Evidence map›Paper›PMID 28948412›Full record

ArticleDigestive diseases and sciences2017

Rapid Fecal Calprotectin Test and Symptom Index in Monitoring the Disease Activity in Colonic Inflammatory Bowel Disease.

Anna-Maija Puolanne, Kaija-Leena Kolho, Henrik Alfthan, Ari Ristimäki, Harri Mustonen, Martti Färkkilä

Open access · greenAbstract readValidation Study
PubMed Publisher
In one paragraph

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 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

18 citing papers in PubMed, 38 citations in OpenAlex.

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  3. Combined [European journal of nuclear medicine and molecular imaging · 2026
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  16. Faecal Calprotectin.The Clinical biochemist. Reviews · 2018
    Review
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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.

Anna-Maija PuolanneDepartment of Medicine, Clinic of Gastroenterology, Helsinki University Hospital, Haartmaninkatu 4, P.O. Box 340, 00290, Helsinki, Finland. anna-maija.puolanne@hus.fi.ORCID 0000-0003-0619-4785
Kaija-Leena KolhoChildren's Hospital, Helsinki University Hospital, Stenbäckinkatu 11, 00290, Helsinki, Finland.
Henrik AlfthanDepartment of Clinical Chemistry, Helsinki University Hospital, Haartmaninkatu 2, 00290, Helsinki, Finland.
Ari RistimäkiPathology, Research Programs Unit and HUSLAB, University of Helsinki and Helsinki University Hospital, Haartmaninkatu 3, 00290, Helsinki, Finland.
Harri MustonenDepartment of Surgery, Biomedicum Helsinki, University of Helsinki and Helsinki University Hospital, Haartmaninkatu 8, 00290, Helsinki, Finland.
Martti FärkkiläDepartment of Medicine, Clinic of Gastroenterology, Helsinki University Hospital, Haartmaninkatu 4, P.O. Box 340, 00290, Helsinki, Finland.
Helsinki University Hospital · FIUniversity of Helsinki · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFecal calprotectin is a reliable surrogate marker for inflammatory activity in inflammatory bowel disease (IBD).

aimsFor the noninvasive monitoring of the activity of colonic inflammation, we validated a symptom index suitable for ulcerative colitis and colonic Crohn's disease. By combining the symptom index with a rapid semi-quantitative calprotectin test, we constructed a new activity index based on the highest AUCs, using histological remission as a reference. We also evaluated the correlation of the patient-reported influence of the IBD in the daily life, measured by a VAS, with the inflammation activity.

methodsThe disease activity of 72 patients with IBD of the colon was determined by endoscopic activity scores (SES-CD/UCEIS). The patients provided stool samples for determination of calprotectin and filled in a questionnaire about their symptoms during the last week.

resultsThe results of the symptom index demonstrated a statistically significant correlation with the rapid calprotectin test, histological inflammation activity, and the VAS. No correlations were found between the VAS and calprotectin or the histological inflammation activity. The sensitivity of the combination index to detect active inflammation was slightly superior to fecal calprotectin alone.

conclusionThe new symptom index and the combination index are simple, noninvasive means for distinguishing remission from active inflammation in colonic IBD. With the VAS, we can pick up patients who need psychosocial support because of the disease burden, even if their IBD is in remission.

Indexed as

AdolescentAdultAgedArea Under CurveBiomarkersChildChild, PreschoolColitis, UlcerativeColonoscopyCrohn DiseaseFecesFemaleHumansLeukocyte L1 Antigen ComplexMaleMiddle AgedBiomarkersLeukocyte L1 Antigen ComplexFecal calprotectinInflammatory bowel diseaseRapid fecal calprotectin testSymptom index

Identifiers

PMID28948412
OpenAlexW2757450823

What OpenQuestion holds

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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.