Evidence map›Paper›PMID 19765361›Full record

ArticleCurrent gastroenterology reports2009

NSAIDs and the gastrointestinal tract.

Maneesh Gupta, Glenn M Eisen

Abstract read
PubMed Publisher
In one paragraph

Article in Current gastroenterology reports, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
  2. Pharmacotherapies in Geriatric Chronic Pain Management.Clinics in geriatric medicine · 2016
    Review
  3. Review
  4. Article
  5. Article
  6. Recognizing the Risks of Chronic Nonsteroidal Anti-Inflammatory Drug Use in Older Adults.The annals of long-term care : the official journal of the American Medical Directors Association · 2010
    Article
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

2 authors.

Maneesh GuptaDivision of Gastroenterology, Digestive Health Center, Center for Health and Healing, 6th Floor, Oregon Health and Science University, Portland, OR 97239, USA.
Glenn M Eisen

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

NSAIDs incur significant gastrointestinal (GI) side effects. The complication risk increases with history of peptic ulcer or older age. Helicobacter pylori infection and cardioprotective aspirin have independent and additive risks in the presence of NSAID use. NSAID enteropathy is increasingly recognized. Cardiovascular and GI risk stratification and H. pylori infection testing should be done before initiating NSAIDs. An NSAID combined with a proton pump inhibitor (PPI) is comparable to cyclooxygenase (COX)-2 inhibitors for gastroprotection, but for high-risk patients, COX-2 plus PPI should be considered. Aspirin and COX-2 inhibitors are associated with reduced colon adenoma risk, but higher dose and longer duration of treatment with aspirin appears effective. Hence, patients at high risk of colorectal cancer (with significant family or personal history of premalignant adenoma) must be identified, and cardiovascular and GI risk must be assessed before using these agents as chemopreventive drugs.

Indexed as

AdenomaAnti-Inflammatory Agents, Non-SteroidalArthritis, RheumatoidColonic NeoplasmsCyclooxygenase InhibitorsDrug Therapy, CombinationDuodenal UlcerGastrointestinal DiseasesGastrointestinal TractHumansProton Pump InhibitorsRisk AssessmentStomach UlcerAnti-Inflammatory Agents, Non-SteroidalCyclooxygenase InhibitorsProton Pump Inhibitors

Identifiers

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.