Evidence map›Paper›PMID 30845259›Full record

Trial reportPloS one2019

Pretreatment neutrophil-to-lymphocyte ratio predicts clinical relapse of ulcerative colitis after tacrolimus induction.

Yu Nishida, Shuhei Hosomi, Hirokazu Yamagami, Naoko Sugita, Shigehiro Itani, Tomomi Yukawa, Koji Otani, Yasuaki Nagami, Fumio Tanaka, Koichi Taira and 4 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 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

14 authors at 1 institution in 1 country.

Yu NishidaDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Shuhei HosomiDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Hirokazu YamagamiDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Naoko SugitaDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Shigehiro ItaniDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Tomomi YukawaDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Koji OtaniDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Yasuaki NagamiDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Fumio TanakaDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Koichi TairaDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Noriko KamataDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Tetsuya TanigawaDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Toshio WatanabeDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Yasuhiro FujiwaraDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Osaka City University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAlthough tacrolimus is useful as an induction therapy in patients with ulcerative colitis (UC), information regarding the long-term outcome after tacrolimus therapy is insufficient. The aim of this study was to evaluate the clinical significance of the pretreatment neutrophil-to-lymphocyte ratio (NLR) as a prognostic factor in patients with UC receiving tacrolimus, to aid treatment selection. MATERIALS AND

methodsPatients with moderate-to-severe active UC who received oral tacrolimus induction therapy and subsequent immunomodulatory maintenance therapy at our hospital between 2009 and 2017 and who showed clinical response at week 12, were retrospectively enrolled. Cox regression analysis was conducted to study the prognostic role of the pretreatment NLR. The combined impact of the NLR and other known prognostic factors was investigated with multivariate regression.

resultsAmong 45 patients included in this study, 21 patients experienced relapse during a median follow-up period of 16.6 months. Multivariate Cox regression analysis identified the pretreatment NLR (hazard ratio [HR]: 0.82, 95% confidence interval [CI]: 0.72-0.94, P < 0.01) and the use of immunomodulators at the start of tacrolimus treatment (HR: 0.18, 95% CI: 0.05-0.66, P = 0.01) as independent predictors of clinical relapse.

conclusionsThe pretreatment NLR is an independent prognostic factor in patients with UC treated with tacrolimus.

Indexed as

Colitis, UlcerativeLymphocytesNeutrophilsAdultFemaleFollow-Up StudiesHumansLeukocyte CountMaleMiddle AgedPredictive Value of TestsRecurrenceTacrolimusTacrolimus

Identifiers

PMID30845259
PMCPMC6405082
OpenAlexW2921060245

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.