David J. Gracie
University of Leeds
PsychiatryInternal medicineIntensive care medicinePhysical therapyImmunologyInfliximabInflammatory bowel diseaseIrritable bowel syndromeFaecal calprotectinDepression (differential diagnoses)DiseaseComorbidityCrohn's diseaseMEDLINEUlcerative colitisMoodPopulationAnxietyMedicineGastroenterologyMeta-analysis
85Publications
16H-index
1,168Citations
Publications 77
Newest
#1Shujing Jane Lim (St James's University Hospital)H-Index: 1
#2David J. Gracie (University of Leeds)H-Index: 16
Last. Christopher J Black (University of Leeds)H-Index: 13
view all 8 authors...
BACKGROUND: 23-seleno-25-homo-tauro-cholic acid (SeHCAT) scanning to rule out bile acid diarrhea (BAD) in patients with chronic diarrhea has a high yield. Our previous study showed that patients with terminal ileal (TI) Crohn's disease, TI resection, or cholecystectomy were highly likely to have an abnormal scan. As a result, we encouraged clinicians to use a therapeutic trial of a bile acid sequestrant in these patients, instead of scanning. This may have reduced diagnostic yield of the test, s...
5 CitationsSource
#1David J. Gracie (St James's University Hospital)H-Index: 16
#2P John Hamlin (St James's University Hospital)H-Index: 12
Last. Alexander C. Ford (University of Leeds)H-Index: 86
view all 3 authors...
Summary Brain–gut interactions affect psychological wellbeing and symptom reporting in functional gastrointestinal disorders; the presence of anxiety or depression is associated with the development of new-onset gastrointestinal symptoms, and the presence of gastrointestinal symptoms is associated with the development of psychological disorders de novo. In inflammatory bowel diseases (IBD), the reporting of irritable bowel syndrome (IBS)-type symptoms by patients with quiescent disease is common...
33 CitationsSource
#1David J. Gracie (St James's University Hospital)H-Index: 16
#2Alexander C. Ford (St James's University Hospital)H-Index: 86
2 CitationsSource
#1Anthony O'Connor (Trinity College, Dublin)H-Index: 22
#2Raguprakash Ratnakumaran (University of Leeds)H-Index: 5
Last. Alexander C. Ford (University of Leeds)H-Index: 86
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Introduction:Fatigue is a frequent, debilitating symptom of inflammatory bowel disease (IBD). Despite this, studies report dissatisfaction among IBD patients regarding how little attention is given to fatigue-related issues during consultations. We performed a pilot randomized controlled trial (RCT) to assess whether a brief, structured, multidisciplinary psychological support program improved fatigue, mood and quality of life indices in patients with quiescent IBD.Methods:The intervention consi...
4 CitationsSource
#1David J. Gracie (St James's University Hospital)H-Index: 16
#2Alexander C. Ford (University of Leeds)H-Index: 86
1 CitationsSource
#1David J. Gracie (University of Leeds)H-Index: 16
#2Alexander C. Ford (University of Leeds)H-Index: 86
Source
#1Barry Hall (St James's University Hospital)H-Index: 2
#2P John Hamlin (University of Leeds)H-Index: 12
Last. Alexander C. Ford (University of Leeds)H-Index: 86
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Background and Aims. Mood may have an important role in the natural history of inflammatory bowel disease (IBD). However, the impact of antidepressant use on prognosis is unknown. We aimed to address this in a longitudinal study in a referral population. Methods. We collected demographic data, clinical disease activity and mood using validated questionnaires, and antidepressant use at baseline. Longitudinal disease activity was defined by disease flare or need for glucocorticosteroids, escalatio...
9 CitationsSource
#1Oliver Shutkever (University of Leeds)H-Index: 1
#2David J. Gracie (University of Leeds)H-Index: 16
Last. Philip Quirke (University of Leeds)H-Index: 101
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Background: The microbiome is implicated in the pathogenesis of inflammatory bowel disease (IBD) and irritable bowel syndrome (IBS). Whether a distinct microbiome profile is associated with the reporting of IBS-type symptoms in IBD patients is uncertain. We aimed to resolve this issue using a cross-sectional study design. Methods: Using clinical disease activity indices, the Rome III criteria for IBS and fecal calprotectin levels, we divided IBD patients into 4 groups: IBS-type symptoms, quiesce...
7 CitationsSource
#1David J. Gracie (University of Leeds)H-Index: 16
#2Elspeth Guthrie (University of Leeds)H-Index: 40
Last. Alexander C. Ford (University of Leeds)H-Index: 86
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Abstract Background & Aims Inflammatory bowel diseases (IBD) are associated with mood disorders, such as anxiety or depression, but it is not clear whether one contributes to development of the other, or if the interaction is bi-directional (anxiety or depression contributes to the progression of IBD, and IBD affects psychologic health). We performed a 2-year longitudinal prospective study of patients in secondary to care investigate the bi-directionality of IBD and mood disorders. Methods We co...
91 CitationsSource
#1Raguprakash Ratnakumaran (University of Leeds)H-Index: 5
#2N. To (University of Leeds)H-Index: 7
Last. P John Hamlin (University of Leeds)H-Index: 12
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AbstractObjectives: Recently, the infliximab biosimilar (CT-P13) received market authorisation for inflammatory bowel disease (IBD), allowing cost benefits when switching to CT-P13. We aim to assess the efficacy and safety of switching from originator infliximab to CT-P13 for new and existing patients.Material and methods: Treatment response, remission, primary and secondary loss of response rates, and adverse events in patients who initiated infliximab originator in the 12 months pre-switch (n ...
19 CitationsSource