Evidence map›Paper›PMID 31428411›Full record

SynthesisUnited European gastroenterology journal2019

Safety of vedolizumab in liver transplant recipients: A systematic review.

Marco Spadaccini, Alessio Aghemo, Flavio Caprioli, Ana Lleo, Federica Invernizzi, Silvio Danese, Maria F Donato

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in United European gastroenterology journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 27% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. 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

7 authors at 2 institutions in 1 country.

Marco SpadacciniDepartment of Biomedical Sciences, Humanitas University, Rozzano, Italy.
Alessio AghemoDepartment of Biomedical Sciences, Humanitas University, Rozzano, Italy.
Flavio CaprioliFondazione IRCCS Ca'Granda, Ospedale Maggiore Policlinico, Milan, Italy.
Ana LleoDepartment of Biomedical Sciences, Humanitas University, Rozzano, Italy.
Federica InvernizziFondazione IRCCS Ca'Granda, Ospedale Maggiore Policlinico, Milan, Italy.
Silvio DaneseDepartment of Biomedical Sciences, Humanitas University, Rozzano, Italy.
Maria F DonatoFondazione IRCCS Ca'Granda, Ospedale Maggiore Policlinico, Milan, Italy.
Humanitas University · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The management of inflammatory bowel disease in patients who have previously undergone liver transplantation can be a clinical challenge. There are serious concerns among physicians regarding the use of biologics for treating such immuno-compromised patients. Objective: We performed a systematic review on vedolizumab therapy in transplant recipients to assess its safety. Methods: PubMed/Embase/Scopus were searched up to November 2018 to identify papers regarding liver transplant recipients and therapy with vedolizumab. Primary outcomes were adverse events. Secondary outcomes were liver transplant and inflammatory bowel disease outcomes. Results: Eight studies (31 patients) were included. Nine out of 31 patients experienced an infection within a mean follow-up time ranging from 5-20 months. No malignancies were reported. Inflammatory bowel disease clinical response was experienced by 20/26 patients. Abnormalities in liver tests were recorded in 2/22 patients. Conclusion: Vedolizumab may be considered safe for treating inflammatory bowel disease in liver transplant recipients. Caution is recommended for patients with an unstable liver graft function.

Indexed as

Immunocompromised HostLiver TransplantationAntibodies, Monoclonal, HumanizedGastrointestinal AgentsGraft RejectionHumansImmunosuppressive AgentsInflammatory Bowel DiseasesAntibodies, Monoclonal, HumanizedGastrointestinal AgentsImmunosuppressive Agentsvedolizumabadverse eventsinflammatory bowel diseaseLiver transplantationprimary sclerosing cholangitisvedolizumab

Identifiers

PMID31428411
PMCPMC6683639
OpenAlexW2952461763

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.