Evidence map›Paper›PMID 29383596›Full record

Trial reportSurgery today2018

Postoperative therapy with infliximab for Crohn's disease: a 2-year prospective randomized multicenter study in Japan.

Kouhei Fukushima, Akira Sugita, Kitaro Futami, Ken-Ichi Takahashi, Satoshi Motoya, Hideaki Kimura, Shusaku Yoshikawa, Yoshitaka Kinouchi, Hideki Iijima, Katsuya Endo and 5 more

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Surgery today, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 6 pooled it
2.2field-weighted citation impact, top 12% 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

11 citing papers in PubMed, 6 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
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  7. Review
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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

15 authors at 1 institution in 1 country.

Kouhei FukushimaSurgical Research Group, the Research Comittee of Inflammatory Bowel Disease, the Ministry of Health, Welfare and Labor of Japan, Tokyo, Japan. kouhei@surg1.med.tohoku.ac.jp.
Akira SugitaSurgical Research Group, the Research Comittee of Inflammatory Bowel Disease, the Ministry of Health, Welfare and Labor of Japan, Tokyo, Japan.
Kitaro FutamiSurgical Research Group, the Research Comittee of Inflammatory Bowel Disease, the Ministry of Health, Welfare and Labor of Japan, Tokyo, Japan.
Ken-Ichi TakahashiSurgical Research Group, the Research Comittee of Inflammatory Bowel Disease, the Ministry of Health, Welfare and Labor of Japan, Tokyo, Japan.
Satoshi MotoyaSurgical Research Group, the Research Comittee of Inflammatory Bowel Disease, the Ministry of Health, Welfare and Labor of Japan, Tokyo, Japan.
Hideaki KimuraSurgical Research Group, the Research Comittee of Inflammatory Bowel Disease, the Ministry of Health, Welfare and Labor of Japan, Tokyo, Japan.
Shusaku YoshikawaSurgical Research Group, the Research Comittee of Inflammatory Bowel Disease, the Ministry of Health, Welfare and Labor of Japan, Tokyo, Japan.
Yoshitaka KinouchiSurgical Research Group, the Research Comittee of Inflammatory Bowel Disease, the Ministry of Health, Welfare and Labor of Japan, Tokyo, Japan.
Hideki IijimaSurgical Research Group, the Research Comittee of Inflammatory Bowel Disease, the Ministry of Health, Welfare and Labor of Japan, Tokyo, Japan.
Katsuya EndoSurgical Research Group, the Research Comittee of Inflammatory Bowel Disease, the Ministry of Health, Welfare and Labor of Japan, Tokyo, Japan.
Toshihumi HibiSurgical Research Group, the Research Comittee of Inflammatory Bowel Disease, the Ministry of Health, Welfare and Labor of Japan, Tokyo, Japan.
Mamoru WatanabeSurgical Research Group, the Research Comittee of Inflammatory Bowel Disease, the Ministry of Health, Welfare and Labor of Japan, Tokyo, Japan.
Iwao SasakiSurgical Research Group, the Research Comittee of Inflammatory Bowel Disease, the Ministry of Health, Welfare and Labor of Japan, Tokyo, Japan.
Yasuo SuzukiSurgical Research Group, the Research Comittee of Inflammatory Bowel Disease, the Ministry of Health, Welfare and Labor of Japan, Tokyo, Japan.
Surgical Research Group, the Research Committee of Inflammatory Bowel Disease, the Ministry of Health, Welfare and Labor of Japan
Ministry of Health Labour and Welfare · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe prevention of postoperative recurrence is a critical issue in surgery for Crohn's disease. Prospective randomized trials in Western countries have shown that the postoperative use of anti-tumor necrosis factor α-antibodies was effective in reducing the recurrence rate. We investigated the efficacy of infliximab (IFX) for the prevention of postoperative Crohn's disease recurrence.

methodsWe performed a prospective randomized multicenter study. Patients who underwent intestinal resection were assigned to groups treated with or without IFX. Immediately after surgery, patients in the IFX group received IFX at 5 mg/kg at 0, 2, and 6 weeks, followed by every 8 weeks for 2 years. The primary study outcome was the proportion of patients with endoscopic and/or clinical recurrence at 2 years after surgery.

resultsThirty-eight eligible patients participated in this study: 19 in the IFX group and 19 in the non-IFX group. The disease recurrence rate in the IFX group was 52.6% (10/19), which was significantly lower than that in the non-IFX group (94.7% [18/19]).

conclusionThe postoperative use of IFX is effective in preventing Crohn's disease recurrence for 2 years.

Indexed as

Postoperative CareSecondary PreventionAdultAgedCombined Modality TherapyCrohn DiseaseFemaleGastrointestinal AgentsHumansInfliximabJapanMaleMiddle AgedTime FactorsTreatment OutcomeGastrointestinal AgentsInfliximabA prospective randomized multicenter studyCrohn’s diseaseInfliximabPostoperative recurrence

Identifiers

PMID29383596
OpenAlexW2793267582

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.