Evidence map›Paper›PMID 24667275›Full record

ReviewMedical science monitor : international medical journal of experimental and clinical research2014

A guide to prepare patients with inflammatory bowel diseases for anti-TNF-α therapy.

Júlio Maria Fonseca Chebli, Pedro Duarte Gaburri, Liliana Andrade Chebli, Tarsila Campanha da Rocha Ribeiro, André Luiz Tavares Pinto, Orlando Ambrogini Júnior, Adérson Omar Mourão Cintra Damião

Open access · hybridAbstract readReview
In one paragraph

Review in Medical science monitor : international medical journal of experimental and clinical research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.0field-weighted citation impact, top 6% 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

17 citing papers in PubMed, 39 citations in OpenAlex.

  1. Azathioprine is more effective than mesalazine at preventing recurrent bowel obstruction in patients with ileocecal Crohn's disease.Medical science monitor : international medical journal of experimental and clinical research · 2014
    Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Balancing benefits and risks in the era of biologics.Therapeutic advances in musculoskeletal disease · 2019
    Review
  9. Pediatric Crohn's Disease in Bahrain.Oman medical journal · 2018
    Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Indian Society of Gastroenterology consensus statements on Crohn's disease in India.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2015
    Article
  15. Review
  16. Article
  17. Immunobiologicals in dermatology.Anais brasileiros de dermatologia
    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

7 authors at 1 institution in 1 country.

Júlio Maria Fonseca ChebliDivision of Gastroenterology, Inflammatory Bowel Disease Center, Federal University of Juiz de Fora, Juiz de Fora, Brazil.
Pedro Duarte GaburriDivision of Gastroenterology, Inflammatory Bowel Disease Center, Federal University of Juiz de Fora, Juiz de Fora, Brazil.
Liliana Andrade ChebliDivision of Gastroenterology, Inflammatory Bowel Disease Center, Federal University of Juiz de Fora, Juiz de Fora, Brazil.
Tarsila Campanha da Rocha RibeiroDivision of Gastroenterology, Inflammatory Bowel Disease Center, Federal University of Juiz de Fora, Juiz de Fora, Brazil.
André Luiz Tavares PintoDivision of Gastroenterology, Inflammatory Bowel Disease Center, Federal University of Juiz de Fora, Juiz de Fora, Brazil.
Orlando Ambrogini JúniorDivision of Gastroenterology, Federal University of São Paulo (UNIFESP), São Paulo, Brazil.
Adérson Omar Mourão Cintra DamiãoLaboratory of Medical Investigation (LIM 07), University of São, Paulo Medical School, São Paulo, Brazil.
Universidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Current therapy of moderate-to-severe inflammatory bowel disease (IBD) often involves the use of anti-tumor necrosis factor alpha (TNF-α) agents. Although very effective, theses biologics place the patient at increased risk for developing infections and lymphomas, the latter especially when in combination with thiopurines. Appropriate patient selection, counseling, and education are all important features for the successful use of anti-TNF-α therapy. A thorough history to rule-out contraindications of this therapy and emphasis on monitoring guidelines are important steps preceding administration of anti-TNF-α agents. This therapy should only be considered if a recent evaluation has established that the patient has active IBD. In addition, it is important to exclude disease mimickers. Anti-TNF-α agents have been considered to present a globally favorable benefit/risk ratio. However, it is important that in routine practice, initiation of anti-TNF-α therapy be carefully discussed with the patient, extensively explaining the potential benefits and risks of such treatment. Prior to starting anti-TNF-α therapy, the patients need to be screened for latent tuberculosis, hepatitis B virus infection, and (usually) hepatitis C virus and HIV infection. Vaccination schedules of IBD patients should be evaluated and updated prior to the commencement of anti-TNF-α therapy. Ordinarily, immunization in adult patients with IBD should not deviate from recommended guidelines for the general population. With the exception of live vaccines, immunizations can be safely administered in patients with IBD, even those on immunosuppressants or biologics. The purpose of this review is providing an overview of appropriate steps to prepare patients with IBD for anti-TNF-α therapy.

Indexed as

Antibodies, MonoclonalCommunicable DiseasesCounselingHumansInflammatory Bowel DiseasesPatient SelectionPractice Guidelines as TopicTumor Necrosis Factor-alphaAntibodies, MonoclonalTumor Necrosis Factor-alpha

Identifiers

PMID24667275
PMCPMC3972052
OpenAlexW2030277915

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.