Evidence map›Paper›PMID 25360318›Full record

ArticleUnited European gastroenterology journal2014

Faecal calprotectin levels differentiate intestinal from pulmonary tuberculosis: An observational study from Southern India.

Geir Larsson, Koticherry Thrivikrama Shenoy, Ramalingom Ramasubramanian, Lakshmikanthan Thayumanavan, Leena Kondarappassery Balakumaran, Gunnar A Bjune, Bjørn A Moum

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in United European gastroenterology journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

4 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Calprotectin in Lung Diseases.International journal of molecular sciences · 2021
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 2 countries.

Geir LarssonUnger-Vetlesen Institute, Department of Medicine, Lovisenberg Diaconal Hospital, Oslo, Norway ; Faculty of Medicine, University of Oslo, Norway.
Koticherry Thrivikrama ShenoyPopulation Health and Research Institute, Medical College, Trivandrum, Kerala, India.
Ramalingom RamasubramanianThoothukudi Government Medical College, Tuticorin, Tamil Nadu, India.
Lakshmikanthan ThayumanavanGovernment Rajaji Hospital, Madurai, Tamil Nadu, India.
Leena Kondarappassery BalakumaranPopulation Health and Research Institute, Medical College, Trivandrum, Kerala, India.
Gunnar A BjuneInstitute of Health and Society, Faculty of Medicine, University of Oslo, Norway.
Bjørn A MoumDepartment of Gastroenterology and Hepatology, Institute of Clinical Medicine, Oslo University Hospital Ullevål, Oslo, Norway.
Kerala Institute of Medical Sciences · INUniversity of Oslo · NOGovernment Medical College · INGovernment Rajaji Hospital · INOslo University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrent methods to establish the diagnosis of intestinal tuberculosis are inadequate.

objectivesWe aimed to determine the clinical features of intestinal tuberculosis and evaluate inflammatory biomarkers in intestinal as well as pulmonary tuberculosis.

methodsWe recruited 38 intestinal tuberculosis patients, 119 pulmonary tuberculosis patients and 91 controls with functional gastrointestinal disorders between October 2009 and July 2012 for the investigation of clinical features, C-reactive protein (CRP), faecal and serum calprotectin. Faecal calprotectin ≥200 µg/g was used as a cut-off to determine intestinal inflammation of clinical significance. Three patient categories were established: (a) pulmonary tuberculosis and faecal calprotectin <200 µg/g (isolated pulmonary tuberculosis); (b) pulmonary tuberculosis and faecal calprotectin ≥200 µg/g (combined pulmonary and intestinal tuberculosis); (c) isolated intestinal tuberculosis.

resultsCommon clinical features of intestinal tuberculosis were abdominal pain, fatigue, weight loss and watery diarrhoea. Intestinal tuberculosis patients had elevated median CRP (10.7 mg/l), faecal calprotectin (320 µg/g) and serum calprotectin (5.7 µg/ml). Complete normalisation of CRP (1.0 mg/L), faecal calprotectin (16 µg/g) and serum calprotectin (1.4 µg/ml)) was seen upon clinical remission. Patients with combined pulmonary and intestinal tuberculosis had the highest levels of CRP (53.8 mg/l) and serum calprotectin (6.5 µg/ml) and presented with signs of more severe disease.

conclusionCalprotectin analysis reveals intestinal tuberculosis in patients with pulmonary tuberculosis and pinpoints those in need of rigorous follow-up.

Indexed as

biomarkercalprotectinclinical featuresCRPdiagnosisfollow-upIntestinal tuberculosispulmonary tuberculosistreatment response

Identifiers

PMID25360318
PMCPMC4212497
OpenAlexW2120050834

What OpenQuestion holds

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Registered trials

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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.