Evidence map›Paper›PMID 29057149›Full record

ArticleJournal of gastrointestinal & digestive system2016

Rate and Predictors of Endoscopic Mucosal Healing in Biologic Naive Patients with Inflammatory Bowel Disease by Azathioprine Treatment: A Real World, 10 Years' Experience from a Single Centre in Turkey.

Metin Basaranoglu, Atilla Ertan, Sanju Mathew, Sonia Michael Najjar, Aftab Ala, Ali Eba Demirbag, Hakan Senturk

Abstract read
In one paragraph

Article in Journal of gastrointestinal & digestive system, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. 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

7 authors.

Metin BasaranogluDepartment of Internal Medicine, Gastroenterology Division, Bezmialem Vakif University Faculty Hospital, Fatih, 34000, Istanbul, Turkey.
Atilla ErtanDepartment of Internal Medicine, Gastroenterology Division, Ertan Digestive Center, The University of Texas Medical School, Houston, 6414, Texas, USA.
Sanju MathewDepartment of Gastroenterology and Hepatology, Royal Surrey County Hospital NHS Foundation Trust, Guildford, Surrey, GU2 7XX, UK.
Sonia Michael NajjarAssociate Dean of Research and Innovation, Heritage College of Osteopathic Medicine Office of Research and Grants Irvine Hall, Room 220B, 1 Ohio University, USA.
Aftab AlaDepartment of Gastroenterology and Hepatology, Royal Surrey County Hospital NHS Foundation Trust, Guildford, Surrey, GU2 7XX, UK.
Ali Eba DemirbagGastroenterology and Gastrointestinal Surgery Divisions, Türkiye Yüksek Ihtisas Hospital, Sihhiye, 06010, Ankara, Turkey.
Hakan SenturkDepartment of Internal Medicine, Gastroenterology Division, Bezmialem Vakif University Faculty Hospital, Fatih, 34000, Istanbul, Turkey.

Funding

SUBSTRATES AND INSULIN RECEPTOR ENDOCYTOSISR01DK054254 · NIDDK · UNIVERSITY OF TOLEDO HEALTH SCI CAMPUS · PI NAJJAR, SONIA M. · 2000 to 2021
$5.8M
CEACAM1: A link between metabolic and cardiovascular diseasesR01HL112248 · NHLBI · UNIVERSITY OF TOLEDO HEALTH SCI CAMPUS · PI NAJJAR, SONIA M. · 2012 to 2016
$1.9M
Insulin resistance in the pathogenesis of NASHR01DK083850 · NIDDK · UNIVERSITY OF TOLEDO HEALTH SCI CAMPUS · PI NAJJAR, SONIA M. · 2009 to 2010
$749k
NHLBI NIH HHS R01 HL112248NIDDK NIH HHS R01 DK054254NIDDK NIH HHS R01 DK083850
6 · The paper itself

Abstract

backgroundThere is increasing evidence that endoscopic mucosal healing (EMH) is a key target in inflammatory bowel disease (IBD) therapy. However, there is limited evidence of EMH rates with conventional IBD therapy outside of Western population groups. AİM: To evaluate the role of azathioprine (AZA) in inducing EMH in IBD patients.

methodsPatients with inflammatory bowel disease were evaluated in terms of endoscopic mucosal healing and the incidence of surgical interventions during the azathioprine treatment between 1995 to 2014.

resultsA total of 120 inflammatory bowel disease patients were enrolled. Endoscopic mucosal healing was found in 37% patients with inflammatory bowel disease (42% in chronic ulcerative colitis and 33% in Crohn's disease). Male gender had a negative impact on the efficacy of azathioprine (P<0.05). Responder inflammatory bowel disease patients were older (age at the IBD diagnose) than the nonresponder (P<0.05). Azathioprine therapy reduced the number of the surgical interventions (P<0.05). CONCLUSİON: We showed that azathioprine therapy significantly induced endoscopic mucosal healing in biologic naïve patients with active inflammatory bowel disease as well as decreasing the surgical interventions, with negative predictive factors identified by a younger age at IBD presentation and male gender.

Indexed as

Azathioprine treatmentCrohn’s diseaseEndoscopic mucosal healingInflammatory bowel diseaseThiopurines

Identifiers

PMID29057149
PMCPMC5648353

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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.