Evidence map›Paper›PMID 32778004›Full record

SynthesisUnited European gastroenterology journal2020

Assessment of extraintestinal manifestations in inflammatory bowel diseases: A systematic review and a proposed guide for clinical trials.

Lucas Guillo, Ferdinando D'Amico, Mélanie Serrero, Karine Angioi, Damien Loeuille, Antonio Costanzo, Silvio Danese, Laurent Peyrin-Biroulet

Open access · bronzeAbstract readEvaluation StudySystematic Review
In one paragraph

Synthesis 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, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Observational
  5. Review
  6. Article
  7. Surfing the web as a patient with IBD: New horizons.United European gastroenterology journal · 2023
    Article
  8. Review
  9. Review
  10. Article
  11. Can we change the natural course of inflammatory bowel disease?Therapeutic advances in gastroenterology · 2023
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Indeterminate Colitis - Update on Treatment Options.Journal of inflammation research · 2021
    Review
  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

8 authors at 5 institutions in 2 countries.

Lucas GuilloDepartment of Gastroenterology, University Hospital of Marseille Nord, University of Aix-Marseille, Marseille, France.
Ferdinando D'AmicoDepartment of Biomedical Sciences, Humanitas University, Milan, Italy.
Mélanie SerreroDepartment of Gastroenterology, University Hospital of Marseille Nord, University of Aix-Marseille, Marseille, France.
Karine AngioiDepartment of Ophthalmology, University Hospital of Nancy, Vandoeuvre-lès-Nancy, France.
Damien LoeuilleIngénierie Moléculaire et Ingénierie Articulaire (IMoPA), UMR-7365 CNRS, University of Lorraine and University Hospital of Nancy, Nancy, France.
Antonio CostanzoDepartment of Biomedical Sciences, Humanitas University, Milan, Italy.
Silvio DaneseDepartment of Biomedical Sciences, Humanitas University, Milan, Italy.
Laurent Peyrin-BirouletDepartment of Gastroenterology and Inserm NGERE U1256, University Hospital of Nancy, University of Lorraine, Vandoeuvre-lès-Nancy, France.
Humanitas University · ITAix-Marseille Université · FRCentre Hospitalier Régional et Universitaire de Nancy · FRCentre National de la Recherche Scientifique · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsExtraintestinal manifestations are common in inflammatory bowel disease patients, although there are few data available on their diagnosis, management and follow-up. We systematically reviewed the literature evidence to evaluate tools and investigations used for the diagnosis and for the assessment of the treatment response in inflammatory bowel disease patients with extraintestinal manifestations.

methodsWe searched in PubMed, Embase and Web of Science from January 1999-December 2019 for all interventional and non-interventional studies published in English assessing diagnostic tools and investigations used in inflammatory bowel disease patients with extraintestinal manifestations.

resultsForty-five studies (16 interventional and 29 non-interventional) were included in our systematic review, enrolling 7994 inflammatory bowel disease patients. The diagnostic assessment of extraintestinal manifestations was performed by dedicated specialists in a percentage of cases ranging from 60-100% depending on the specific condition. The clinical examination was the most frequent diagnostic strategy, accounting for 35 studies (77.8%). In patients with primary sclerosing cholangitis or rheumatological symptoms, biochemical and imaging tests were also performed. Anti-TNF agents were the most used biological drugs for the treatment of extraintestinal manifestations (20 studies, 44.4%), and the treatment response varied from 59.1% in axial spondyloarthritis to 88.9% in ocular manifestations. No benefit was detected in primary sclerosing cholangitis patients after treatment with biologics.

conclusionsIn the clinical management of inflammatory bowel disease patients with extraintestinal manifestations the collaboration of dedicated specialists for diagnostic investigations and follow-up is key to ensure the best of care approach. However, international guidelines are needed to homogenise and standardise the assessment of extraintestinal manifestations.

Indexed as

Intersectoral CollaborationAftercareCholangitis, SclerosingClinical Trials as TopicColitis, UlcerativeCrohn DiseaseEye DiseasesHumansInflammationJoint DiseasesPractice Guidelines as TopicResearch DesignSkin Diseasesaxial spondyloarthritisCrohn’s diseasediagnosis and follow-upExtraintestinal manifestationsprimary sclerosing cholangitisulcerative colitis

Identifiers

PMID32778004
PMCPMC7724545
OpenAlexW3048471188

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.