Evidence map›Paper›PMID 27843131›Full record

ArticleGut and liver2017

Adsorptive Granulocyte and Monocyte Apheresis in the Treatment of Ulcerative Colitis: The First Multicenter Study in China.

Ya-Min Lai, Wei-Yan Yao, Yao He, Xuan Jiang, Yu-Bei Gu, Min-Hu Chen, Yu-Lan Liu, Yao-Zong Yuan, Jia-Ming Qian

Abstract readEvaluation StudyMulticenter Study
In one paragraph

Article in Gut and liver, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Ya-Min LaiPeking Union Medical College Hospital, Peking Union Medical College & Chinese Academy of Medical Science, Beijing, China.
Wei-Yan YaoRuijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Yao HeThe First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Xuan JiangDepartment of Gastroenterology, Peking University People's Hospital, Beijing, China.
Yu-Bei GuRuijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Min-Hu ChenThe First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Yu-Lan LiuDepartment of Gastroenterology, Peking University People's Hospital, Beijing, China.
Yao-Zong YuanRuijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Jia-Ming QianPeking Union Medical College Hospital, Peking Union Medical College & Chinese Academy of Medical Science, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsPatients with active ulcerative colitis (UC) have elevated levels of activated myeloid-derived leukocytes as a source of inflammatory cytokines. The selective depletion of these leukocytes by adsorptive granulocyte/monocyte apheresis (GMA) with an Adacolumn should alleviate inflammation, promote remission and enhance drug efficacy. However, studies have reported contrasting efficacy outcomes based on patients' baseline demographic variables. This study was undertaken to understand the demographic features of GMA responders and nonresponders.

methodsThis was a multicenter study in China involving four institutions and 34 patients with active UC. Baseline conventional medications were continued without changing the dosage. The treatment efficacy was evaluated based on the endoscopic activity index and the Mayo score.

resultsThirty of the 34 patients completed all 10 GMA treatment sessions. The overall efficacy rate was 70.59%. The receiver operating characteristic analysis showed that the area under the curve was approximately 0.766 for a Mayo score of ≤5.5 with 0.273 specificity and 0.857 sensitivity (Youden index, 0.584) for GMA responders. No GMA-related serious adverse events were observed.

conclusionsThe overall efficacy of GMA in patients with active UC who were taking first-line medications or were corticosteroid refractory was encouraging. Additionally, GMA was well tolerated and had a good safety profile.

Indexed as

GranulocytesMonocytesAdsorptionAdultChinaColitis, UlcerativeFemaleHumansLeukapheresisMaleMiddle AgedRetrospective StudiesSeverity of Illness IndexTreatment OutcomeAdsorptive granulocyte/monocyte apheresisColitis, ulcerativeMayo scoreMyeloid lineage leucocytesReceiver operating characteristic curve

Identifiers

PMID27843131
PMCPMC5347645

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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.