Evidence map›Paper›PMID 30373275›Full record

ArticleJournal of clinical medicine2018

Trends of Medication Usage and Associated Outcomes for Taiwanese Patients with Inflammatory Bowel Disease from 2001 to 2015.

Meng-Tzu Weng, Chien-Chih Tung, Yuan-Ting Chang, Yew-Loong Leong, Yu-Ting Wang, Jau-Min Wong, Shu-Chen Wei

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-weighted citation impact, top 17% 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

7 citing papers in PubMed, 11 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Meng-Tzu WengDepartments of Internal Medicine, National Taiwan University Hospital, Taipei 100, Taiwan. wengmengtzu@gmail.com.
Chien-Chih TungDepartment of Integrated Diagnostics & Therapeutics, National Taiwan University Hospital, Taipei 100, Taiwan. cnicemike@yahoo.com.tw.
Yuan-Ting ChangHealth Data Research Center, National Taiwan University, Taipei 106, Taiwan. glot1024@gmail.com.
Yew-Loong LeongDepartment of Internal Medicine, West Garden Hospital, Taipei 108, Taiwan. leong@westgarden.com.tw.
Yu-Ting WangDepartments of Medical Research, National Taiwan University Hospital, Taipei 100, Taiwan. wangyt@ntuh.gov.tw.
Jau-Min WongDepartments of Internal Medicine, National Taiwan University Hospital, Taipei 100, Taiwan. jmwong@ntu.edu.tw.
Shu-Chen WeiDepartments of Internal Medicine, National Taiwan University Hospital, Taipei 100, Taiwan. shuchenwei@ntu.edu.tw.
National Taiwan University Hospital · TWNational Taiwan University · TW

Funding

National Taiwan University Hospital Research Program Ms160The Liver Disease Prevention and Treatment Research Foundation, Taiwan 0
6 · The paper itself

Abstract

backgroundNo nationwide, long-term follow-up study has assessed medication-associated outcomes for Asian patients with inflammatory bowel disease (IBD). This study examined medication-associated outcomes for Taiwanese patients with IBD.

methodsIn this nationwide cohort study, 3806 patients who had received catastrophic illness registration for IBD from 2001 to 2015 were enrolled.

resultsA higher accumulated dosage of 5-aminosalicylic acid (5-ASA) was associated with decreased risks of hospitalization (hazard ratio (HR) = 0.6) and operation (HR = 0.5). Thiopurine was associated with increased risks of hospitalization (HR = 2.1 in the high-dosage group) and tuberculosis (TB; HR = 3.6) reactivation but not with operation risk. A higher accumulated dosage of anti-TNF-α agents was associated with increased risks of hospitalization (HR = 3.3), operation (HR = 2.9), hepatitis B (HR = 4.3), and TB (HR = 5.1) reactivation. Corticosteroids were associated with increased risks of hospitalization (HR = 3.5 in the high-dosage group), risk of operation, hepatitis B (HR = 2.8) and TB (HR = 2.8) reactivation.

conclusions5-ASA usage is associated with decreased risks of hospitalization and operation for patients with IBD, whereas thiopurine, corticosteroids, and anti-TNF-α agents are associated with increased risks of hospitalization and hepatitis B and TB reactivation.

Indexed as

5-aminosalicylic acidanti-tumor necrosis factor-α agentscorticosteroidsinflammatory bowel diseasethiopurine

Identifiers

PMID30373275
PMCPMC6262469
OpenAlexW2898312508

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.