Evidence map›Paper›PMID 28597225›Full record

Observational studyJournal of gastroenterology2018

A multicenter, retrospective, observational study of the clinical outcomes and risk factors for relapse of ulcerative colitis at 1 year after leukocytapheresis.

Taku Kobayashi, Katsuyoshi Matsuoka, Yoko Yokoyama, Takashi Nakamura, Tomoko Ino, Toyoko Numata, Hiroshi Shibata, Hirofumi Aoki, Yoshihiro Matsuno, Toshifumi Hibi

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Review
  3. Clinical characteristics of ulcerative colitis in elderly patients.JGH open : an open access journal of gastroenterology and hepatology · 2021
    Review
  4. Review
  5. 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

10 authors.

Taku KobayashiCenter for Advanced IBD Research and Treatment, Kitasato Institute Hospital, Kitasato University, 5-9-1 Shirokane, Minato-ku, Tokyo, 108-8642, Japan.
Katsuyoshi MatsuokaDepartment of Gastroenterology and Hepatology, Tokyo Medical and Dental University, Tokyo, Japan.
Yoko YokoyamaDivision of Inflammatory Bowel Disease, Department of Internal Medicine, Hyogo College of Medicine, Hyogo, Japan.
Takashi NakamuraBlood Purification Business Division, Asahi Kasei Medical Co. Ltd., Tokyo, Japan.
Tomoko InoBlood Purification Business Division, Asahi Kasei Medical Co. Ltd., Tokyo, Japan.
Toyoko NumataBlood Purification Business Division, Asahi Kasei Medical Co. Ltd., Tokyo, Japan.
Hiroshi ShibataBlood Purification Business Division, Asahi Kasei Medical Co. Ltd., Tokyo, Japan.
Hirofumi AokiBlood Purification Business Division, Asahi Kasei Medical Co. Ltd., Tokyo, Japan.
Yoshihiro MatsunoBlood Purification Business Division, Asahi Kasei Medical Co. Ltd., Tokyo, Japan.
Toshifumi HibiCenter for Advanced IBD Research and Treatment, Kitasato Institute Hospital, Kitasato University, 5-9-1 Shirokane, Minato-ku, Tokyo, 108-8642, Japan. thibi@insti.kitasato-u.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExtracorporeal leukocytapheresis (LCAP) is effective for inducing remission of ulcerative colitis (UC). This retrospective observational study aimed to evaluate the clinical outcome at 1 year and identify risk factors for relapse of UC after LCAP.

methodsPatients with active UC treated with LCAP between 2010 and 2012 were enrolled from 54 medical facilities in Japan. Clinical data evaluated at 1 year after the last LCAP session included the incidence of relapse, 1-year cumulative relapse-free rate, risk factors for relapse, and history of re-induction treatment following relapse. Relapse was defined by the addition of treatment to induce remission. The primary endpoint was the 1-year cumulative relapse-free rate. Secondary endpoints were risk factors for relapse and outcomes of re-induction treatment after relapse.

resultsFor 314 patients, the 1-year cumulative relapse-free rate was 63.6%. Following LCAP, a Lichtiger clinical activity index (CAI) of 3 or 4 and high leukocyte count (cut-off value: 7790/mm

conclusionsThe majority of patients (>60%) with UC treated with LCAP achieved clinical remission within 1 year and remained relapse-free. A higher Lichtiger CAI and leukocyte count following LCAP were risk factors for relapse. Re-induction therapy with LCAP was effective for relapse of UC.

Indexed as

LeukapheresisRemission InductionAdolescentAdultAgedAged, 80 and overColitis, UlcerativeFemaleFollow-Up StudiesHumansIncidenceJapanKaplan-Meier EstimateLeukocyte CountMaleMiddle AgedLeukocytapheresisLong-term outcomeUlcerative colitis

Identifiers

PMID28597225
PMCPMC5847179

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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.