Systemic sclerosis & Raynaud's

Slow Colonic Transit in Systemic Sclerosis: An Objective Assessment of Risk Factors and Clinical Phenotype

Arthritis Care Res (Hoboken)Published Prospective cohort study

Authors' conclusion

Distinct clinical features are associated with slow colonic transit in SSc.

Study context

Population
Systemic sclerosis (SSc) patients with gastrointestinal symptoms
Participants
100 patients
Exposure
SSc patients with vs without slow colonic transit
  • Slow colonic transitn = 48
Outcome
Clinical features associated with slow colonic transit
Methodological detailsscintigraphy-based whole gut transit study, univariate and multivariable logistic regression
  • Scintigraphy-based whole gut transit study
  • Univariate and multivariable logistic regression

Main finding

As reported in the abstract

Slow colonic transit

48%

48

Telangiectasia, multivariable OR
3.97 (1.20-13.20) (95% CI)
Significant restriction on pulmonary function tests, multivariable OR
0.28 (0.09-0.86) (95% CI)
Prior or current smoking, multivariable OR (95% CI) (trend)
2.16 (0.82-5.75)

Observational data: associations, not effects.

Further findings

Univariate associations with slow colonic transit

Female sex, OR
12.61 (1.56-101.90) (95% CI)
Telangiectasia, OR
4.00 (1.32-12.10) (95% CI)
Anticentromere antibodies, OR
3.25 (1.25-8.44) (95% CI)
Prior or current smoking, OR
2.56 (1.06-6.21) (95% CI)
Medsger GI severity score ≥3, OR
3.94 (1.16-13.36) (95% CI)
Significant restriction on pulmonary function tests, OR
0.23 (0.09-0.63) (95% CI)

Delayed transit in other GI tract regions

No significant associations with slow colonic transit

Original publication

Slow Colonic Transit in Systemic Sclerosis: An Objective Assessment of Risk Factors and Clinical Phenotype. Arthritis Care Res (Hoboken). Published 13 September 2022. doi:10.1002/acr.24767

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