Evidence map›Paper›PMID 30166855›Full record

ReviewWorld journal of gastroenterology2018

Positioning of old and new biologicals and small molecules in the treatment of inflammatory bowel diseases.

Jason Reinglas, Lorant Gonczi, Zsuzsanna Kurt, Talat Bessissow, Peter L Lakatos

Open access · hybridAbstract readReview
In one paragraph

Review in World journal of gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
5.2field-weighted citation impact, top 4% 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

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 46 citations in OpenAlex.

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  18. Novel Non-biologic Targets for Inflammatory Bowel Disease.Current gastroenterology reports · 2019
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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

5 authors at 3 institutions in 6 countries.

Jason ReinglasDepartment of Gastroenterology, McGill University Health Center, Montreal, Québec H4A 3J1, Canada.
Lorant GoncziFirst Department of Medicine, Semmelweis University, H-1083, Budapest, Koranyi S. 2A, Hungary.
Zsuzsanna KurtFirst Department of Medicine, Semmelweis University, H-1083, Budapest, Koranyi S. 2A, Hungary.
Talat BessissowDepartment of Gastroenterology, McGill University Health Center, Montreal, Québec H4A 3J1, Canada.
Peter L LakatosDepartment of Gastroenterology, McGill University Health Center, Montreal, Québec H4A 3J1, Canada.
Otsuka (United States) · USPfizer (United States) · USSemmelweis University · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The past decade has brought substantial advances in the management of inflammatory bowel diseases (IBD). The introduction of tumor necrosis factor (TNF) antagonists, evidence for the value of combination therapy, the recognition of targeting lymphocyte trafficking and activation as a viable treatment, and the need for early treatment of high-risk patients are all fundamental concepts for current modern IBD treatment algorithms. In this article, authors review the existing data on approved biologicals and small molecules as well as provide insight on the current positioning of approved therapies. Patient stratification for the selection of specific therapies, therapeutic targets and patient monitoring will be discussed as well. The therapeutic armamentarium for IBD is expanding as novel and more targeted therapies become available. In the absence of comparative trials, positioning these agents is becoming difficult. Emerging concepts for the future will include an emphasis on the development of algorithms which will facilitate a greater understanding of the positioning of novel biological drugs and small molecules in order to best tailor therapy to the patient. In the interim, anti-TNF therapy remains an important component of IBD therapy with the most real-life evidence and should be considered as first-line therapy in patients with complicated Crohn's disease and in acute-severe ulcerative colitis. The safety and efficacy of these 'older' anti-TNF therapies can be optimized by adhering to therapeutic algorithms which combine clinical and objective markers of disease severity and response to therapy.

Indexed as

Biological FactorsColitis, UlcerativeCrohn DiseaseGuideline AdherenceHumansImmunotherapyPractice Guidelines as TopicSeverity of Illness IndexTreatment OutcomeTumor Necrosis Factor-alphaBiological FactorsTumor Necrosis Factor-alphaBiologicInflammatory bowel diseasePositioningSmall moleculeTherapeutic

Identifiers

PMID30166855
PMCPMC6113721
OpenAlexW2889146759

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.