Evidence map›Paper›PMID 31391803›Full record

ArticleGastroenterology & hepatology2019

Treatment De-Escalation in Patients With Inflammatory Bowel Disease.

Amanda Israel, Katia El Jurdi, David T Rubin

Abstract read
In one paragraph

Article in Gastroenterology & hepatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Restarting Biologic Agents After a Drug Holiday.Gastroenterology & hepatology · 2019
    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

3 authors.

Amanda IsraelDr Israel is an advanced inflammatory bowel disease fellow, Dr El Jurdi is a clinical research coordinator, and Dr Rubin is a professor of medicine and chief of gastroenterology at the University of Chicago Medicine in Chicago, Illinois.
Katia El JurdiDr Israel is an advanced inflammatory bowel disease fellow, Dr El Jurdi is a clinical research coordinator, and Dr Rubin is a professor of medicine and chief of gastroenterology at the University of Chicago Medicine in Chicago, Illinois.
David T RubinDr Israel is an advanced inflammatory bowel disease fellow, Dr El Jurdi is a clinical research coordinator, and Dr Rubin is a professor of medicine and chief of gastroenterology at the University of Chicago Medicine in Chicago, Illinois.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Inflammatory bowel disease follows a relapsing and remitting course that can be augmented with the use of various pharmacologic therapies. Treatments used to induce or maintain remission may not be required indefinitely. The associated side-effect profile, adverse events, and costs are additional motivators for providers to treat patients with the lowest dose of effective medications. De-escalation of therapy, whether dose reduction or drug discontinuation, must be carefully considered on an individual patient basis. The steps for de-escalation include confirmation of deep remission, development of a maintenance strategy, discussion of the rescue threshold and treatment options in the event of relapse, and appropriate discussion with the patient of this plan.

Indexed as

De-escalationinflammatory bowel diseasetreat to target

Identifiers

PMID31391803
PMCPMC6676361

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.