Evidence map›Paper›PMID 30551128›Full record

ArticleJournal of Crohn's & colitis2019

Distinct Histopathological Features at Diagnosis of Very Early Onset Inflammatory Bowel Disease.

Máire A Conrad, Chrystalle Katte Carreon, Noor Dawany, Pierre Russo, Judith R Kelsen

Open access · bronzeAbstract read
In one paragraph

Article in Journal of Crohn's & colitis, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

31 citing papers in PubMed, 64 citations in OpenAlex.

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  20. Clinical Characteristics,Frontiers in genetics · 2022
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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 1 institution in 1 country.

Máire A ConradChildren's Hospital of Philadelphia, Department of Pediatrics, Philadelphia, PA, USA.
Chrystalle Katte CarreonChildren's Hospital of Philadelphia, Department of Pathology and Laboratory Medicine, Philadelpha, PA, USA.
Noor DawanyChildren's Hospital of Philadelphia, Department of Biomedical and Health Informatics, Philadelphia, PA, USA.
Pierre RussoChildren's Hospital of Philadelphia, Department of Pathology and Laboratory Medicine, Philadelpha, PA, USA.
Judith R KelsenChildren's Hospital of Philadelphia, Department of Pediatrics, Philadelphia, PA, USA.
Children's Hospital of Philadelphia · US

Funding

Very Early-onset inflammatory bowel diseaseK23DK100461 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI KELSEN, JUDITH RACHEL · 2014 to 2018
$893k
NIDDK NIH HHS K23 DK100461
6 · The paper itself

Abstract

BACKGROUND AND

aimsChildren with very early onset inflammatory bowel disease [VEO-IBD] represent a unique cohort, often with a severe phenotype that is refractory to conventional medications, and some cases have underlying primary immunodeficiencies. Previous work has identified distinct histopathological patterns in the gastrointestinal tract in patients with primary immunodeficiencies. The aim of this study is to characterise the diagnostic histological findings in patients with VEO-IBD as compared with older onset paediatric IBD, and determine if there are unique pathological changes that can shed light on the driving forces of the disease, particularly immunodeficiencies.

methodsClinical retrospective chart review, including disease characteristics and endoscopic findings, was performed on all included subjects. Two paediatric pathologists reviewed biopsies from diagnostic upper endoscopies and colonoscopies of subjects with very early onset inflammatory bowel disease and older onset inflammatory bowel disease, to evaluate for the presence of 11 histological features previously associated with inflammatory bowel disease and primary immunodeficiencies.

resultsThe diagnostic gastrointestinal biopsies of subjects with very early onset inflammatory bowel disease differed from those in older onset paediatric IBD, demonstrated by increased frequency of apoptosis, severe chronic architectural changes, small intestine villous blunting, and eosinophils in the crypts, lamina propria, and surface epithelium.

conclusionsThe diagnostic biopsies of children with very early onset inflammatory bowel disease can identify characteristic features that may be important in guiding the diagnostic work-up in this population.

Indexed as

AdolescentAge of OnsetBiopsyChildChild, PreschoolColonoscopyFemaleHumansInflammatory Bowel DiseasesIntestinesMaleRetrospective Studiesdiagnostic pathologyimmunodeficiencyPaediatric inflammatory bowel disease

Identifiers

PMID30551128
PMCPMC6486490
OpenAlexW2904903403

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.