Evidence map›Paper›PMID 31435170›Full record

ReviewWorld journal of gastroenterology2019

Elderly patients with inflammatory bowel disease: Updated review of the therapeutic landscape.

Jean-Frédéric LeBlanc, Daniel Wiseman, Peter L Lakatos, Talat Bessissow

Abstract readReview
In one paragraph

Review in World journal of gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Real-world effectiveness and safety of ustekinumab and vedolizumab in elderly patients with Crohn's disease.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2023
    Article
  13. Article
  14. Review
  15. Inflammatory bowel disease in the elderly: A focus on disease characteristics and treatment patterns.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
    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

4 authors.

Jean-Frédéric LeBlancDepartment of Adult Gastroenterology, McGill University Health Centre, Montreal, QC H3G 1A4, Canada.
Daniel WisemanDepartment of Medicine, McGill University Health Centre, Montreal, QC H3G 1A4, Canada.
Peter L LakatosDepartment of Adult Gastroenterology, McGill University Health Centre, Montreal, QC H3G 1A4, Canada.
Talat BessissowDepartment of Adult Gastroenterology, McGill University Health Centre, Montreal, QC H3G 1A4, Canada. talat.bessissow@mcgill.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High-quality data remains scarce in terms of optimal management strategies in the elderly inflammatory bowel disease (IBD) population. Indeed, available trials have been mostly retrospective, of small sample size, likely owing to under-representation of such a population in the major randomized controlled trials. However, in the last five years, there has been a steady increase in the number of published trials, helping clarify the estimated benefits and toxicity of the existing IBD armamentarium. In the Everhov trial, prescription strategies were recorded over an average follow-up of 4.2 years. A minority of elderly IBD patients (1%-3%) were treated with biologics within the five years following diagnosis, whilst almost a quarter of these patients were receiving corticosteroid therapy at year five of follow-up, despite its multiple toxicities. The low use of biologic agents in real-life settings likely stems from limited data suggesting lower efficacy and higher toxicity. This minireview will aim to highlight current outcome measurements as it portends the elderly IBD patient, as well as summarize the available therapeutic strategies in view of a growing body of evidence.

Indexed as

AgedAge FactorsAnti-Inflammatory AgentsBiological ProductsClinical Trials as TopicColitis, UlcerativeComorbidityCrohn DiseaseDrug UtilizationEvidence-Based MedicineGastroenterologyGlucocorticoidsHumansPatient SelectionPractice Guidelines as TopicPrevalenceAnti-Inflammatory AgentsBiological ProductsGlucocorticoidsBiological therapyElderlyGlucocorticoidsInflammatory bowel diseaseOutcomesSurgery

Identifiers

PMID31435170
PMCPMC6700701

What OpenQuestion holds

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LicenceCC BY-NC
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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.