Evidence map›Paper›PMID 24803795›Full record

ReviewWorld journal of gastroenterology2014

Anti-TNF alpha in the treatment of ulcerative colitis: a valid approach for organ-sparing or an expensive option to delay surgery?

Gianluca Rizzo, Daniela Pugliese, Alessandro Armuzzi, Claudio Coco

Abstract readReview
In one paragraph

Review in World journal of gastroenterology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Article
  2. The effect of concomitant ankylosing spondylitis on long-term outcome of patients with inflammatory bowel disease.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2019
    Article
  3. Surgery in the age of biologics.Gastroenterology report · 2019
    Review
  4. Article
  5. Article
  6. Extracts fromOncotarget · 2017
    Article
  7. Article
  8. Is Modern Medical Management Changing Ultimate Patient Outcomes in Inflammatory Bowel Disease?Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2016
    Article
  9. Review
  10. 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

4 authors.

Gianluca RizzoGianluca Rizzo, Claudio Coco, Department of Surgical Sciences, Complesso Integrato Columbus, Catholic University of the Sacred Heart, 00168 Rome, Italy.
Daniela PuglieseGianluca Rizzo, Claudio Coco, Department of Surgical Sciences, Complesso Integrato Columbus, Catholic University of the Sacred Heart, 00168 Rome, Italy.
Alessandro ArmuzziGianluca Rizzo, Claudio Coco, Department of Surgical Sciences, Complesso Integrato Columbus, Catholic University of the Sacred Heart, 00168 Rome, Italy.
Claudio CocoGianluca Rizzo, Claudio Coco, Department of Surgical Sciences, Complesso Integrato Columbus, Catholic University of the Sacred Heart, 00168 Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ulcerative colitis (UC) is an inflammatory bowel disease affecting large bowel with variable clinical course. The history of disease has been modified by the introduction of biologic therapy, in particular Infliximab (IFX), that has demonstrated efficacy in inducing fast symptoms remission, promoting mucosal healing and maintaining long-term remission. However, surgery is still needed for UC patients: in case of failure of medical therapy and if acute complications or a malignancy occurred. Surgical treatment is associated with a short-term post-operative mortality and morbidity respectively of 0%-4% and 30%. In this study we systematically analyzed: the role of IFX in reducing the colectomy rate, the risk of post-operative morbidity in pre-operatively IFX-treated patients and the cost-effectiveness of IFX therapy. Four of 5 analyzed randomized controlled trials demonstrated that therapy with IFX significantly reduces the colectomy rate. Moreover, pre-operative treatment with IFX doesn't seem to increase post-operative infectious complications. By an economic point of view, the cost-effectiveness of IFX-therapy was demonstrated for UC patients suffering from moderate to severe UC in a study based on a cost estimation of the National Health Service of England and Wales. However, the argument is debated.

Indexed as

Anti-Inflammatory AgentsColectomyColitis, UlcerativeCost-Benefit AnalysisDisease ProgressionDrug CostsGastrointestinal AgentsHumansObservational Studies as TopicRandomized Controlled Trials as TopicRemission InductionState MedicineTime FactorsTreatment OutcomeTumor Necrosis Factor-alphaUnited KingdomAnti-Inflammatory AgentsGastrointestinal AgentsTumor Necrosis Factor-alphaColectomyCost-effectivenessInflammatory bowel diseaseInfliximabPost-operative complicationsUlcerative colitis

Identifiers

PMID24803795
PMCPMC4009515

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.