Evidence map›Paper›PMID 32517388›Full record

ArticleJournal of clinical medicine2020

Effectiveness and Nephrotoxicity of Long-Term Tacrolimus Administration in Patients with Ulcerative Colitis.

Keiichi Haga, Tomoyoshi Shibuya, Kei Nomura, Koki Okahara, Osamu Nomura, Dai Ishikawa, Naoto Sakamoto, Taro Osada, Akihito Nagahara

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.5field-weighted citation impact, top 19% 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

7 citing papers in PubMed, 15 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Clinical characteristics of ulcerative colitis in elderly patients.JGH open : an open access journal of gastroenterology and hepatology · 2021
    Review
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

9 authors at 1 institution in 1 country.

Keiichi HagaDepartment of Gastroenterology, Juntendo University School of Medicine, 2-2-1 Hongo, Bunkyoku, Tokyo 113-8421, Japan.
Tomoyoshi ShibuyaDepartment of Gastroenterology, Juntendo University School of Medicine, 2-2-1 Hongo, Bunkyoku, Tokyo 113-8421, Japan.ORCID 0000-0003-3558-7123
Kei NomuraDepartment of Gastroenterology, Juntendo University School of Medicine, 2-2-1 Hongo, Bunkyoku, Tokyo 113-8421, Japan.ORCID 0000-0002-2593-1472
Koki OkaharaDepartment of Gastroenterology, Juntendo University School of Medicine, 2-2-1 Hongo, Bunkyoku, Tokyo 113-8421, Japan.
Osamu NomuraDepartment of Gastroenterology, Juntendo University School of Medicine, 2-2-1 Hongo, Bunkyoku, Tokyo 113-8421, Japan.
Dai IshikawaDepartment of Gastroenterology, Juntendo University School of Medicine, 2-2-1 Hongo, Bunkyoku, Tokyo 113-8421, Japan.ORCID 0000-0002-1130-2210
Naoto SakamotoDepartment of Gastroenterology, Juntendo University School of Medicine, 2-2-1 Hongo, Bunkyoku, Tokyo 113-8421, Japan.
Taro OsadaDepartment of Gastroenterology, Juntendo University School of Medicine, 2-2-1 Hongo, Bunkyoku, Tokyo 113-8421, Japan.
Akihito NagaharaDepartment of Gastroenterology, Juntendo University School of Medicine, 2-2-1 Hongo, Bunkyoku, Tokyo 113-8421, Japan.ORCID 0000-0001-5979-4384
Juntendo University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTacrolimus (TAC) is used for the management of ulcerative colitis (UC). However, there are few reports on the effectiveness of its long-term administration. TAC is also known to cause renal toxicity. The aim of this study was to evaluate long-term effectiveness and monitor changes in renal function during prolonged TAC use in patients with UC.

methodsMedical records of 50 UC patients treated with TAC were retrospectively reviewed. Clinical outcomes were assessed at 6, 12, 24, and 36 months after initiating TAC. We also monitored chronological changes in renal function.

resultsThirty-nine patients were treated with TAC for more than 3 months. Relapse-free survival among these patients at 6, 12, 24, and 36 months was 82%, 69%, 41%, and 23%, respectively. On the other hand, renal function was reduced in 35.9% of patients. We found that irreversible renal dysfunction was more likely to occur in cases in which the estimated glomerular-filtration rate (eGFR) was reduced by more than 30%.

conclusionThis study demonstrated the potential use of TAC as an effective option in the long-term medical management of UC, although it tended to increase the risk of nephrotoxicity. There is a need for the careful monitoring of renal function during TAC administration.

Indexed as

inflammatory bowel diseaserenal functiontacrolimusulcerative colitis

Identifiers

PMID32517388
PMCPMC7355962
OpenAlexW3033083135

What OpenQuestion holds

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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.