Evidence map›Paper›PMID 31905627›Full record

ArticleJournal of clinical medicine2019

Gastrointestinal Bleeding in Patients with Hereditary Hemorrhagic Telangiectasia: Risk Factors and Endoscopic Findings.

José María Mora-Luján, Adriana Iriarte, Esther Alba, Miguel Ángel Sánchez-Corral, Ana Berrozpe, Pau Cerdà, Francesc Cruellas, Jesús Ribas, Jose Castellote, Antoni Riera-Mestre

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 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

14 citing papers in PubMed, 36 citations in OpenAlex.

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  12. Genotype-Phenotype Correlations in Children with HHT.Journal of clinical medicine · 2020
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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

10 authors at 1 institution in 1 country.

José María Mora-LujánHHT Unit, Hospital Universitari de Bellvitge, 08907 Barcelona, Spain.
Adriana IriarteHHT Unit, Hospital Universitari de Bellvitge, 08907 Barcelona, Spain.
Esther AlbaHHT Unit, Hospital Universitari de Bellvitge, 08907 Barcelona, Spain.
Miguel Ángel Sánchez-CorralHHT Unit, Hospital Universitari de Bellvitge, 08907 Barcelona, Spain.
Ana BerrozpeBellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, 08907 Barcelona, Spain.
Pau CerdàHHT Unit, Hospital Universitari de Bellvitge, 08907 Barcelona, Spain.
Francesc CruellasHHT Unit, Hospital Universitari de Bellvitge, 08907 Barcelona, Spain.
Jesús RibasHHT Unit, Hospital Universitari de Bellvitge, 08907 Barcelona, Spain.
Jose CastelloteHHT Unit, Hospital Universitari de Bellvitge, 08907 Barcelona, Spain.
Antoni Riera-MestreHHT Unit, Hospital Universitari de Bellvitge, 08907 Barcelona, Spain.ORCID 0000-0001-9411-804X
Bellvitge University Hospital · ES

Funding

Instituto de Salud Carlos III PI17/00669
6 · The paper itself

Abstract

backgroundWe aimed to describe risk factors for gastrointestinal (GI) bleeding and endoscopic findings in patients with hereditary hemorrhagic telangiectasia (HHT).

methodsThis is a prospective study from a referral HHT unit. Endoscopic tests were performed when there was suspicion of GI bleeding, and patients were divided as follows: with, without, and with unsuspected GI involvement.

results67 (27.9%) patients with, 28 (11.7%) patients without, and 145 (60.4%) with unsuspected GI involvement were included. Age, tobacco use, endoglin (ENG) mutation, and hemoglobin were associated with GI involvement. Telangiectases were mostly in the stomach and duodenum, but 18.5% of patients with normal esophagogastroduodenoscopy (EGD) had GI involvement in video capsule endoscopy (VCE). Telangiectases ≤ 3 mm and ≤10 per location were most common. Among patients with GI disease, those with hemoglobin < 8 g/dL or transfusion requirements (65.7%) were older and had higher epistaxis severity score (ESS) and larger telangiectases (>3 mm). After a mean follow-up of 34.2 months, patients with GI involvement required more transfusions and more emergency department and hospital admissions, with no differences in mortality.

conclusionsRisk factors for GI involvement have been identified. Patients with GI involvement and severe anemia had larger telangiectases and higher ESS. VCE should be considered in patients with suspicion of GI bleeding, even if EGD is normal.

Indexed as

gastrointestinal bleedinghereditary hemorrhagic telangiectasiarare diseasesSmad pathwaytelangiectasistransforming growth factor-beta (TGF-β)

Identifiers

PMID31905627
PMCPMC7019907
OpenAlexW2998339954

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.