Evidence map›Paper›PMID 30810207›Full record

ArticleJournal of Crohn's & colitis2019

Faecal Microbiota Dynamics and their Relation to Disease Course in Crohn's Disease.

Gianluca Galazzo, Danyta I Tedjo, Dion S J Wintjens, Paul H M Savelkoul, Ad A M Masclee, Alexander G L Bodelier, Marie J Pierik, Daisy M A E Jonkers, John Penders

Open access · hybridAbstract 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 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
6.8field-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

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 64 citations in OpenAlex.

  1. Pooled it
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  5. A Developmental Perspective on the Intestinal Microbiota in Crohn's Disease.International journal of molecular sciences · 2026
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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

9 authors at 3 institutions in 1 country.

Gianluca GalazzoSchool of Nutrition and Translational Research in Metabolism [NUTRIM], Department of Medical Microbiology, Maastricht University Medical Center+, Maastricht, The Netherlands.
Danyta I TedjoSchool of Nutrition and Translational Research in Metabolism [NUTRIM], Department of Medical Microbiology, Maastricht University Medical Center+, Maastricht, The Netherlands.
Dion S J WintjensSchool of Nutrition and Translational Research in Metabolism [NUTRIM], Division Gastroenterology-Hepatology, Maastricht University Medical Center+, Maastricht, The Netherlands.
Paul H M SavelkoulSchool of Nutrition and Translational Research in Metabolism [NUTRIM], Department of Medical Microbiology, Maastricht University Medical Center+, Maastricht, The Netherlands.
Ad A M MascleeSchool of Nutrition and Translational Research in Metabolism [NUTRIM], Division Gastroenterology-Hepatology, Maastricht University Medical Center+, Maastricht, The Netherlands.
Alexander G L BodelierDepartment of Gastroenterology, Amphia Hospital, Breda, The Netherlands.
Marie J PierikSchool of Nutrition and Translational Research in Metabolism [NUTRIM], Division Gastroenterology-Hepatology, Maastricht University Medical Center+, Maastricht, The Netherlands.
Daisy M A E JonkersSchool of Nutrition and Translational Research in Metabolism [NUTRIM], Division Gastroenterology-Hepatology, Maastricht University Medical Center+, Maastricht, The Netherlands.
John PendersSchool of Nutrition and Translational Research in Metabolism [NUTRIM], Department of Medical Microbiology, Maastricht University Medical Center+, Maastricht, The Netherlands.
Maastricht University · NLAmphia Ziekenhuis · NLMaastricht University Medical Centre · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMicrobial shifts have been associated with disease activity in Crohn's disease [CD], but findings on specific taxa are inconsistent. This may be due to differences in applied methods and cross-sectional study designs. We prospectively examined the faecal microbiota in adult CD patients with changing or stable disease course over time.

methodsFaeces were collected at two time-points from 15 healthy control individuals [HCs], 35 CD patients who were in remission and who maintained remission [RRs], and 22 CD patients during remission and also during subsequent exacerbation [RAs]. The microbial composition was assessed by 16S rRNA [V4] gene sequencing.

resultsCompared with HCs, patients with CD had a lower microbial richness [p = 0.0002] and diversity [p = 0.005]. Moreover, the microbial community structure of a subset of patients, clustered apart from HCs, was characterized by low microbial diversity and Faecalibacterium abundance. Patients within this cluster did not differ with respect to long-term disease course compared with patients with a 'healthy-appearing' microbiota.Over time, microbial richness and diversity did not change in RR versus RA patients. Although the microbial community structure of both RR and RA patients was less stable over time compared with that of HCs, no differences were observed between the patient groups [p = 0.17]; nor was the stability impacted by Montreal classification, medication use, or surgery.

conclusionThe altered microbiota composition and stability in CD was neither associated with disease activity nor long-term disease course, questioning its involvement in the development of an exacerbation. The aberrant microbiota composition in a subset of CD patients warrants further exploration of a more microbiota-driven etiology in this group.

Indexed as

Gastrointestinal MicrobiomeAdultCase-Control StudiesCrohn DiseaseDisease ProgressionFecesFemaleHumansMaleMiddle AgedProspective StudiesRNA, Ribosomal, 16SRNA, Ribosomal, 16S16S rRNA geneCrohn’s diseasedisease coursemicrobiotamicrobiota dynamics

Identifiers

PMID30810207
PMCPMC6764104
OpenAlexW2917569531

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.