Evidence map›Paper›PMID 29479441›Full record

ArticleGastroenterology report2018

Ulcerative Colitis Endoscopic Index of Severity (UCEIS) versus Mayo Endoscopic Score (MES) in guiding the need for colectomy in patients with acute severe colitis.

Tingbin Xie, Tenghui Zhang, Chao Ding, Xujie Dai, Yi Li, Zhen Guo, Yao Wei, Jianfeng Gong, Weiming Zhu, Jieshou Li

Open access · diamondAbstract read
In one paragraph

Article in Gastroenterology report, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
7.3field-weighted citation impact, top 3% 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

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 115 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Management of Severe Colitis and Toxic Megacolon.Clinics in colon and rectal surgery · 2024
    Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. [Value of Improved Mayo Endoscopic Score for evaluating treatment efficacy for active ulcerative colitis].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2023
    Article
  18. Article
  19. Article
  20. 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 at 4 institutions in 1 country.

Tingbin XieDepartment of General Surgery, Jinling Hospital Affiliated to Southern Medical University, Guangzhou, Guangdong, China.
Tenghui ZhangDepartment of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, Jiangshu, China.
Chao DingDepartment of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, Jiangshu, China.
Xujie DaiDepartment of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, Jiangshu, China.
Yi LiDepartment of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, Jiangshu, China.
Zhen GuoDepartment of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, Jiangshu, China.
Yao WeiDepartment of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, Jiangshu, China.
Jianfeng GongDepartment of General Surgery, Jinling Hospital Affiliated to Southern Medical University, Guangzhou, Guangdong, China.
Weiming ZhuDepartment of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, Jiangshu, China.
Jieshou LiDepartment of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, Jiangshu, China.
Nanjing General Hospital of Nanjing Military Command · CNNanjing University · CNNanjing Medical University · CNSouthern Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Ulcerative Colitis Endoscopic Index of Severity (UCEIS) and the Mayo Endoscopic Score (MES) were developed as an objective method of the endoscopic severity in ulcerative colitis (UC); however, it was still unclear whether UCEIS

methodsConsecutive ASC patients between January 2012 and May 2016 were retrospectively evaluated. Demographic data, previous therapy, clinical observations, laboratory parameters, medical therapy and endoscopic assessments were documented. The primary outcome was the need for colectomy during admission and follow-up.

resultsNinety-two patients were enrolled. 37 (40.2%) needed colectomy. UCEIS score is a predictor of requirement for colectomy in multivariate analysis (OR, 3.25; 95% CI, 1.77-5.97; P < 0.001). Receiver-operator characteristic (ROC) area of UCEIS is 0.85, with a sensitivity of 60.3% and specificity of 85.5% using cut-off value of 7, which outperforms MES with the ROC area of 0.65; When UCEIS score ≥7, 80% of patients eventually need colectomy.

conclusionUCEIS outperformed MES as a predictor for need for colectomy in ASC patients. The high probability of medical treatment failure and benefits of early colectomy should be discussed in patients with baseline UCEIS ≥ 7.Acute severe colitis; colectomy; Ulcerative Colitis Endoscopic Index of Severity; Mayo Endoscopic Score.

Identifiers

PMID29479441
PMCPMC5806393
OpenAlexW2789990184

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.