Evidence map›Paper›PMID 27120571›Full record

ReviewInflammatory bowel diseases2016

Epidemiology, Diagnosis, and Management of Clostridium difficile Infection in Patients with Inflammatory Bowel Disease.

Krishna Rao, Peter D R Higgins

Open access · bronzeAbstract readReview
In one paragraph

Review in Inflammatory bowel diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
6.9field-weighted citation impact, top 3% 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

33 citing papers in PubMed, 53 citations in OpenAlex.

  1. Article
  2. Global Patterns ofCrohn's & colitis 360 · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Inflammatory bowel disease andTherapeutic advances in gastroenterology · 2023
    Review
  7. Saudi Arabia consensus guidance for the diagnosis and management of adults with inflammatory bowel disease.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2022
    Article
  8. Gastrointestinal dysbiosis and Escherichia coli pathobionts in inflammatory bowel diseases.APMIS : acta pathologica, microbiologica, et immunologica Scandinavica · 2022
    Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Observational
  14. Article
  15. Article
  16. Article
  17. Article
  18. RecurrentGut and liver · 2019
    Review
  19. Article
  20. 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 at 1 institution in 1 country.

Krishna Rao*Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan; †Division of Infectious Diseases, University of Michigan, Ann Arbor, Michigan; ‡Division of Infectious Diseases, Ann Arbor Veterans Affairs Healthcare System, Ann Arbor, Michigan; and §Division of Gastroenterology, University of Michigan, Ann Arbor, Michigan.
Peter D R Higgins
University of Michigan–Ann Arbor · US

Funding

Research Education CoreP30AG024824 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Neil Alexander · 2004 to 2026
$29.2M
Systems biology of Clostridium difficile infectionU01AI124255 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SCHLOSS, PATRICK DAVID, YOUNG, VINCENT B · 2016 to 2020
$9.8M
Application of Machine Learning Algorithms to Thiopurine Monitoring in IBDR01GM097117 · NIGMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HIGGINS, PETER D.R. · 2012 to 2016
$1.9M
Host and Microbial Biomarkers Related to the Development of Complicated Clostridium difficile InfectionR21AI120599 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI YOUNG, VINCENT B · 2015 to 2016
$426k
NIAID NIH HHS R21 AI120599NIAID NIH HHS U01 AI124255NIA NIH HHS P30 AG024824NIGMS NIH HHS R01 GM097117
6 · The paper itself

Abstract

Clostridium difficile infection (CDI) is a major source of morbidity and mortality for the U.S. health care system and frequently complicates the course of inflammatory bowel disease (IBD). Patients with IBD are more likely to be colonized with C. difficile and develop active infection than the general population. They are also more likely to have severe CDI and develop subsequent complications such as IBD flare, colectomy, or death. Even after successful initial treatment and recovery, recurrent CDI is common. Management of CDI in IBD is fraught with diagnostic and therapeutic challenges because the clinical presentations of CDI and IBD flare have considerable overlap. Fecal microbiota transplantation can be successful in curing recurrent CDI when other treatments have failed, but may also trigger IBD flare and this warrants caution. New experimental treatments including vaccines, monoclonal antibodies, and nontoxigenic strains of C. difficile offer promise but are not yet available for clinicians. A better understanding of the complex relationship between the gut microbiota, CDI, and IBD is needed.

Indexed as

Clostridioides difficileAnti-Bacterial AgentsEnterocolitis, PseudomembranousFecal Microbiota TransplantationHumansImmunotherapyInflammatory Bowel DiseasesProbioticsRecurrenceSeverity of Illness IndexSymptom Flare UpAnti-Bacterial Agents

Identifiers

PMID27120571
PMCPMC4911291
OpenAlexW2342869639

What OpenQuestion holds

Textmetadata
LicenceTDM
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.