Evidence map›Paper›PMID 22926500›Full record

ArticleDigestive diseases and sciences2013

Effectiveness of concomitant enteral nutrition therapy and infliximab for maintenance treatment of Crohn's disease in adults.

Fumihito Hirai, Hiroshi Ishihara, Shinichirou Yada, Motohiro Esaki, Tomohisa Ohwan, Ryoichi Nozaki, Shinya Ashizuka, Haruhiko Inatsu, Hidehisa Ohi, Kunihiko Aoyagi and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Digestive diseases and sciences, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 5 pooled it
3.5field-weighted citation impact, top 7% 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

45 citing papers in PubMed, 5 syntheses or guidelines pooled it, 79 citations in OpenAlex.

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  13. Prospective study of an adalimumab combined with partial enteral nutrition in the induction period of Crohn's disease.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2024
    Article
  14. British Dietetic Association consensus guidelines on the nutritional assessment and dietary management of patients with inflammatory bowel disease.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2023
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 2 countries.

Fumihito HiraiDepartment of Gastroenterology, Fukuoka University Chikushi Hospital, 1-1-1 Zokumyoin, Chikushino, Fukuoka, 818-8502, Japan. fuhirai@cis.fukuoka-u.ac.jp
Hiroshi Ishihara
Shinichirou Yada
Motohiro Esaki
Tomohisa Ohwan
Ryoichi Nozaki
Shinya Ashizuka
Haruhiko Inatsu
Hidehisa Ohi
Kunihiko Aoyagi
Yohei Mizuta
Takayuki Matsumoto
Toshiyuki Matsui
Fukuoka University · JPKyushu University · JPTakano Hospital · JPUniversity of Miyazaki · JPImamura Hospital · JPMoroto Hospital · UG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOne of the problems associated with infliximab (IFX) treatment for Crohn's disease (CD) is loss of response during maintenance therapy.

aimsThe aim of this multicenter, retrospective, cohort study was to determine whether enteral nutrition (EN) added to the IFX therapy regimen is effective for maintaining remission in adult CD patients.

methodsPatients with CD who had started IFX therapy between April 2003 and March 2008 at any one of the seven participating medical centers and who met the following inclusion criteria were enrolled in the study: remission after triple infusions of IFX followed by IFX maintenance therapy every 8 weeks, and follow-up data available for ≥ 1 year. Remission was defined as a C-reactive protein (CRP) level of <0.3 mg/dL, and recurrence was defined as an increase in CRP to ≥ 1.5 mg/dL or shortening of the IFX interval. Patients were classified by EN dosage into two groups (EN group and non-EN group). The cumulative remission period and related factors were analyzed.

resultsOf the 102 adult CD patients who met the inclusion criteria, 45 were in the EN group and 57 were in the non-EN group. The cumulative remission rate was significantly higher in the EN group than in the non-EN group (P = 0.009). Multivariate analysis revealed that EN was the only suppressive factor for disease recurrence (P = 0.01).

conclusionsThe results demonstrate that among this CD patient cohort, EN combined with IFX maintenance treatment was clinically useful for maintaining remission.

Indexed as

Enteral NutritionAdultAntibodies, MonoclonalAnti-Inflammatory Agents, Non-SteroidalCrohn DiseaseFemaleHumansInfliximabMaleMultivariate AnalysisRetrospective StudiesSecondary PreventionAntibodies, MonoclonalAnti-Inflammatory Agents, Non-SteroidalInfliximab

Identifiers

PMID22926500
PMCPMC3661072
OpenAlexW2084269410

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.