Evidence map›Paper›PMID 25780299›Full record

Observational studyWorld journal of gastroenterology2015

Corticosteroid therapy in ulcerative colitis: Clinical response and predictors.

Jin Li, Fan Wang, Hong-Jie Zhang, Jian-Qiu Sheng, Wen-Feng Yan, Min-Xing Ma, Ru-Ying Fan, Fang Gu, Chuan-Feng Li, Da-Fan Chen and 7 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in World journal of gastroenterology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
1.7field-weighted citation impact, top 14% 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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
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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

17 authors at 1 institution in 1 country.

Jin LiJin Li, Fan Wang, Wen-Feng Yan, Min-Xing Ma, Bing Xia, Department of Gastroenterology, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei Province, China.
Fan WangJin Li, Fan Wang, Wen-Feng Yan, Min-Xing Ma, Bing Xia, Department of Gastroenterology, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei Province, China.
Hong-Jie ZhangJin Li, Fan Wang, Wen-Feng Yan, Min-Xing Ma, Bing Xia, Department of Gastroenterology, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei Province, China.
Jian-Qiu ShengJin Li, Fan Wang, Wen-Feng Yan, Min-Xing Ma, Bing Xia, Department of Gastroenterology, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei Province, China.
Wen-Feng YanJin Li, Fan Wang, Wen-Feng Yan, Min-Xing Ma, Bing Xia, Department of Gastroenterology, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei Province, China.
Min-Xing MaJin Li, Fan Wang, Wen-Feng Yan, Min-Xing Ma, Bing Xia, Department of Gastroenterology, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei Province, China.
Ru-Ying FanJin Li, Fan Wang, Wen-Feng Yan, Min-Xing Ma, Bing Xia, Department of Gastroenterology, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei Province, China.
Fang GuJin Li, Fan Wang, Wen-Feng Yan, Min-Xing Ma, Bing Xia, Department of Gastroenterology, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei Province, China.
Chuan-Feng LiJin Li, Fan Wang, Wen-Feng Yan, Min-Xing Ma, Bing Xia, Department of Gastroenterology, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei Province, China.
Da-Fan ChenJin Li, Fan Wang, Wen-Feng Yan, Min-Xing Ma, Bing Xia, Department of Gastroenterology, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei Province, China.
Ping ZhengJin Li, Fan Wang, Wen-Feng Yan, Min-Xing Ma, Bing Xia, Department of Gastroenterology, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei Province, China.
Yu-Pei GuJin Li, Fan Wang, Wen-Feng Yan, Min-Xing Ma, Bing Xia, Department of Gastroenterology, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei Province, China.
Qian CaoJin Li, Fan Wang, Wen-Feng Yan, Min-Xing Ma, Bing Xia, Department of Gastroenterology, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei Province, China.
Hong YangJin Li, Fan Wang, Wen-Feng Yan, Min-Xing Ma, Bing Xia, Department of Gastroenterology, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei Province, China.
Jia-Ming QianJin Li, Fan Wang, Wen-Feng Yan, Min-Xing Ma, Bing Xia, Department of Gastroenterology, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei Province, China.
Pin-Jin HuJin Li, Fan Wang, Wen-Feng Yan, Min-Xing Ma, Bing Xia, Department of Gastroenterology, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei Province, China.
Bing XiaJin Li, Fan Wang, Wen-Feng Yan, Min-Xing Ma, Bing Xia, Department of Gastroenterology, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei Province, China.
Wuhan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate clinical response to initial corticosteroid (CS) treatment in Chinese ulcerative colitis patients (UC) and identify predictors of clinical response.

methodsFour hundred and twenty-three UC patients who were initially treated with oral or intravenous CS from 2007 to 2011 were retrospectively reviewed at eight inflammatory bowel disease centers in China, and 101 consecutive cases with one-year follow-up were analyzed further for clinical response and predictors. Short-term outcomes within one month were classified as primary response and primary non-response. Long-term outcomes within one year were classified as prolonged CS response, CS dependence and secondary non-response. CS refractoriness included primary and secondary non-response. Multivariate analyses were performed to identify predictors associated with clinical response.

resultsWithin one month, 95.0% and 5.0% of the cases were classified into primary response and non-response, respectively. Within one year, 41.6% of cases were assessed as prolonged CS response, while 49.5% as CS dependence and 4.0% as secondary non-response. The rate of CS refractoriness was 8.9%, while the cumulative rate of surgery was 6.9% within one year. After multivariate analysis of all the variables, tenesmus was found to be a negative predictor of CS dependence (OR = 0.336; 95%CI: 0.147-0.768; P = 0.013) and weight loss as a predictor of CS refractoriness (OR = 5.662; 95%CI: 1.111-28.857; P = 0.040). After one-month treatment, sustained high Sutherland score (≥ 6) also predicted CS dependence (OR = 2.347; 95%CI: 0.935-5.890; P = 0.014).

conclusionTenesmus was a negative predictor of CS dependence, while weight loss and sustained high Sutherland score were strongly associated with poor CS response.

Indexed as

Adrenal Cortex HormonesAdultChinaChi-Square DistributionColitis, UlcerativeFemaleHumansLogistic ModelsMaleMultivariate AnalysisOdds RatioRecurrenceRemission InductionRetrospective StudiesSeverity of Illness IndexTime FactorsAdrenal Cortex HormonesClinical responseCorticosteroidPredictorUlcerative colitis

Identifiers

PMID25780299
PMCPMC4356921
OpenAlexW2117905509

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.