-8 wk (0.79, 95% CI: 0.40, 1.00), and having a low RoB in the management of missing data (0.74, 95% CI: 0.34, 1.00). Overall, the completion rates of patients with IBD participating in controlled dietary intervention trials was high, and there was <15% variation in completion rates in relation to trial design. No linear correlation with trial duration was found. The most pronounced association with low completion was a comprehensive intervention content, i.e., fecal sampling. This study was registered at PROSPERO CRD42022327783.

Indexed as

DietInflammatory Bowel DiseasesPatient ComplianceRandomized Controlled Trials as TopicResearch DesignHumansdietary adherencedietary intervention trial designIBDinflammatory bowel diseasemetaresearchtrial completion rate

Identifiers

PMID41825595
PMCPMC13068548

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.