Evidence map›Paper›PMID 32048751›Full record

SynthesisAlimentary pharmacology & therapeutics2020

Review article: faecal calprotectin and histologic remission in ulcerative colitis.

Ferdinando D'Amico, Stefanos Bonovas, Silvio Danese, Laurent Peyrin-Biroulet

Erratum issuedAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Alimentary pharmacology & therapeutics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 3 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

40 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Ferdinando D'AmicoDepartment of Biomedical Sciences, Humanitas University, Milan, Italy.ORCID 0000-0002-8591-6995
Stefanos BonovasDepartment of Biomedical Sciences, Humanitas University, Milan, Italy.ORCID 0000-0001-6102-6579
Silvio DaneseDepartment of Biomedical Sciences, Humanitas University, Milan, Italy.ORCID 0000-0001-7341-1351
Laurent Peyrin-BirouletDepartment of Gastroenterology and Inserm NGERE U1256, University Hospital of Nancy, University of Lorraine, Vandoeuvre-lès-Nancy, France.ORCID 0000-0003-2536-6618

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHistologic healing is emerging as a new therapeutic goal in both routine practice and clinical trials in ulcerative colitis (UC). However, it requires repeated endoscopies and biopsies. Faecal calprotectin is a non-invasive marker of mucosal healing (endoscopic and histologic healing).

aimTo conduct a systematic review to clarify the correlation between faecal calprotectin levels and histologic activity in UC patients.

methodsWe searched PubMed/MEDLINE, EMBASE and Web of Science through September 2019 to identify studies in patients with confirmed diagnosis of UC, reporting the correlation between faecal calprotectin levels and histologic analysis.

resultsTwelve studies enrolling 1168 patients were included in the final review. Histologic remission was defined according to nonvalidated scores in five articles and using partially validated scores in seven articles. Faecal calprotectin values were measured in 6 of 12 studies (50%) with the same kit, while the remaining six studies adopted individually different kits. A clear correlation between faecal calprotectin levels and histology was showed in all included studies. Eleven different faecal calprotectin cut-off points were identified to distinguish histological remission from histological activity, ranging from 40.5 to 250 μg/g.

conclusionsFaecal calprotectin can be used to predict histologic remission in patients with UC, but the cut-off level varies across studies, according to the test used to measure this biomarker and according to the definition of histologic remission. Larger prospective studies using validated histologic indexes are needed to identify a globally accepted faecal calprotectin cut-off level to discriminate between histologic remission and histologically active disease.

Indexed as

AdultBiomarkersBiopsyColitis, UlcerativeFecesFemaleHumansLeukocyte L1 Antigen ComplexMaleMiddle AgedPrognosisProspective StudiesRemission InductionWound HealingBiomarkersLeukocyte L1 Antigen Complexcut-offfaecal calprotectinhistologic activityulcerative colitis

Identifiers

PMID32048751

What OpenQuestion holds

Textmetadata
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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.