Evidence map›Paper›PMID 29460921›Full record

ReviewThe American journal of gastroenterology2018

Measuring Change In Small Intestinal Histology In Patients With Celiac Disease.

Daniel C Adelman, Joseph Murray, Tsung-Teh Wu, Markku Mäki, Peter H Green, Ciarán P Kelly

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in The American journal of gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00931892 (Circulating Markers of Celiac Disease Activity During Gluten Challenge - a Pilot Study.), which is not on this map. Cited by 59 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 2 pooled it
7.4field-weighted citation impact, top 2% 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.

NCT00931892 nacompletednot on this map

Circulating Markers of Celiac Disease Activity During Gluten Challenge - a Pilot Study.

TypeinterventionalSponsorBeth Israel Deaconess Medical CenterRan2009 to 2011Enrolled21ConditionsCeliac DiseaseArmsGluten
3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 2 syntheses or guidelines pooled it, 115 citations in OpenAlex.

  1. Guideline
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  18. Assessment of Intraepithelial Lymphocytes Count in Potential Celiac Disease.APMIS : acta pathologica, microbiologica, et immunologica Scandinavica · 2025
    Article
  19. Intestinal barrier function declines during polycystic kidney disease progression.American journal of physiology. Renal physiology · 2025
    Article
  20. Review
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

6 authors at 5 institutions in 2 countries.

Daniel C AdelmanDepartment of Medicine, Division of Allergy and Immunology, University of California, San Francisco, San Francisco, CA, USA.
Joseph MurrayDepartment of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
Tsung-Teh WuDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Markku MäkiFaculty of Medicine and Life Sciences, University of Tampere and Tampere University Hospital, Tampere, Finland.
Peter H GreenCeliac Disease Center, Columbia University, New York, NY, USA.
Ciarán P KellyCeliac Center, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Mayo Clinic in Arizona · USBeth Israel Deaconess Medical Center · USColumbia University · USTampere University Hospital · FIUniversity of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Small intestinal histologic abnormalities in celiac disease include atrophy of the intestinal villi, hypertrophy of the crypts and lymphocytic infiltration of intraepithelial spaces and lamina propria. These findings are central to diagnosis and their severity and change over time are valuable to monitor disease course and response to therapy. Subjective methods to grade celiac disease histological severity include the Marsh-Oberhuber and Corazza-Villanacci systems. Quantitative histology uses villus height (Vh), crypt depth (Cd), and intra-epithelial lymphocyte count (per 100 enterocytes) to provide objective measures of histologic changes including Vh:Cd ratio. Here we examine the available literature regarding these methodologies and support the use of quantitative histology as the preferred method for accurately and reproducibly demonstrating change of relevant histologic end points over time. We also propose a Quantitative-Mucosal Algorithmic Rules for Scoring Histology (Q-MARSH) system to partially align quantitative histology results with the traditional Marsh, Marsh-Oberhuber, and Corazza-Villanacci systems. Q-MARSH can provide a standardized, objective, and quantitative histology scoring system for use as a clinical or research application.

Indexed as

Celiac DiseaseEnterocytesHumansIntestine, SmallLymphocytesSeverity of Illness Index

Identifiers

PMID29460921
OpenAlexW2793797392

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.