Evidence map›Paper›PMID 25755564›Full record

ArticleJournal of clinical and experimental hepatology2014

Role of mycophenolate mofetil for the treatment of autoimmune hepatitis-an observational study.

Dinesh Jothimani, Mathew E Cramp, Tim J S Cross

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical and experimental hepatology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 26% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Refractory Autoimmune Hepatitis: Beyond Standard Therapy.Digestive diseases and sciences · 2016
    Article
  10. Article
  11. Management of Difficult Cases of Autoimmune Hepatitis.Current gastroenterology reports · 2016
    Review
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

3 authors at 3 institutions in 2 countries.

Dinesh JothimaniInstitute of Liver Disease and Transplantation, Global Hospitals, Chennai, India.
Mathew E CrampThe South West Liver Unit, Plymouth Hospitals, Derriford Road, Plymouth, Devon PL6 8DH, United Kingdom.
Tim J S CrossThe Royal Liverpool University Hospital, Prescot Street, Liverpool L7 8XP, United Kingdom.
Global Hospitals · INPlymouth Hospital · GBRoyal Liverpool University Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEighty percent (80%) of patients with Autoimmune hepatitis (AIH) respond to a combination of prednisolone and Azathioprine (AZA). Choice of treatment is limited for those who do not respond to this standard therapy. We evaluated the role of Mycophenolate mofetil (MMF) as a second line therapy in AIH.

methodA retrospective observational study was carried out on all patients who received MMF for AIH.

resultsTwenty out of 117 patients with AIH received MMF due to AZA intolerance (18 patients) or refractory disease (2 patients). Median age of the study patients was 56 (18-79) years, Male, n = 3 (15%) and Female, n = 18 (85%). After a median follow-up period of 47 (5-83) months, 14 (73.6%) patients were still on MMF with biochemical remission, including 4 out of 5 patients with cirrhosis. One patient was lost to follow-up. Three patients were intolerant of MMF due to adverse events, and two had disease refractory to MMF. Both these patients with refractory disease to MMF were initially unresponsive to AZA therapy.

conclusionMMF is a safe second line agent in patients with autoimmune hepatitis including those with cirrhosis.

Indexed as

AIH, autoimmune hepatitisautoimmune hepatitisAZA, azathioprineazathioprineMMF, mycophenolate mofetilmycophenolate mofetilnon-responders

Identifiers

PMID25755564
PMCPMC4284212
OpenAlexW2034868699

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.