Evidence map›Paper›PMID 16838143›Full record

ArticleInternational journal of colorectal disease2007

Calprotectin and lactoferrin in the assessment of intestinal inflammation and organic disease.

Renata D'Incà, Elisabetta Dal Pont, Vincenza Di Leo, Antonio Ferronato, Walter Fries, Maria Grazia Vettorato, Diego Martines, Giacomo Carlo Sturniolo

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in International journal of colorectal disease, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03000101 (New Insight and Knowledge on Anti-inflammatory Effectiveness of Dietary Phenolics), which is not on this map. Cited by 69 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 6 pooled it
8.5field-weighted citation impact, top 2% of its field
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.

NCT03000101 nacompletednot on this mapstarted 2017, after this paper: background citation

New Insight and Knowledge on Anti-inflammatory Effectiveness of Dietary Phenolics (NIKE)

TypeinterventionalSponsorIRCCS Azienda Ospedaliero-Universitaria di BolognaRan2017 to 2023Enrolled18ConditionsCrohn's Disease, Ulcerative ColitisArms100% pomegranate juice, placebo beverage
3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 6 syntheses or guidelines pooled it, 215 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Diagnostic accuracy of fecal lactoferrin for inflammatory bowel disease: a meta-analysis.International journal of clinical and experimental pathology · 2015
    Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Article
  9. Article
  10. Review
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  12. Diagnostic accuracy of fecal calprotectin in predicting significant gastrointestinal diseases.JGH open : an open access journal of gastroenterology and hepatology · 2021
    Article
  13. Review
  14. Article
  15. Assessing Severity of Disease in Patients with Ulcerative Colitis.Gastroenterology clinics of North America · 2020
    Review
  16. Calprotectin in inflammatory bowel disease.Clinica chimica acta; international journal of clinical chemistry · 2020
    Review
  17. Relationship between faecal metronidazole and lactoferrin concentrations to clinical response of patients with Clostridioides difficile.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2020
    Article
  18. Article
  19. Article
  20. Article

9 more citing papers are in PubMed but not listed here.

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

8 authors at 2 institutions in 1 country.

Renata D'IncàDepartment of Surgical and Gastroenterological Sciences, University of Padua, Padova, Italy. dinca@unipd.it
Elisabetta Dal Pont
Vincenza Di Leo
Antonio Ferronato
Walter Fries
Maria Grazia Vettorato
Diego Martines
Giacomo Carlo Sturniolo
University of Padua · ITUniversity of Messina · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsCalprotectin and lactoferrin are specific neutrophil-derived proteins, which can be measured in the feces because they are released by cells in inflammatory conditions. We evaluated the efficacy of calprotectin and lactoferrin in detecting organic disease as assessed by colonoscopy.

methodsThe study comprised 144 patients undergoing colonoscopy for lower gastrointestinal symptoms (abdominal pain, altered bowel habits, and bloody stools) (67), or inflammatory bowel disease activity, or surveillance for dysplasia (77). A single stool sample was assayed for calprotectin and lactoferrin. The proportion of patients correctly diagnosed with each test and the relationship with endoscopic and histological findings were measured.

resultsFecal excretion of calprotectin significantly correlated with the finding of colonic inflammation at endoscopy, both in ulcerative colitis and in Crohn's disease (p<0,001 and p<0,008, respectively), while lactoferrin excretion significantly correlated with histological inflammation (p=0.001 and p=0.009 respectively). Recommended cut-off values need to be adjusted in the inflammatory bowel disease group. Overall sensitivity, specificity, positive predictive value, and diagnostic efficacy were 78, 83, 86, and 80% for calprotectin and 80, 85, 87, and 81% for lactoferrin, respectively.

conclusionsFecal calprotectin and lactoferrin appear to be equally recommendable as inflammatory disease markers in patients with lower gastrointestinal symptoms. Both tests are needed to accurately discriminate activity in inflammatory bowel disease patients.

Indexed as

AdolescentAdultAgedAged, 80 and overColitis, UlcerativeColonoscopyCrohn DiseaseFecesFemaleGastroenteritisHumansInflammatory Bowel DiseasesLactoferrinLeukocyte L1 Antigen ComplexMaleMiddle AgedLactoferrinLeukocyte L1 Antigen Complex

Identifiers

PMID16838143
OpenAlexW1977775656

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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 OpenQuestion graph.