Evidence map›Paper›PMID 19018340›Full record

Trial reportCanadian journal of gastroenterology = Journal canadien de gastroenterologie2008

The use of infliximab for treatment of hospitalized patients with acute severe ulcerative colitis.

B Bressler, J K Law, N Al Nahdi Sheraisher, K Atkinson, M F Byrne, H V Chung, M Fishman, N Partovi, D Pearson, R Penner and 1 more

Open access · goldAbstract readClinical TrialComparative StudyMulticenter Study
In one paragraph

Trial report in Canadian journal of gastroenterology = Journal canadien de gastroenterologie, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Management of acute colitis and toxic megacolon.Clinics in colon and rectal surgery · 2010
    Article
  11. Review
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

11 authors at 7 institutions in 1 country.

B BresslerDepartment of Medicine, St. Paul's Hospital, University of British Columbia, Vancouver, Canada. brian_bressler@hotmail.com
J K Law
N Al Nahdi Sheraisher
K Atkinson
M F Byrne
H V Chung
M Fishman
N Partovi
D Pearson
R Penner
R A Enns
Richmond Hospital · CARoyal Columbian Hospital · CASt. Paul's Hospital · CAUniversity of British Columbia · CAKelowna General Hospital · CARoyal Jubilee Hospital · CAVancouver General Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimThe use of infliximab in severe ulcerative colitis (UC) is established; however, its role in severe acute UC requires clarification. The present multicentre case series evaluated infliximab in hospitalized patients with steroid-refractory severe UC.

methodsPatients from six hospitals were retrospectively evaluated. Data collection included demographics, duration of disease and previous treatments. The primary end point was response to in-hospital infliximab; defined as discharge without colectomy.

resultsTwenty-one patients (median age 26 years) were admitted between May 2006 and May 2008 with severe UC requiring intravenous steroids and given infliximab (median time to infusion eight days). Sixteen (76%) patients were discharged home without colectomy; three of these underwent colectomy at a later date. Of the remaining 13 patients (62%), all but two did not require further courses of steroids; six patients had infliximab as a bridge to azathioprine and seven patients were maintained on regular infliximab. Five patients required in-hospital colectomy after the initial infliximab.

conclusionsIn this real-life experience of infliximab in patients with steroid-refractory severe UC, infliximab appears to be a viable rescue therapy. The majority of patients were discharged without surgery and 62% maintained response either as a bridge to azathioprine or maintenance infliximab.

Indexed as

InpatientsAcute DiseaseAdolescentAdultAgedAntibodies, MonoclonalBritish ColumbiaColitis, UlcerativeColonoscopyFemaleFollow-Up StudiesGastrointestinal AgentsHumansInfliximabMaleMiddle AgedAntibodies, MonoclonalGastrointestinal AgentsInfliximabTumor Necrosis Factor-alpha

Identifiers

PMID19018340
PMCPMC2661197
OpenAlexW1573635904

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.