Evidence map›Paper›PMID 25944990›Full record

ReviewWorld journal of gastroenterology2015

Withdrawal of anti-tumour necrosis factor α therapy in inflammatory bowel disease.

Konstantinos Papamichael, Severine Vermeire

Abstract readEditorialReview
In one paragraph

Review 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 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Surgery in the age of biologics.Gastroenterology report · 2019
    Review
  7. Anti-TNF Therapy in Crohn's Disease.International journal of molecular sciences · 2018
    Review
  8. De-escalation of Therapy in Inflammatory Bowel Disease.Current gastroenterology reports · 2018
    Review
  9. Article
  10. Review
  11. Mucosal healing in inflammatory bowel disease: Maintain or de-escalate therapy.World journal of gastrointestinal pathophysiology · 2016
    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

2 authors.

Konstantinos PapamichaelKonstantinos Papamichael, Severine Vermeire, Department of Clinical and Experimental Medicine, Translational Research Center for Gastrointestinal Disorders, 3000 Leuven, Belgium.
Severine VermeireKonstantinos Papamichael, Severine Vermeire, Department of Clinical and Experimental Medicine, Translational Research Center for Gastrointestinal Disorders, 3000 Leuven, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anti-tumour necrosis factor α (anti-TNFα) therapy is an established treatment in inflammatory bowel disease. However, this treatment is associated with high costs and the possibility of severe adverse events representing a true challenge for patients, clinicians and health care systems. Consequently, a crucial question is raised namely if therapy can be stopped once remission is achieved and if so, how and in whom. Additionally, in a real-life clinical setting, discontinuation may also be considered for other reasons such as the patient's preference, pregnancy, social reasons as moving to countries or continents with less access, or different local policy or reimbursement. In contrast to initiation of anti-TNFα therapy guidelines regarding stopping of this treatment are missing. As a result, the decision of discontinuation is still a challenging aspect in the use of anti-TNFα therapy. Currently this is typically based on an estimated, case-by-case, benefit-risk ratio. This editorial is intended to provide an overview of recent data on this topic and shed light on the proposed drug withdrawal strategies.

Indexed as

Anti-Infective AgentsCost-Benefit AnalysisDrug Administration ScheduleDrug CostsGastrointestinal AgentsHumansInflammatory Bowel DiseasesPractice Guidelines as TopicRemission InductionRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeTumor Necrosis Factor-alphaAnti-Infective AgentsGastrointestinal AgentsTumor Necrosis Factor-alphaAnti-tumour necrosis factor α therapyInflammatory bowel diseaseInfliximabRemissionWithdrawal

Identifiers

PMID25944990
PMCPMC4408449

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.