Evidence map›Paper›PMID 28451916›Full record

ArticleDigestive diseases and sciences2017

Outcomes of Fecal Microbiota Transplantation for Clostridium difficile Infection in Patients with Inflammatory Bowel Disease.

Alireza Meighani, Benjamin R Hart, Kassem Bourgi, Nichole Miller, Ajin John, Mayur Ramesh

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Article in Digestive diseases and sciences, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  5. Article
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  9. The interplay ofTherapeutic advances in gastroenterology · 2021
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  11. Article
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  13. South African Society of Clinical MicrobiologySouthern African journal of infectious diseases · 2020
    Article
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  17. Article
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  20. FMT in IBD: What Have We Learned?Digestive diseases and sciences · 2017
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Alireza MeighaniDepartment of Internal Medicine, CFP1, Henry Ford Hospital, 2799 W Grand Blvd, Detroit, MI, 48202, USA. ameigha1@hfhs.org.ORCID 0000-0002-0990-2647
Benjamin R HartDepartment of Internal Medicine, CFP1, Henry Ford Hospital, 2799 W Grand Blvd, Detroit, MI, 48202, USA.
Kassem BourgiDivision of Infectious Diseases, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, 37232, USA.
Nichole MillerDepartment of Internal Medicine, CFP1, Henry Ford Hospital, 2799 W Grand Blvd, Detroit, MI, 48202, USA.
Ajin JohnDepartment of Internal Medicine, CFP1, Henry Ford Hospital, 2799 W Grand Blvd, Detroit, MI, 48202, USA.
Mayur RameshDivision of Infectious Diseases, Henry Ford Hospital, Detroit, MI, 48202, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsFecal microbiota transplantation (FMT) has recently been shown to be a promising therapy for recurrent and refractory Clostridium difficile infections (CDI) despite lack of protocol standardization. Patients with inflammatory bowel disease (IBD) present a particular challenge to CDI therapy as they are reported to have worse clinical outcomes, including higher colectomy rates and increased mortality. We aimed to assess the outcomes of FMT for recurrent CDI in patients with IBD at our healthcare system.

methodsWe constructed a retrospective cohort of all patients who underwent FMT at our healthcare system between December 2012 and May 2014. Patients with concurrent IBD were identified. We evaluated the differences in demographic and clinical characteristics, along with the outcomes to FMT between patients with IBD as compared to the general population.

resultsOver the study period, 201 patients underwent FMT of which 20 patients had concurrent IBD. Patients with IBD were younger but did not differ from the general population in terms of CDI risk factors or disease severity. The response to FMT and rate of CDI relapse in the IBD group were not statistically different compared to the rest of the cohort. The overall response rate in the IBD population was 75% at 12 weeks. Of the patients who failed FMT 4 of 5 patients had active or untreated IBD.

conclusionFecal microbiota transplantation provides a good alternative treatment option with high success rates for recurrent or refractory Clostridium difficile infection in patients with well-controlled IBD who fail standard antimicrobial therapy.

Indexed as

Fecal Microbiota TransplantationAdultAgedClostridioides difficileEnterocolitis, PseudomembranousFemaleHumansImmunocompromised HostInflammatory Bowel DiseasesMaleMiddle AgedRecurrenceRetrospective StudiesTreatment OutcomeClostridium difficile infectionCrohn’s diseaseFecal microbiota transplantationInflammatory bowel diseaseUlcerative colitis

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Read underepoch 390

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.