Evidence map›Paper›PMID 31366614›Full record

ArticleBMJ case reports2019

Pneumatosis intestinalis: cost paid for rheumatoid arthritis treatment.

Pratyusha Tirumanisetty, Jose William Sotelo, Michael Disalle, Meenal Sharma

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 41% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Review
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 2 countries.

Pratyusha TirumanisettyDepartment of Internal Medicine, Unity Hospital, Greece, New York, USA.ORCID http://orcid.org/0000-0001-7497-9870
Jose William SoteloDepartment of Internal Medicine, Universidad Autonoma Metropolitana - Xochimilco, Coyoacan, Mexico.
Michael DisalleDepartment of Internal Medicine, Unity Hospital, Greece, New York, USA.
Meenal SharmaDepartment of Pathology, Unity Hospital, Greece, New York, USA.
Unity Hospital · USUniversidad Autónoma Metropolitana · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 75-year-old woman with rheumatoid arthritis on rituximab presented with a 1-week history of constipation and abdominal distension. Subsequent workup showed presence of air in the bowel wall without perforation initially. Due to positive blood cultures, worsening leucocytosis and high suspicion for perforation, an exploratory laparotomy was performed revealing necrotic bowel, walled off perforation and abscess. Patient underwent right hemicolectomy with diversion loop ileostomy. Clinicians must recognise that monoclonal antibodies like rituximab can mask signs of inflammation and therefore should maintain a high index of suspicion for intestinal perforation when evaluating patients with minimal symptoms and pneumatosis intestinalis.

Indexed as

ColectomyIleostomyLaparotomyAgedAntirheumatic AgentsArthritis, RheumatoidFemaleHumansPneumatosis Cystoides IntestinalisRituximabTomography, X-Ray ComputedTreatment OutcomeAntirheumatic AgentsRituximabair leaksgastroenterologyrheumatoid arthritis

Identifiers

PMID31366614
PMCPMC6678030
OpenAlexW2966761178

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.