Cochrane · systematic review · CD013589
Interventions for the management of abdominal pain in ulcerative colitis
Sinopoulou, V, Gordon, M, Dovey, TM., et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library
GutAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
24
current version
GRADE rated
11
No studies
12
Included studies
NR
No studies 12 · 50%Ungraded 1 · 4.2%Very low 11 · 45.8%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Low FODMAPs diet compared to sham diet for the management of abdominal pain in ulcerative colitis
Population: UC patients
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Treatment success as defined by the authors Low FODMAPs diet vs sham diet | no estimate extracted | NR | No studies |
Pain frequency (measured in days of pain on the IBS‐SSS questionnaire) Low FODMAPs diet vs sham diet | no estimate extracted | 1 study · 26 participants | Very low Downgraded: risk of bias, imprecision |
Pain intensity (0‐10cm visual analogue scale) Low FODMAPs diet vs sham diet | no estimate extracted | 1 study · 26 participants | Very low Downgraded: risk of bias, imprecision |
Withdrawal due to adverse events Low FODMAPs diet vs sham diet | RR 1.85 | 1 study · 52 participants | Very low Downgraded: risk of bias, imprecision |
Relaxation training compared to wait‐list for the management of abdominal pain in ulcerative colitis
Population: UC patients
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Treatment success as defined by the authors Relaxation training vs wait‐list | no estimate extracted | NR | No studies |
Pain frequency (end of intervention, hours between pain episodes) Relaxation training vs wait‐list | no estimate extracted | 1 study · 40 participants | Very low Downgraded: risk of bias, imprecision |
Pain frequency (6 weeks after end of intervention, hours between pain episodes) Relaxation training vs wait‐list | no estimate extracted | 1 study · 40 participants | Very low Downgraded: risk of bias, imprecision |
Pain intensity (end of intervention, unidentified 0‐10 scale) Relaxation training vs wait‐list | no estimate extracted | 1 study · 40 participants | Very low Downgraded: risk of bias, imprecision |
Pain intensity (6 weeks after end of intervention, unidentified 0‐10 scale) Relaxation training vs wait‐list | no estimate extracted | 1 study · 40 participants | Very low Downgraded: risk of bias, imprecision |
Withdrawals due to adverse events Relaxation training vs wait‐list | no estimate extracted | NR | No studies |
Yoga intervention compared to no intervention for the management of abdominal pain in ulcerative colitis
Population: UC patients
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Treatment success as defined by the authors Yoga intervention vs no intervention | no estimate extracted | NR | No studies |
Pain frequency Yoga intervention vs no intervention | no estimate extracted | NR | No studies |
Pain intensity Yoga intervention vs no intervention | no estimate extracted | NR | No studies |
Withdrawal due to adverse events Yoga intervention vs no intervention | RR 0.5 [0.05, 5.22] | 1 study · 60 participants | Very low Downgraded: risk of bias, imprecision |
State anxiety (20‐item State Anxiety Inventory, results range between 20 and 80) Yoga intervention vs no intervention | no estimate extracted | 1 study · 60 participants | Very low Downgraded: risk of bias, imprecision |
Trait anxiety (20‐item Trait Anxiety Inventory, results range between 20 and 80) Yoga intervention vs no intervention | no estimate extracted | 1 study · 60 participants | Very low Downgraded: risk of bias, imprecision |
Kefir compared to no intervention for the management of abdominal pain in ulcerative colitis
Population: UC patients
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Treatment success as defined by the authors Kefir vs no intervention | no estimate extracted | NR | No studies |
Pain frequency Kefir vs no intervention | no estimate extracted | NR | No studies |
Pain intensity (measure on a 0‐3 four‐point scale) Kefir vs no intervention | no estimate extracted | 1 study · 25 participants | Very low Downgraded: risk of bias, imprecision |
Withdrawals due to adverse events Kefir vs no intervention | no estimate extracted | 1 study · 20 participants | Ungraded |
Stellate ganglion block compared to sulphasalazine for the management of abdominal pain in ulcerative colitis
Population: UC patients
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Treatment success as defined by the authors Stellate ganglion block vs sulphasalazine | no estimate extracted | NR | No studies |
Pain frequency Stellate ganglion block vs sulphasalazine | no estimate extracted | NR | No studies |
Pain intensity (measure on a 0‐3 four‐point scale) Stellate ganglion block vs sulphasalazine | no estimate extracted | NR | No studies |
Withdrawals due to adverse events Stellate ganglion block vs sulphasalazine | no estimate extracted | NR | No studies |