Evidence map›Paper›PMID 32955189›Full record

ArticleClinical and translational gastroenterology2020

Collagenous Gastritis in Children: Incidence, Disease Course, and Associations With Autoimmunity and Inflammatory Markers.

Timo Käppi, Alkwin Wanders, Mats Wolving, Christine Lingblom, Birgitta Davidsson Bården, Rikard Arkel, Josefine Hätting, Johan Anderzén, Christine Wennerås, Robert Saalman

Open access · goldAbstract read
In one paragraph

Article in Clinical and translational gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 10% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Guideline
  2. Article
  3. [Clinical analysis of 4 cases of pediatric collagenous gastritis].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2026
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  9. Paediatric Collagenous Gastritis with Transient Response to Steroid Therapy.European journal of case reports in internal medicine · 2026
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  11. Review
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  16. Management of collagenous gastritis in children: Case series and literature review.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2024
    Review
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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

10 authors at 7 institutions in 2 countries.

Timo KäppiDepartment of Pediatric Gastroenterology, Hepatology and Nutrition, Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Göteborg, Sweden.
Alkwin WandersDepartment of Pathology, Aalborg University Hospital, Aalborg, Denmark.
Mats WolvingDepartment of Pathology, Sahlgrenska University Hospital, Göteborg, Sweden.
Christine LingblomDepartment of Infectious Diseases, Institute of Biomedicine, The Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden.
Birgitta Davidsson BårdenDepartment of Pediatrics, Halland County Hospital, Halmstad, Sweden.
Rikard ArkelDepartment of Pediatrics, Northern Älvsborg County Hospital, Trollhättan, Sweden.
Josefine HättingDepartment of Pediatrics, Skaraborg County Hospital, Skövde, Sweden.
Johan AnderzénDepartment of Pediatrics, Ryhov County Hospital, Jönköping, Sweden.
Christine WenneråsDepartment of Infectious Diseases, Institute of Biomedicine, The Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden.
Robert SaalmanDepartment of Pediatric Gastroenterology, Hepatology and Nutrition, Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Göteborg, Sweden.
Sahlgrenska University Hospital · SEAalborg University Hospital · DKHallands sjukhus Halmstad · SENorra Älvsborgs Länssjukhus · SERyhov Hospital Jönköping · SESkaraborg Hospital · SEUniversity of Gothenburg · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCollagenous gastritis (CG), a rare disorder of unknown etiology, has been postulated to have immune-mediated mechanisms. We investigated (i) the incidence and prevalence of CG in a pediatric population; (ii) the clinical, endoscopic, and histologic characteristics of childhood-onset CG; and (iii) the evidence for autoimmunity and/or inflammatory activity in these patients.

methodsClinical, endoscopic, and histologic data were reviewed longitudinally in a population-based Swedish cohort of 15 patients with childhood-onset CG diagnosed in the period 2008-2019. A set of 11 autoantibodies, 4 blood inflammatory biomarkers, and the human leukocyte antigen DQ2/DQ8 genotype was analyzed cross-sectionally.

resultsThe incidence rate of childhood-onset CG was 0.25/100,000 person-years, with an incidence rate ratio of girls to boys of 4.2 (95% confidence interval, 1.2-15). The prevalence of CG was 2.1/100,000 in children aged younger than 18 years. The endoscopic and histologic findings remained pathologic in all the examined patients during a median follow-up of 4.4 years. Many patients had heredity for autoimmune disorders (47%) and/or tested positive for autoantibodies (40%) or human leukocyte antigen DQ2/DQ8 (53%). No associated autoimmune comorbidities were observed. The serum levels of calprotectin and amyloid A were increased in 10/15 (67%) and 5/15 (33%) of the patients, respectively, whereas plasma C-reactive protein levels were normal in all, but 1 patient. DISCUSSION: The results indicate that childhood-onset CG is rare and has a chronic disease course. Although signs of autoimmune predisposition are frequent, early development of autoimmune comorbidities seems seldom. Serum calprotectin and amyloid A represent novel candidate biomarkers of inflammatory activity in CG (see Visual Abstract, Supplementary Digital Content 4, http://links.lww.com/CTG/A349).

Indexed as

AdolescentAge of OnsetAutoantibodiesBiomarkersBiopsyChildCohort StudiesCollagenC-Reactive ProteinCross-Sectional StudiesFemaleGastric MucosaGastritisHLA-DQ AntigensHumansIncidenceAutoantibodiesBiomarkersCollagenC-Reactive ProteinHLA-DQ2 antigenHLA-DQ8 antigenHLA-DQ AntigensLeukocyte L1 Antigen ComplexSerum Amyloid A Protein

Identifiers

PMID32955189
PMCPMC7431242
OpenAlexW3047317776

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.