Evidence map›Paper›PMID 27282402›Full record

ArticleJournal of Crohn's & colitis2016

Predicting Outcomes to Optimize Disease Management in Inflammatory Bowel Diseases.

Joana Torres, Flavio Caprioli, Konstantinos H Katsanos, Triana Lobatón, Dejan Micic, Marco Zerôncio, Gert Van Assche, James C Lee, James O Lindsay, David T Rubin and 2 more

Erratum issued Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Journal of Crohn's & colitis, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT02852694 (Risk-stratified Randomized Controlled Trial in Paediatric Crohn Disease), which is not on this map. Cited by 74 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 4 pooled it
11.1field-weighted citation impact, top 2% 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.

NCT02852694 phase4completednot on this mapstarted 2017, after this paper: background citation

Risk-stratified Randomized Controlled Trial in Paediatric Crohn Disease:Methotrexate Vs Azathioprine or Adalimumab for Maintaining Remission in Patients At Low or High Risk for Aggressive Disease Course, Respectively-a Treatment Strategy

TypeinterventionalSponsorPIBD-NetRan2017 to 2021Enrolled192ConditionsCrohn's DiseaseArmsMethotrexate, Adalimumab, Azathioprine / 6 Mercaptopurine
3 · Its place in the literature

Who cites it

74 citing papers in PubMed, 4 syntheses or guidelines pooled it, 149 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. ACG Clinical Guideline: Management of Crohn's Disease in Adults.The American journal of gastroenterology · 2018
    Guideline
  5. Use of Antihistamine Drugs in Colitis: A Review.Pharmaceuticals (Basel, Switzerland) · 2026
    Review
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14 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 11 institutions in 9 countries.

Joana TorresSurgical Department, Gastroenterology Division, Hospital Beatriz Ângelo, Loures, Portugal.
Flavio CaprioliDepartment of Pathophysiology and Transplantation, Università degli Studi di Milano and Gastroenterology and Endoscopy Unit, Fondazione IRCCS Cà Granda, Ospedale Policlinico di Milano, Milan, Italy.
Konstantinos H KatsanosDivision of Gastroenterology, Department of Internal Medicine, School of Medical Sciences, University of Ioannina, Ioannina, Greece.
Triana LobatónDepartment of Gastroenterology, Germans Trias i Pujol University Hospital, Badalona, Barcelona, Spain.
Dejan MicicUniversity of Chicago Medicine Inflammatory Bowel Disease Center, Chicago, IL, USA.
Marco ZerôncioInflammatory Bowel Disease Unit, Potiguar University School of Medicine, Natal, Brazil.
Gert Van AsscheDivision of Gastroenterology and Hepatology, University Hospitals Leuven, Leuven, Belgium.
James C LeeDepartment of Medicine, University of Cambridge, Cambridge, UK.
James O LindsayBarts Health NHS Trust, Royal London Hospital, Whitechapel, London, UK.
David T RubinUniversity of Chicago Medicine Inflammatory Bowel Disease Center, Chicago, IL, USA.
Remo PanaccioneInflammatory Bowel Disease Clinic, Division of Gastroenterology and Hepatology, University of Calgary, Calgary, Alberta, Canada.
Jean-Frédéric ColombelThe Henry D. Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, USA jean-frederic.colombel@mssm.edu.
University of Chicago · USHospital Beatriz Ângelo · PTHospital Universitari Germans Trias i Pujol · ESIcahn School of Medicine at Mount Sinai · USKU Leuven · BERoyal London Hospital · GBUniversidade Potiguar · BRUniversity of Calgary · CAUniversity of Cambridge · GBUniversity of Ioannina · GRUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsEfforts to slow or prevent the progressive course of inflammatory bowel diseases [IBD] include early and intensive monitoring and treatment of patients at higher risk for complications. It is therefore essential to identify high-risk patients - both at diagnosis and throughout disease course.

methodsAs a part of an IBD Ahead initiative, we conducted a comprehensive literature review to identify predictors of long-term IBD prognosis and generate draft expert summary statements. Statements were refined at national meetings of IBD experts in 32 countries and were finalized at an international meeting in November 2014.

resultsPatients with Crohn's disease presenting at a young age or with extensive anatomical involvement, deep ulcerations, ileal/ileocolonic involvement, perianal and/or severe rectal disease or penetrating/stenosing behaviour should be regarded as high risk for complications. Patients with ulcerative colitis presenting at young age, with extensive colitis and frequent flare-ups needing steroids or hospitalization present increased risk for colectomy or future hospitalization. Smoking status, concurrent primary sclerosing cholangitis and concurrent infections may impact the course of disease. Current genetic and serological markers lack accuracy for clinical use.

conclusionsSimple demographic and clinical features can guide the clinician in identifying patients at higher risk for disease complications at diagnosis and throughout disease course. However, many of these risk factors have been identified retrospectively and lack validation. Appropriately powered prospective studies are required to inform algorithms that can truly predict the risk for disease progression in the individual patient.

Indexed as

AdultAge FactorsColitis, UlcerativeCrohn DiseaseDisease ProgressionFemaleHumansInflammatory Bowel DiseasesMalePrognosisRisk FactorsTreatment OutcomeComplicationsCrohn’s diseasedisease progressionprognostic factorsrisk factorsulcerative colitis

Identifiers

PMID27282402
PMCPMC5174730
OpenAlexW2410109193

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.