Evidence map›Paper›PMID 32741315›Full record

Observational studyUnited European gastroenterology journal2021

Panenteric capsule endoscopy identifies proximal small bowel disease guiding upstaging and treatment intensification in Crohn's disease: A European multicentre observational cohort study.

Foong Way D Tai, Pierre Ellul, Alfonso Elosua, Ignacio Fernandez-Urien, Gian E Tontini, Luca Elli, Rami Eliakim, Uri Kopylov, Sara Koo, Clare Parker and 3 more

Open access · hybridAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in United European gastroenterology journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 3% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

  1. Pooled it
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  5. Observational
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  7. Article
  8. Review
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  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Is Panenteric PillcamDiagnostics (Basel, Switzerland) · 2023
    Review
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  18. Article
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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

13 authors at 7 institutions in 5 countries.

Foong Way D TaiAcademic Department of Gastroenterology and Hepatology, Sheffield Teaching Hospitals NHS Trust, Sheffield, UK.ORCID 0000-0002-4272-2007
Pierre EllulDepartment of Gastroenterology, Mater Dei Hospital, Msida, Malta.
Alfonso ElosuaDepartment of Gastroenterology, Complejo Hospitalario de Navarra, Pamplona, Spain.ORCID 0000-0001-6097-7612
Ignacio Fernandez-UrienDepartment of Gastroenterology, Complejo Hospitalario de Navarra, Pamplona, Spain.
Gian E TontiniDepartment of Pathophysiology and Organ Transplantation, University of Milan and Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Luca ElliGastroenterology and Endoscopy Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.ORCID 0000-0002-0873-0759
Rami EliakimSheba Medical Centre, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Uri KopylovSheba Medical Centre, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.ORCID 0000-0002-7156-0588
Sara KooSouth Tyneside and Sunderland NHS Foundation Trust, South Shields, UK.
Clare ParkerSouth Tyneside and Sunderland NHS Foundation Trust, South Shields, UK.
Simon PanterSouth Tyneside and Sunderland NHS Foundation Trust, South Shields, UK.
Reena SidhuAcademic Department of Gastroenterology and Hepatology, Sheffield Teaching Hospitals NHS Trust, Sheffield, UK.
Mark McAlindonAcademic Department of Gastroenterology and Hepatology, Sheffield Teaching Hospitals NHS Trust, Sheffield, UK.
Sheffield Teaching Hospitals NHS Foundation Trust · GBSouth Tyneside and Sunderland NHS Foundation Trust · GBComplejo Hospitalario de Navarra · ESTel Aviv University · ILFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITMater Dei Hospital · MTUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndoscopically defined mucosal healing in Crohn's disease is associated with improved outcomes. Panenteric capsule endoscopy enables a single non-invasive assessment of small and large bowel mucosal inflammation. AIMS AND

methodsThis multicentre observational study of patients with suspected and established Crohn's disease examined the feasibility, safety and impact on patient outcomes of panenteric capsule endoscopy in routine clinical practice. The potential role in assessment of disease severity and extent by a comparison with existing clinical and biochemical markers is examined.

resultsPanenteric capsule endoscopy was performed on 93 patients (71 with established and 22 with suspected Crohn's disease). A complete examination occurred in 85% (79/93). Two cases (2.8%) of capsule retention occurred in patients with established Crohn's disease. Panenteric capsule resulted in management change in 38.7% (36/93) patients, including 64.6% (32/48) of those with an established diagnosis whose disease was active, and all three patients with newly diagnosed Crohn's disease. Montreal classification was upstaged in 33.8% of patients with established Crohn's disease and mucosal healing was demonstrated in 15.5%. Proximal small bowel disease upstaged disease in 12.7% and predicted escalation of therapy (odds ratio 40.3, 95% confidence interval 3.6-450.2). Raised C-reactive protein and faecal calprotectin were poorly sensitive in detecting active disease (0.48 and 0.59 respectively).

conclusionsPanenteric capsule endoscopy was feasible in routine practice and the ability to detect proximal small bowel disease may allow better estimation of prognosis and guide treatment intensification. Panenteric capsule endoscopy may be a suitable non-invasive endoscopic investigation in determining disease activity and supporting management decisions.

Indexed as

Capsule EndoscopyAdultBiomarkersC-Reactive ProteinCrohn DiseaseFemaleHumansInflammationIntestinal MucosaIntestine, SmallLeukocyte L1 Antigen ComplexMaleSeverity of Illness IndexBiomarkersC-Reactive ProteinLeukocyte L1 Antigen Complexa novel panenteric capsule endoscopeendoscopypatient managementPillCam Crohn'sproximal small bowel Crohn's disease

Identifiers

PMID32741315
PMCPMC8259365
OpenAlexW3046423910

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.