Evidence map›Paper›PMID 28105709›Full record

ArticleAlimentary pharmacology & therapeutics2017

The impact of co-existing immune-mediated diseases on phenotype and outcomes in inflammatory bowel diseases.

G Conway, G Velonias, E Andrews, J J Garber, V Yajnik, A N Ananthakrishnan

Open access · bronzeAbstract read
In one paragraph

Article in Alimentary pharmacology & therapeutics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.7field-weighted citation impact, top 7% 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

25 citing papers in PubMed, 42 citations in OpenAlex.

  1. Review
  2. Review
  3. Coexisting autoimmune disorders among patients with inflammatory bowel disease at a tertiary center in Saudi Arabia: A cross-sectional study.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2025
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  15. Overrepresentation of Enterobacteriaceae andFrontiers in cellular and infection microbiology · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

G ConwayDivision of Gastroenterology, Massachusetts General Hospital, Boston, MA, USA.
G VeloniasDivision of Gastroenterology, Massachusetts General Hospital, Boston, MA, USA.
E AndrewsDivision of Gastroenterology, Massachusetts General Hospital, Boston, MA, USA.
J J GarberDivision of Gastroenterology, Massachusetts General Hospital, Boston, MA, USA.
V YajnikDivision of Gastroenterology, Massachusetts General Hospital, Boston, MA, USA.
A N AnanthakrishnanDivision of Gastroenterology, Massachusetts General Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0002-9436-1821
Harvard University · USMassachusetts General Hospital · US

Funding

Pilot & Feasibility ProgramP30DK043351 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI Ramnik J Xavier · 1991 to 2026
$35.3M
Genetic predictors of anti-TNF treatment response and infections in IBDK23DK097142 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI ANANTHAKRISHNAN, ASHWIN N · 2012 to 2016
$846k
NIDDK NIH HHS K23 DK097142NIDDK NIH HHS P30 DK043351
6 · The paper itself

Abstract

backgroundInflammatory bowel diseases lead to progressive bowel damage and need for surgery. While the increase in prevalence of other immune-mediated diseases in IBD is well recognised, the impact of this on the natural history of IBD is unknown.

aimTo determine the impact of concomitant immune-mediated diseases on phenotypes and outcomes in IBD.

methodsPatients with IBD enrolled in a prospective registry were queried about the presence of other immune-mediated diseases, defined as those where immune dysregulation plays a role in pathogenesis. Demographics and disease-related information were obtained. Subjects also completed measures of quality of life. Multivariable regression models compared disease phenotype and outcomes of IBD patients with and without other immune-mediated diseases.

resultsThe cohort included 2145 IBD patients among whom 458 (21%) had another immune-mediated disease. There was no difference in CD phenotype between the two groups. UC patients were more likely to have pancolitis in the presence of another immune-mediated disease (62%) compared to those without (52%, P = 0.02). IBD patients with another immune-mediated disease had higher rates of needing anti-TNF biologics [Odds ratio (OR) 1.31, 95% CI 1.05-1.63] and surgery (OR 1.26, 95% CI 0.99-1.61). The presence of another immune-mediated disease was also associated with lower disease-specific and general physical quality of life.

conclusionsThe presence of another immune-mediated disease in IBD patients was associated with higher likelihood of pancolonic involvement in UC, and a modest increase in need for IBD-related surgery and anti-TNF biological therapy. Such patients also experienced worse quality of life.

Indexed as

PhenotypeAdultColitis, UlcerativeComorbidityCrohn DiseaseFemaleHumansImmune System DiseasesImmunologic FactorsInflammatory Bowel DiseasesMaleMiddle AgedProspective StudiesQuality of LifeRegistriesTreatment OutcomeImmunologic FactorsTumor Necrosis Factor-alpha

Identifiers

PMID28105709
PMCPMC5315585
OpenAlexW2577708055

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Registered trials

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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.