Evidence map›Paper›PMID 23695484›Full record

ReviewJAMA2013

Management of active Crohn disease.

Adam S Cheifetz

Registry-linked trialOpen access · bronzeAbstract readCase ReportsClinical ConferenceReview
In one paragraph

Review in JAMA, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03291743 (The Biologic Onset of Crohn's Disease), which is not on this map. Cited by 72 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 3 pooled it
8.3field-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.

NCT03291743 naterminatednot on this mapstarted 2017, after this paper: background citation

The Biologic Onset of Crohn's Disease: A Screening Study in First Degree Relatives

TypeinterventionalSponsorCarilion ClinicRan2017 to 2022Enrolled38ConditionsCrohn Disease, Genetic Predisposition, IBDArmsCapsule endoscopy
3 · Its place in the literature

Who cites it

72 citing papers in PubMed, 3 syntheses or guidelines pooled it, 159 citations in OpenAlex.

  1. Pooled it
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  4. Voluntary activation of the sympathetic nervous system and attenuation of the innate immune response in humans.Proceedings of the National Academy of Sciences of the United States of America · 2014
    Trial
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12 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

1 author at 1 institution in 1 country.

Adam S CheifetzDivision of Gastroenterology, Rabb-Rose 425, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02215, USA. acheifet@bidmc.harvard.edu
Beth Israel Deaconess Medical Center · US

Funding

Yale University Inflammatory Bowel Disease Genetics Research CenterU01DK062422 · NIDDK · YALE UNIVERSITY · PI Ling-shiang Chuang · 2002 to 2026
$10.8M
Defining the genetic architecture of IBD in Ashkenazi Jewish populationsR01DK092235 · NIDDK · YALE UNIVERSITY · PI CHO, JUDY H. · 2012 to 2016
$2.5M
NIDDK NIH HHS 1R01DK092235-01A1NIDDK NIH HHS R01 DK092235NIDDK NIH HHS U01 DK062422
6 · The paper itself

Abstract

importanceTreatment of Crohn disease is rapidly evolving, with the induction of novel biologic therapies and newer, often more intensive treatment approaches. Knowing how to treat individual patients in this quickly changing milieu can be a challenge.

objectiveTo review the diagnosis and management of moderate to severe Crohn disease, with a focus on newer treatments and goals of care. EVIDENCE REVIEW: MEDLINE was searched from 2000 to 2011. Additional citations were procured from references of select research and review articles. Evidence was graded using the American Heart Association level-of-evidence guidelines.

resultsAlthough mesalamines are still often used to treat Crohn disease, the evidence for their efficacy is lacking. Corticosteroids can be effectively used to induce remission in moderate to severe Crohn disease, but they do not maintain remission. The mainstays of treatment are immunomodulators and biologics, particularly anti-tumor necrosis factor. CONCLUSION AND RELEVANCE: Immunomodulators and biologics are now the preferred treatment options for Crohn disease.

Indexed as

ImmunomodulationAdrenal Cortex HormonesAdultBiopsyColitis, UlcerativeCrohn DiseaseDiagnosis, DifferentialEvidence-Based MedicineHumansMaleTumor Necrosis Factor-alphaAdrenal Cortex HormonesTumor Necrosis Factor-alpha

Identifiers

PMID23695484
PMCPMC5877483
OpenAlexW2069580163

What OpenQuestion holds

Textmetadata
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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.