Evidence map›Paper›PMID 32299307›Full record

ReviewUnited European gastroenterology journal2020

Diagnosis and treatment of primary biliary cholangitis.

Alena Laschtowitz, Rozanne C de Veer, Adriaan J Van der Meer, Christoph Schramm

Abstract readCase ReportsReview
In one paragraph

Review 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 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–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

18 citing papers in PubMed.

  1. Trial
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  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. [Diagnosis and Treatment of Primary Biliary Cholangitis].The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2023
    Review
  14. Review
  15. Article
  16. UEG journal's editorial team.United European gastroenterology journal · 2022
    Article
  17. Article
  18. 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

4 authors.

Alena LaschtowitzI Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Rozanne C de VeerErasmus University Medical Center, Department of Gastroenterology and Hepatology, Rotterdam, the Netherlands.
Adriaan J Van der MeerErasmus University Medical Center, Department of Gastroenterology and Hepatology, Rotterdam, the Netherlands.
Christoph SchrammI Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Primary biliary cholangitis is a cholestatic, chronic autoimmune liver disease with a wide individual variation in disease progression. The diagnosis is predominantly based on chronic elevation of alkaline phosphatase and the presence of anti-mitochondrial antibodies or other specific antinuclear antibodies (i.e. anti-gp210 and anti-sp100). Even in early-stage disease, health-related quality of life can be severely impaired by symptoms such as pruritus, fatigue, and sicca syndrome and metabolic bone disease should be assessed and treated. The prognosis of the disease is, however, largely determined by the development of cirrhosis and its complications. Ursodeoxycholic acid is associated with an improved prognosis and should be initiated and continued in all patients. Clinical outcome is related to the biochemical response to ursodeoxycholic acid, but the prognosis of those with an incomplete response is still better than those who remain untreated. Obeticholic acid was recently approved as second-line treatment and bezafibrate may serve as an adequate off-label alternative, particularly in patients with pruritus. Preliminary data suggest an additive effect of triple therapy with ursodeoxycholic acid, obeticholic acid, and bezafibrate, whereas other promising drugs are being evaluated in clinical trials.

Indexed as

Liver TransplantationAutoantigensAutoimmune DiseasesBezafibrateBiomarkersBiopsyChenodeoxycholic AcidCholagogues and CholereticsDisease ProgressionDrug Therapy, CombinationElasticity Imaging TechniquesEnd Stage Liver DiseaseFatigueFemaleHumansImmunoglobulin MAutoantigensBezafibrateBiomarkersChenodeoxycholic AcidCholagogues and CholereticsImmunoglobulin Mmitochondrial antigen 36 kDaobeticholic acidUrsodeoxycholic AcidbezafibrateHepatologyobeticholic acidprimary biliary cholangitisursodeoxycholic acid

Identifiers

PMID32299307
PMCPMC7437077

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.