Evidence map›Paper›PMID 30535888›Full record

SynthesisDigestive diseases and sciences2019

Systematic Review: Efficacy and Safety of Accelerated Induction Regimes in Infliximab Rescue Therapy for Hospitalized Patients with Acute Severe Colitis.

S Sebastian, S Myers, S Nadir, S Subramanian

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Digestive diseases and sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.7field-weighted citation impact, top 9% 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

16 citing papers in PubMed, 33 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Review
  5. Review
  6. Unresolved challenges in acute severe ulcerative colitis.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2024
    Article
  7. Modern practical management of acute severe colitis.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2024
    Review
  8. Article
  9. How to manage: acute severe colitis.Frontline gastroenterology · 2022
    Article
  10. Article
  11. Observational
  12. Article
  13. Article
  14. Article
  15. Article
  16. 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

4 authors at 2 institutions in 1 country.

S SebastianIBD Unit, Hull and East Yorkshire NHS Trust, Hull, UK. shaji.sebastian@hey.nhs.uk.ORCID 0000-0002-3670-6545
S MyersIBD Unit, Hull and East Yorkshire NHS Trust, Hull, UK.
S NadirIBD Unit, Hull and East Yorkshire NHS Trust, Hull, UK.
S SubramanianThe Royal Liverpool and Broad Green University Hospitals NHS Foundation Trust, Liverpool, UK.
Hull and East Yorkshire Hospitals NHS Trust · GBRoyal Liverpool and Broadgreen University Hospital NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPharmacokinetic data suggest that standard induction dosing schedules may not be sufficient in patients with acute severe colitis (ASUC). Hence, intensified induction regimes are increasingly used in the rescue treatment of hospitalized patients with ASUC to avoid the need for colectomy although the evidence for this is uncertain.

aimTo conduct a systematic review of short- and long-term efficacy outcomes from accelerated infliximab induction studies.

methodsSystematic search of relevant databases (MEDLINE, EMBASE, Cochrane Database of Systematic Reviews) and relevant conference proceedings (Digestive Diseases Week, European Colitis and Crohn's Organisation Congress, United European Gastroenterology Week) was done.

resultsWe identified ten relevant studies with a total of 705 patients, of whom 308 received an intensified infliximab regime. Pooled analysis showed no difference in short-term or long-term colectomy rates in those receiving accelerated induction regimes when compared to standard induction. No significant differences in complication rates were identified.

conclusionsThe available uncontrolled studies so far do not suggest short-term or long-term benefit in using accelerated induction in hospitalized ASUC. The overall poor quality of available studies with confounding variables indicates the need for a randomized controlled trial with personalized risk stratification.

Indexed as

Severity of Illness IndexAcute DiseaseColitisDrug RepositioningGastrointestinal AgentsHospitalizationHumansInfliximabRetrospective StudiesTreatment OutcomeGastrointestinal AgentsInfliximabAccelerated inductionAcute severe UCInfliximabRescue therapy

Identifiers

PMID30535888
OpenAlexW2904218317

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.