Evidence map›Paper›PMID 32843978›Full record

ArticleGastroenterology report2020

Efficacy and safety of vedolizumab in elderly patients with inflammatory bowel disease: a matched case-control study.

Preeti Shashi, Dharmesh Gopalakrishnan, Malav P Parikh, Bo Shen, Gursimran Kochhar

Open access · diamondAbstract read
In one paragraph

Article in Gastroenterology report, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Raising the bar in ulcerative colitis management.Therapeutic advances in gastroenterology · 2024
    Review
  7. Article
  8. 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
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Inflammatory bowel disease in the elderly: A focus on disease characteristics and treatment patterns.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
    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

5 authors at 2 institutions in 1 country.

Preeti ShashiCenter for Inflammatory Bowel Disease, Digestive Diseases and Surgery Institute, The Cleveland Clinic Foundation, Cleveland, OH, USA.
Dharmesh GopalakrishnanDepartment of Internal Medicine, The Cleveland Clinic Foundation, Cleveland, OH, USA.
Malav P ParikhDepartment of Internal Medicine, The Cleveland Clinic Foundation, Cleveland, OH, USA.
Bo ShenCenter for Inflammatory Bowel Disease, Digestive Diseases and Surgery Institute, The Cleveland Clinic Foundation, Cleveland, OH, USA.
Gursimran KochharDepartment of Gastroenterology, Allegheny General Hospital, Pittsburgh, PA, USA.
Cleveland Clinic · USAllegheny General Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVedolizumab was demonstrated to be safe and effective in adults with moderately to severely active inflammatory bowel disease (IBD) in clinical trials. However, there are limited data regarding its efficacy and safety in elderly patients.

methodsThis was a case-control study comparing the efficacy (measured by rates of mucosal healing and need for IBD surgery) and safety of vedolizumab in IBD among patients ≥65 years of age (the elderly group) vs those <65 years (the control group). The two groups were matched individually on a 1:4 ratio based on gender and type of IBD. Conditional logistic regression was used for stratified analysis to calculate odds ratios and confidence intervals.

resultsWe included 25 IBD patients in the elderly group and 100 matched patients in the comparison group. Eighty patients had Crohn's disease and 45 had ulcerative colitis. At baseline, the groups were comparable with regard to duration of IBD, prior anti-TNF therapy, and prior IBD surgery. The rate of mucosal healing on follow-up endoscopy was comparable between the elderly and control groups (50% vs 53%,

conclusionsIn a real-world setting, vedolizumab was demonstrated to have an efficacy and safety profile among elderly IBD patients that were comparable to younger controls.

Indexed as

elderly patientsinflammatory bowel diseasemucosal healingsafetyvedolizumab

Identifiers

PMID32843978
PMCPMC7434586
OpenAlexW3038793000

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.