Evidence map›Paper›PMID 25653489›Full record

ArticleJournal of Korean medical science2015

The risk of tuberculosis in Korean patients with inflammatory bowel disease receiving tumor necrosis factor-α blockers.

Ja Min Byun, Chang Kyun Lee, Sang Youl Rhee, Hyo-Jong Kim, Jung-Wook Kim, Jae-Jun Shim, Jae Young Jang

Open access · goldAbstract read
In one paragraph

Article in Journal of Korean medical science, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

15 citing papers in PubMed, 29 citations in OpenAlex.

  1. Trial
  2. Article
  3. Prevalence of Latent and Active Tuberculosis Infection in Inflammatory Bowel Disease Patients Who Received Biological Treatment.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2026
    Article
  4. Ankylosing spondylitis coexisting withWorld journal of clinical cases · 2024
    Article
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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.

Ja Min ByunDepartment of Internal Medicine, Kyung Hee University School of Medicine, Seoul, Korea. ; Department of Medicine, Kyung Hee University Graduate School, Seoul, Korea.ORCID 0000-0003-1780-5553
Chang Kyun LeeDepartment of Internal Medicine, Kyung Hee University School of Medicine, Seoul, Korea.ORCID 0000-0002-4279-3825
Sang Youl RheeDepartment of Internal Medicine, Kyung Hee University School of Medicine, Seoul, Korea.ORCID 0000-0003-0119-5818
Hyo-Jong KimDepartment of Internal Medicine, Kyung Hee University School of Medicine, Seoul, Korea.ORCID 0000-0002-9675-4557
Jung-Wook KimDepartment of Internal Medicine, Kyung Hee University School of Medicine, Seoul, Korea.ORCID 0000-0002-5383-7934
Jae-Jun ShimDepartment of Internal Medicine, Kyung Hee University School of Medicine, Seoul, Korea.ORCID 0000-0003-2497-8663
Jae Young JangDepartment of Internal Medicine, Kyung Hee University School of Medicine, Seoul, Korea.ORCID 0000-0002-7930-1468
Kyung Hee University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aims of this study were to assess the risk of tuberculosis (TB) and the status of latent tuberculosis infection (LTBI) in Korean patients with inflammatory bowel disease (IBD) receiving tumor necrosis factor (TNF)-α blockers. We reviewed medical records of 525 Korean IBD patients (365 TNF-α blocker naïve and 160 TNF-α blocker exposed) between January 2001 and December 2013. The crude incidence of TB was significantly higher in IBD patients receiving TNF-α blockers compared to TNF-α-blocker-naïve patients (3.1% vs. 0.3%, P=0.011). The mean incidence of TB per 1,000 patient-years was 1.84 for the overall IBD population, 4.89 for TNF-α blocker users, and 0.45 for TNF-α-blocker-naïve patients. The adjusted risk ratio of TB in IBD patients receiving TNF-α blocker was 11.7 (95% confidence interval, 1.36-101.3). Pulmonary TB was prevalent in patients treated with TNF-α blockers (80.0%, 4/5). LTBI was diagnosed in 17 (10.6%) patients, and none of the 17 LTBI patients experienced reactivation of TB during treatment with TNF-α blockers. Treatment with TNF-α blockers significantly increased the risk of TB in IBD patients in Korea. De novo pulmonary TB infection was more prevalent than reactivation of LTBI, suggesting an urgent need for specific recommendations regarding TB monitoring during TNF-α blocker therapy.

Indexed as

AdultAntibodies, MonoclonalAnti-Inflammatory Agents, Non-SteroidalCohort StudiesColitis, UlcerativeCrohn DiseaseFemaleHumansInfliximabLatent TuberculosisMaleMercaptopurineMycobacterium tuberculosisRepublic of KoreaRetrospective StudiesTuberculosis, PulmonaryAntibodies, MonoclonalAnti-Inflammatory Agents, Non-SteroidalazathiopurineInfliximabMercaptopurineTumor Necrosis Factor-alphaInflammatory Bowel DiseaseLatent TuberculosisTuberculosisTumor Necrosis Factor-alpha

Identifiers

PMID25653489
PMCPMC4310944
OpenAlexW2163514493

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.