Evidence map›Paper›PMID 24490595›Full record

ReviewExpert review of gastroenterology & hepatology2014

Adverse events in IBD: to stop or continue immune suppressant and biologic treatment.

Leon P McLean, Raymond K Cross

Abstract readReview
In one paragraph

Review in Expert review of gastroenterology & hepatology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 4% 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

46 citing papers in PubMed, 1 synthesis or guideline pooled it, 102 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. [Research progress on vagus nerve stimulation in the treatment of chronic pain].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025
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  20. Protective Effects of a Novel ProbioticFoods (Basel, Switzerland) · 2022
    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 at 2 institutions in 1 country.

Leon P McLeanDepartment of Medicine, Division of Gastroenterology and Hepatology University of Maryland, 100 North Greene Street, Lower Level, Baltimore, MD 21201, USA.
Raymond K Cross
AndroScience (United States) · USUniversity of Maryland, Baltimore · US

Funding

Research Training in Gastroenterology and HepatologyT32DK067872 · NIDDK · UNIVERSITY OF MARYLAND BALTIMORE · PI RAUFMAN, JEAN-PIERRE · 2005 to 2024
$7.2M
TELEmedicine in Patients with Inflammatory Bowel Disease: TELE-IBDR01HS018975 · AHRQ · UNIVERSITY OF MARYLAND BALTIMORE · PI CROSS, RAYMOND KEITH · 2012 to 2014
$1.1M
AHRQ HHS R01 HS-018975AHRQ HHS R01 HS018975NIDDK NIH HHS T32 DK-067872NIDDK NIH HHS T32 DK067872
6 · The paper itself

Abstract

Crohn's disease and ulcerative colitis affect an increasing number of patients. A variety of medical options exist for the treatment of these diseases including immune suppressants and biologic therapies. Unfortunately, these agents are associated with adverse events ranging from mild nuisance symptoms to potentially life-threatening complications including infections and malignancies. This review discusses adverse events associated with azathioprine, mercaptopurine, and methotrexate as well as anti-TNF-α and anti-integrin antibodies. In addition, adverse events associated with combination therapy are discussed as are clinical scenarios in which it may be reasonable to discontinue or de-escalate drug therapy. It is the responsibility of the treating gastroenterologist to effectively communicate the benefits and risks of therapy with patients; this review offers strategies that may assist providers in communicating risk with patients in addition to offering our perspective on whether modification or cessation of therapy can be considered.

Indexed as

Antibodies, Anti-IdiotypicAzathioprineBiological ProductsHumansImmunosuppressive AgentsInflammatory Bowel DiseasesIntegrinsMercaptopurineMethotrexateRisk AssessmentTumor Necrosis Factor-alphaWithholding TreatmentAntibodies, Anti-IdiotypicAzathioprineBiological ProductsImmunosuppressive AgentsIntegrinsMercaptopurineMethotrexateTumor Necrosis Factor-alpha

Identifiers

PMID24490595
PMCPMC4140086
OpenAlexW2059445112

What OpenQuestion holds

Textmetadata
LicenceTDM
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.