Evidence map›Paper›PMID 32232053›Full record

ArticleInflammatory intestinal diseases2020

Adsorptive Granulocyte and Monocyte Apheresis Is Effective in Ulcerative Colitis Patients Both with and without Concomitant Prednisolone.

Keiji Matsuda, Kohei Ohno, Yuka Okada, Takahiro Yagi, Mitsuo Tsukamoto, Yoshihisa Fukushima, Atsushi Horiuchi, Ryu Shimada, Tsuyoshi Ozawa, Tamuro Hayama and 14 more

Open access · goldAbstract read
In one paragraph

Article in Inflammatory intestinal diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 22% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. 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

24 authors at 1 institution in 1 country.

Keiji MatsudaDepartment of Surgery, Teikyo University School of Medicine, Tokyo, Japan.
Kohei OhnoDepartment of Surgery, Teikyo University School of Medicine, Tokyo, Japan.
Yuka OkadaDepartment of Surgery, Teikyo University School of Medicine, Tokyo, Japan.
Takahiro YagiDepartment of Surgery, Teikyo University School of Medicine, Tokyo, Japan.
Mitsuo TsukamotoDepartment of Surgery, Teikyo University School of Medicine, Tokyo, Japan.
Yoshihisa FukushimaDepartment of Surgery, Teikyo University School of Medicine, Tokyo, Japan.
Atsushi HoriuchiDepartment of Surgery, Teikyo University School of Medicine, Tokyo, Japan.
Ryu ShimadaDepartment of Surgery, Teikyo University School of Medicine, Tokyo, Japan.
Tsuyoshi OzawaDepartment of Surgery, Teikyo University School of Medicine, Tokyo, Japan.
Tamuro HayamaDepartment of Surgery, Teikyo University School of Medicine, Tokyo, Japan.
Takeshi TsuchiyaDepartment of Surgery, Teikyo University School of Medicine, Tokyo, Japan.
Junko TamuraDepartment of Surgery, Teikyo University School of Medicine, Tokyo, Japan.
Hisae IinumaDepartment of Surgery, Teikyo University School of Medicine, Tokyo, Japan.
Keijiro NozawaDepartment of Surgery, Teikyo University School of Medicine, Tokyo, Japan.
Hitoshi AoyagiIBD Center, Teikyo University School of Medicine, Tokyo, Japan.
Akari IsonoIBD Center, Teikyo University School of Medicine, Tokyo, Japan.
Koichiro AbeIBD Center, Teikyo University School of Medicine, Tokyo, Japan.
Shinya KodashimaIBD Center, Teikyo University School of Medicine, Tokyo, Japan.
Takatsugu YamamotoIBD Center, Teikyo University School of Medicine, Tokyo, Japan.
Yoshitaka KawasakiDepartment of Renal Center, Teikyo University School of Medicine, Tokyo, Japan.
Yoshifuru TamuraDepartment of Renal Center, Teikyo University School of Medicine, Tokyo, Japan.
Yuko SasajimaDepartment of Pathology, Teikyo University School of Medicine, Tokyo, Japan.
Fukuo KondoDepartment of Pathology, Teikyo University School of Medicine, Tokyo, Japan.
Yojiro HashiguchiDepartment of Surgery, Teikyo University School of Medicine, Tokyo, Japan.
Teikyo University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe number of ulcerative colitis (UC) patients is increasing in Japan and other countries. Selective depletion of myeloid lineage leucocytes by adsorptive granulocyte and monocyte apheresis (GMA) with an Adacolumn (JIMRO, Takasaki, Japan) was introduced as a nonpharmacologic treatment strategy in UC patients in 2000. GMA has been reported to be effective in clinical trials; however, the effect of concomitant prednisolone (PSL) on GMA needs to be clarified.

methodsThirty-nine patients with active UC were treated with GMA at our institute between June 2009 and September 2018. All patients received GMA therapy once or twice a week with the Adacolumn. Conventional medication was to be continued during the whole GMA treatment course. The clinical response was retrospectively evaluated.

resultsAccording to the partial Mayo score, remission was 33.3%, significant efficacy 25.6%, effective 25.6%, and no response 15.4%. The average partial Mayo score was 6.2 ± 1.4 at entry and significantly declined to 1.8 ± 1.8 after GMA sessions (

conclusionsThe effect of GMA with concomitant PSL and that of GMA without PSL were not different, and GMA was effective irrespective of PSL administration. The present study showed that GMA had efficacy and led many UC patients treated by PSL to be steroid free with no safety concern in the real world, although there is the possibility of recruitment bias due to the retrospective nature of the study.

Indexed as

Adsorptive granulocyte and monocyte apheresisColonoscopyInflammatory bowel diseaseMayo scoreSteroid freeUlcerative colitis

Identifiers

PMID32232053
PMCPMC7098276
OpenAlexW3004027751

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.