Evidence map›Paper›PMID 32213059›Full record

ArticleUnited European gastroenterology journal2020

Outcome of concomitant treatment with thiopurines and allopurinol in patients with inflammatory bowel disease: A nationwide Danish cohort study.

Sandra Bohn Thomsen, Kristine Højgaard Allin, Johan Burisch, Camilla Bjørn Jensen, Susanne Hansen, Lise Lotte Gluud, Klaus Theede, Marianne Kiszka-Kanowitz, Anette Mertz Nielsen, Tine Jess

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in United European gastroenterology journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% 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, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Uphill battle: Innovation of thiopurine therapy in global inflammatory bowel disease care.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2024
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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 4 institutions in 1 country.

Sandra Bohn ThomsenThe Gastrounit, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark.ORCID 0000-0003-2439-1686
Kristine Højgaard AllinCenter for Clinical Research and Prevention, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark.ORCID 0000-0002-6880-5759
Johan BurischCenter for Clinical Research and Prevention, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark.
Camilla Bjørn JensenCenter for Clinical Research and Prevention, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark.
Susanne HansenCenter for Clinical Research and Prevention, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark.
Lise Lotte GluudThe Gastrounit, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark.
Klaus TheedeThe Gastrounit, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark.
Marianne Kiszka-KanowitzThe Gastrounit, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark.
Anette Mertz NielsenThe Gastrounit, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark.
Tine JessCenter for Clinical Research and Prevention, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark.
Hvidovre Hospital · DKFrederiksberg Hospital · DKStatens Serum Institut · DKUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThiopurine and allopurinol in combination are associated with clinical remission in inflammatory bowel diseases but their influence on subsequent outcomes is unclear. We compared outcomes during exposure to both thiopurines and allopurinol versus thiopurines alone.

methodsWe established a nationwide cohort of patients with inflammatory bowel diseases exposed to thiopurines ± allopurinol during 1999-2014, using registry data. Patients were followed until hospitalization, surgery, anti-TNFα, or death (as a primary composite outcome). We used Poisson regression analyses to calculate incidence rate ratios overall and stratified by calendar period (assuming the combined exposure was unintended before 2009).

resultsA total of 10,367 patients with inflammatory bowel diseases (Crohn's disease,

conclusionOur nationwide inflammatory bowel disease cohort study shows that concomitant thiopurine-allopurinol is as safe to use as thiopurines alone, with a tendency towards a positive effect on clinical outcomes in recent calendar periods when combined use was intended.

Indexed as

AdultAllopurinolAzathioprineColitis, UlcerativeCrohn DiseaseDenmarkDrug Therapy, CombinationFemaleFollow-Up StudiesHospitalizationHumansImmunosuppressive AgentsMaleMercaptopurineMiddle AgedRemission Induction6-methylthiopurineAllopurinolAzathioprineImmunosuppressive AgentsMercaptopurineThioguanineallopurinolanti-TNFαepidemiologyhospitalizationInflammatory bowel diseasesurgerythiopurine

Identifiers

PMID32213059
PMCPMC7006001
OpenAlexW2966352562

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.