Evidence map›Paper›PMID 23922062›Full record

ArticleAnnals of internal medicine2013

Mucosal healing and risk for lymphoproliferative malignancy in celiac disease: a population-based cohort study.

Benjamin Lebwohl, Fredrik Granath, Anders Ekbom, Karin E Smedby, Joseph A Murray, Alfred I Neugut, Peter H R Green, Jonas F Ludvigsson

2 registry-linked trialsOpen access · greenAbstract readMulticenter Study
In one paragraph

Article in Annals of internal medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 82 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 6 pooled it
18.7field-weighted citation impact, top 1% 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.

NCT03321214 nacompletednot on this mapstarted 2018, after this paper: background citation

A Pilot Study to Test the Feasibility and Acceptability of Using a Gluten Sensor Device to Promote Gluten Free Diet Adherence and Quality of Life in Patients With Celiac Disease

TypeinterventionalSponsorColumbia UniversityRan2018 to 2018Enrolled30ConditionsCeliac DiseaseArmsGluten Sensor Dose-Finding Intervention
NCT06500754 recruitingnot on this mapstarted 2022, after this paper: background citation

Study of the Causes and Consequences of Persistent Villous Atrophy Despite an Intentionally Strict Gluten-free Diet in Celiac Disease Patients - Effect of an Ultra-strict Gluten-free Diet on Persistent Villous Atrophy

TypeobservationalSponsorHospital Mutua de TerrassaRan2022 to 2027Enrolled80ConditionsCeliac Disease, Villous Atrophy of IntestineArmsUltra-strict gluten-free diet
3 · Its place in the literature

Who cites it

82 citing papers in PubMed, 6 syntheses or guidelines pooled it, 259 citations in OpenAlex.

  1. Colonic neoplasia and celiac disease: A systematic review.World journal of gastroenterology · 2025
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Guideline
  7. Trial
  8. Beyond gluten-free diet: Novel therapeutic frontiers in celiac disease armamentarium.World journal of gastrointestinal pharmacology and therapeutics · 2026
    Review
  9. Article
  10. Article
  11. Review
  12. Coeliac disease: complications and comorbidities.Nature reviews. Gastroenterology & hepatology · 2025
    Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Celiac Disease, Gluten Sensitivity, and Diet Management.Current gastroenterology reports · 2024
    Review
  18. Article
  19. Evolution in coeliac disease diagnosis and management.JGH open : an open access journal of gastroenterology and hepatology · 2024
    Review
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 2 countries.

Benjamin LebwohlColumbia University College of Physicians and Surgeons, New York, New York, USA.
Fredrik Granath
Anders Ekbom
Karin E Smedby
Joseph A Murray
Alfred I Neugut
Peter H R Green
Jonas F Ludvigsson
Mayo Clinic · USKarolinska University Hospital · SEColumbia University · USKarolinska Institutet · SEÖrebro University Hospital · SE

Funding

EPIDEMIOLOGY OF CELIAC DISEASE--A POPULATION BASED STUDYR01DK057892 · NIDDK · MAYO CLINIC ROCHESTER · PI MURRAY, JOSEPH A · 2000 to 2010
$3.9M
Clinical and Translational Science AwardKL2TR000081 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2012 to 2015
$3.3M
A HLA Mouse Model for Gluten Sensitivity and EnteropathyR01DK071003 · NIDDK · MAYO CLINIC ROCHESTER · PI MURRAY, JOSEPH A · 2006 to 2009
$1.1M
A HLA Mouse Model for Gluten Sensitivity and EnteropathyR56DK071003 · NIDDK · MAYO CLINIC ROCHESTER · PI MURRAY, JOSEPH A · 2010 to 2010
$394k
NCATS NIH HHS KL2 TR000081NIDDK NIH HHS DK057892NIDDK NIH HHS DK071003NIDDK NIH HHS R01 DK057892NIDDK NIH HHS R01 DK071003NIDDK NIH HHS R56 DK071003
6 · The paper itself

Abstract

backgroundCeliac disease (CD) is associated with an increased risk for lymphoproliferative malignancy (LPM). Whether this risk is affected by the results of follow-up intestinal biopsy, performed to document mucosal healing, is unknown.

objectiveTo examine the association between mucosal healing in CD and subsequent LPM.

designPopulation-based cohort study.

setting28 pathology departments in Sweden. PATIENTS: 7625 patients with CD who had follow-up biopsy after initial diagnosis. MEASUREMENTS: The risk for LPM was compared with that of the general population by using expected rates. The rate of LPM in patients with persistent villous atrophy was compared with that of those with mucosal healing by using Cox regression.

resultsAmong 7625 patients with CD and follow-up biopsy, 3308 (43%) had persistent villous atrophy. The overall risk for LPM was higher than that in the general population (standardized incidence ratio [SIR], 2.81 [95% CI, 2.10 to 3.67]) and was greater among patients with persistent villous atrophy (SIR, 3.78 [CI, 2.71 to 5.12]) than among those with mucosal healing (SIR, 1.50 [CI, 0.77 to 2.62]). Persistent villous atrophy compared with mucosal healing was associated with an increased risk for LPM (hazard ratio [HR], 2.26 [CI, 1.18 to 4.34]). The risk for T-cell lymphoma was increased (HR, 3.51 [CI, 0.75 to 16.34]) but not for B-cell lymphoma (HR, 0.97 [CI, 0.21 to 4.49]). LIMITATION: No data on dietary adherence.

conclusionIncreased risk for LPM in CD is associated with the follow-up biopsy results, with a higher risk among patients with persistent villous atrophy. Follow-up biopsy may effectively stratify patients with CD by risk for subsequent LPM.

Indexed as

AdolescentAdultAtrophyBiopsyCeliac DiseaseChildChild, PreschoolFemaleHumansInfantIntestinal MucosaIntestine, SmallLymphomaLymphoma, B-CellLymphoma, T-CellMale

Identifiers

PMID23922062
PMCPMC3788608
OpenAlexW2059953208

What OpenQuestion holds

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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.