Evidence map›Paper›PMID 32807038›Full record

ArticleUnited European gastroenterology journal2020

Vedolizumab is effective and safe in elderly inflammatory bowel disease patients: a binational, multicenter, retrospective cohort study.

Nathaniel Aviv Cohen, Nikolas Plevris, Uri Kopylov, Anna Grinman, Bella Ungar, Henit Yanai, Haim Leibovitzh, Naomi Fliss Isakov, Ayal Hirsch, Einat Ritter and 7 more

Open access · greenAbstract readComparative StudyMulticenter Study
In one paragraph

Article 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 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
6.7field-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, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
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  12. Real-world effectiveness and safety of ustekinumab and vedolizumab in elderly patients with Crohn's disease.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2023
    Article
  13. The 2023 Impact of Inflammatory Bowel Disease in Canada: Special Populations-IBD in Seniors.Journal of the Canadian Association of Gastroenterology · 2023
    Review
  14. Review
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  19. Saudi Arabia consensus guidance for the diagnosis and management of adults with inflammatory bowel disease.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2022
    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

17 authors at 5 institutions in 2 countries.

Nathaniel Aviv CohenDepartment of Gastroenterology and Liver Diseases, Tel Aviv Medical Center, Tel-Aviv, Israel.ORCID 0000-0001-9252-9208
Nikolas PlevrisThe Edinburgh IBD Unit, Western General Hospital, Edinburgh, UK.ORCID 0000-0002-3229-8759
Uri KopylovDepartment of Gastroenterology and Liver Diseases, Tel-Aviv University, Tel-Aviv, Israel.ORCID 0000-0002-7156-0588
Anna GrinmanDepartment of Gastroenterology and Liver Diseases, Tel-Aviv University, Tel-Aviv, Israel.
Bella UngarDepartment of Gastroenterology and Liver Diseases, Tel-Aviv University, Tel-Aviv, Israel.
Henit YanaiDivision of Gastroenterology, Rabin Medical Center, Petah Tikva, Israel.
Haim LeibovitzhDivision of Gastroenterology, Rabin Medical Center, Petah Tikva, Israel.
Naomi Fliss IsakovDepartment of Gastroenterology and Liver Diseases, Tel Aviv Medical Center, Tel-Aviv, Israel.
Ayal HirschDepartment of Gastroenterology and Liver Diseases, Tel Aviv Medical Center, Tel-Aviv, Israel.
Einat RitterDepartment of Gastroenterology and Liver Diseases, Tel Aviv Medical Center, Tel-Aviv, Israel.
Yulia RonDepartment of Gastroenterology and Liver Diseases, Tel Aviv Medical Center, Tel-Aviv, Israel.
Ariella Bar-Gil ShitritDigestive Diseases Institute, Shaare Zedek Medical Center, Jerusalem, Israel.
Eran GoldinDigestive Diseases Institute, Shaare Zedek Medical Center, Jerusalem, Israel.
Iris DotanDivision of Gastroenterology, Rabin Medical Center, Petah Tikva, Israel.
Shomron Ben HorinDepartment of Gastroenterology and Liver Diseases, Tel-Aviv University, Tel-Aviv, Israel.
Charlie W LeesThe Edinburgh IBD Unit, Western General Hospital, Edinburgh, UK.
Nitsan MaharshakDepartment of Gastroenterology and Liver Diseases, Tel Aviv Medical Center, Tel-Aviv, Israel.
Tel Aviv Sourasky Medical Center · ILTel Aviv University · ILRabin Medical Center · ILShaare Zedek Medical Center · ILWestern General Hospital · GB

Funding

Medical Research Council MR/S034919/1
6 · The paper itself

Abstract

backgroundImmune modulating therapies are associated with an increased risk of infections and malignancies. This is of particular concern in elderly inflammatory bowel disease patients. This study aims to compare the safety and efficacy of vedolizumab between young and elderly inflammatory bowel disease patients.

methodsA binational, multicentre, retrospective, cohort study was performed from 2015 to 2019. Patients who underwent treatment with vedolizumab and were followed for at least 14 weeks were studied. They were divided according to age into groups: 40 years or less or 60 years or older. Clinical and endoscopic responses at weeks 14 and 52 and infection development were compared between young and elderly inflammatory bowel disease patient groups.

resultsThere were 144 patients (82 Crohn's disease and 62 ulcerative colitis) in the elderly cohort and 140 patients (83 Crohn's disease and 57 ulcerative colitis) in the young cohort. The average age was 70.2 ± 7.3 years and 29.6 ± 5.7 years, respectively. Clinical and endoscopic responses were comparable between the groups (week 52 remission of Crohn's disease: 40% vs. 35%,

conclusionsVedolizumab is equally effective in elderly and young inflammatory bowel disease patients. The findings of this study demonstrate an increased risk of infections among the elderly treated with vedolizumab, which may be related to their age and underlying diseases.

Indexed as

AdultAgedAge FactorsAgingAntibodies, Monoclonal, HumanizedColitis, UlcerativeComorbidityCrohn DiseaseFemaleHumansImmunologic FactorsInfectionsIntestinal MucosaIsraelMaleMiddle AgedAntibodies, Monoclonal, HumanizedImmunologic FactorsvedolizumabbiologicalsCrohn’s diseaseInflammatory bowel diseaseulcerative colitis

Identifiers

PMID32807038
PMCPMC7724539
OpenAlexW3077684773

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.