Cure8 news brief
Cure8 news brief
RDW is a cheap, routinely measured blood parameter; if it reliably reflects IBD presence or activity, it could be an easy additional tool to help detect flares or support assessment without extra testing.
Adult patients with IBD, clinicians who manage IBD (gastroenterologists, IBD nurses), and researchers interested in biomarkers for disease monitoring.
A systematic review and meta-analysis published in BMC Gastroenterology and summarised by EMJ Reviews reports that red blood cell distribution width (RDW) — a routine component of complete blood counts — was consistently higher in people with Crohn’s disease and ulcerative colitis versus healthy controls, and higher during active disease versus remission.
The pooled analyses showed mean differences in RDW for Crohn’s disease and ulcerative colitis and identified an RDW threshold (>14%) with reasonable sensitivity and specificity for distinguishing active Crohn’s disease from remission in the analyzed studies.
These findings describe RDW as an inexpensive, widely available blood parameter that may help support clinical assessment of IBD alongside established measures.
The study used PRISMA methods and pooled data up to September 2025, but the EMJ summary does not provide details on heterogeneity between studies, possible confounders (for example, concurrent anemia, iron status, or inflammation from other causes), or whether RDW adds independent predictive value beyond existing biomarkers such as CRP or fecal calprotectin.
If considering RDW in practice, clinicians would need to interpret it alongside the full clinical picture and other tests; the article presents RDW as a supportive biomarker rather than a standalone diagnostic or monitoring tool.
The EMJ article summarises a systematic review and meta-analysis (BMC Gastroenterology 2026). The summary does not detail study-by-study differences, adjustment for anemia or iron deficiency, or direct comparisons against established markers; those details would affect how RDW could be applied in practice.
Review the original publication for the complete reporting, methods, and context.
This Cure8 brief is based on source text from the linked article. Cure8 is informational only and is not a substitute for professional medical advice, diagnosis, or treatment.