Evidence map›Paper›PMID 31756948›Full record

ArticleJournal of clinical medicine2019

Fecal Eosinophil Cationic Protein Is a Diagnostic and Predictive Biomarker in Young Adults with Inflammatory Bowel Disease.

Nada Abedin, Teresa Seemann, Sandra Kleinfeld, Jessica Ruehrup, Stefani Röseler, Christian Trautwein, Konrad Streetz, Gernot Sellge

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

12 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. 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

8 authors at 5 institutions in 1 country.

Nada AbedinInstitute for Internal Medicine III, Clinic for Gastroenterology and Hepatology, University Hospital RWTH Aachen, 52074 Aachen, Germany.
Teresa SeemannInstitute for Internal Medicine III, Clinic for Gastroenterology and Hepatology, University Hospital RWTH Aachen, 52074 Aachen, Germany.
Sandra KleinfeldInstitute for Internal Medicine III, Clinic for Gastroenterology and Hepatology, University Hospital RWTH Aachen, 52074 Aachen, Germany.
Jessica RuehrupInstitute for Internal Medicine III, Clinic for Gastroenterology and Hepatology, University Hospital RWTH Aachen, 52074 Aachen, Germany.
Stefani RöselerClinic for Dermatology and Allergology, University Hospital RWTH Aachen, 52074 Aachen, Germany.
Christian TrautweinInstitute for Internal Medicine III, Clinic for Gastroenterology and Hepatology, University Hospital RWTH Aachen, 52074 Aachen, Germany.
Konrad StreetzInstitute for Internal Medicine III, Clinic for Gastroenterology and Hepatology, University Hospital RWTH Aachen, 52074 Aachen, Germany.
Gernot SellgeInstitute for Internal Medicine III, Clinic for Gastroenterology and Hepatology, University Hospital RWTH Aachen, 52074 Aachen, Germany.
RWTH Aachen University · DEGoethe University Frankfurt · DEEvangelisches Krankenhaus Kalk · DEKlinikum Bremen-Mitte · DEKlinikum Leverkusen · DE

Funding

European Union's Seventh Framework Programme (FP7/2007-2013) Grant n°305564 (SysmedIBD)
6 · The paper itself

Abstract

BACKGROUND AND

aimsFecal biomarkers are important non-invasive markers monitoring disease activity in inflammatory bowel disease (IBD). We compared the significance of fecal eosinophil cationic protein (fECP) and fecal calprotectin (fCal).

methodsfECP and fCal were measured in patients with Crohn's disease (CD, n = 97), ulcerative colitis (UC, n = 53), Clostridioides difficile infection (CDI, n = 9), primary food allergy (PFA, n = 11), pollen-associated food allergy (n = 25) and non-inflammatory controls (n = 78). Results were correlated with clinical and endoscopic IBD activity scores.

resultsfECP was significantly elevated in CD, UC, CDI and PFA compared to controls. fCal was significantly increased in CD, UC and CDI. fECP had lower diagnostic accuracy than fCal (area under the curve (AUC) = 0.88) in differentiating between endoscopically active and inactive patients with IBD (AUC = 0.77, ROC analysis). In contrast to fCal, fECP correlated negatively with age and levels were also elevated in clinically and endoscopically inactive patients with IBD <45 years (endoscopically inactive IBD vs controls; AUC for fECP = 0.86; AUC for fCal = 0.62). However, in those patients with low inflammatory activity (fCal <250 mg/kg), high fECP indicated the need for treatment modification or surgery (fECP <200 µg/kg = 22%; 200-600 µg/kg = 44%; >600 µg/kg = 82%) at month 48 of follow-up.

conclusionsfECP is a diagnostic and prognostic marker in young patients with IBD in remission.

Indexed as

biomarkercalprotectineosinophil cationic proteineosinophilsinflammatory bowel disease

Identifiers

PMID31756948
PMCPMC6947361
OpenAlexW2990403785

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.