Evidence map›Paper›PMID 33845546›Full record

ReviewIntestinal research2022

Use of thiopurines in inflammatory bowel disease: an update.

Arshdeep Singh, Ramit Mahajan, Saurabh Kedia, Amit Kumar Dutta, Abhinav Anand, Charles N Bernstein, Devendra Desai, C Ganesh Pai, Govind Makharia, Harsh Vardhan Tevethia and 16 more

Open access · diamondAbstract readReview
In one paragraph

Review in Intestinal research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 1 pooled it
10.6field-weighted citation impact, top 1% 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

60 citing papers in PubMed, 1 synthesis or guideline pooled it, 94 citations in OpenAlex.

  1. Saudi consensus guidance for the diagnosis and management of inflammatory bowel disease in children and adolescents.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2025
    Guideline
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Revisiting thiopurines and therapeutic drug monitoring in IBD: Insights and implications in the Indian context.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Article
  17. Observational
  18. Article
  19. Review
  20. 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

26 authors at 11 institutions in 5 countries.

Arshdeep SinghDepartment of Gastroenterology, Dayanand Medical College and Hospital, Ludhiana, India.
Ramit MahajanDepartment of Gastroenterology, Dayanand Medical College and Hospital, Ludhiana, India.
Saurabh KediaDepartment of Gastroenterology and Human Nutrition, All India Institute of Medical Sciences, New Delhi, India.
Amit Kumar DuttaDepartment of Gastroenterology, Christian Medical College, Vellore, India.
Abhinav AnandDepartment of Gastroenterology and Human Nutrition, All India Institute of Medical Sciences, New Delhi, India.
Charles N BernsteinUniversity of Manitoba IBD Clinical and Research Centre, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
Devendra DesaiP. D. Hinduja Hospital and Medical Research Centre, Mumbai, India.
C Ganesh PaiDepartment of Gastroenterology, Kasturba Medical College, Manipal, India.
Govind MakhariaDepartment of Gastroenterology and Human Nutrition, All India Institute of Medical Sciences, New Delhi, India.
Harsh Vardhan TevethiaAsian Institute of Gastroenterology Hyderabad, Hyderabad, India.
Joyce Wy MakDepartment of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong.
Kirandeep KaurDepartment of Pharmacology, Dayanand Medical College and Hospital, Ludhiana, India.
Kiran PeddiCitizens Centre for Digestive Disorders, Hyderabad, India.
Mukesh Kumar RanjanDepartment of Gastroenterology and Human Nutrition, All India Institute of Medical Sciences, New Delhi, India.
Perttu ArkkilaDepartment of Gastroenterology, Helsinki University Central Hospital, Helsinki, Finland.
Rakesh KochharDepartment of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Rupa BanerjeeAsian Institute of Gastroenterology Hyderabad, Hyderabad, India.
Saroj Kant SinhaDepartment of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Siew Chien NgDepartment of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong.
Stephen HanauerDepartment of Medicine, Northwestern University, Chicago, IL, USA.
Suhang VermaDepartment of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Usha DuttaDepartment of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Vandana MidhaDepartment of Internal Medicine, Dayanand Medical College, Ludhiana, India.
Varun MehtaDepartment of Gastroenterology, Dayanand Medical College and Hospital, Ludhiana, India.
Vineet AhujaDepartment of Gastroenterology and Human Nutrition, All India Institute of Medical Sciences, New Delhi, India.
Ajit SoodDepartment of Gastroenterology, Dayanand Medical College and Hospital, Ludhiana, India.
Dayanand Medical College & Hospital · INAll India Institute of Medical Sciences · INPost Graduate Institute of Medical Education and Research · INAsian Institute of Gastroenterology · INChinese University of Hong Kong · HKChristian Medical College, Vellore · INHelsinki University Hospital · FIKasturba Medical College, Manipal · INNorthwestern University · USP. D. Hinduja Hospital and Medical Research Centre · INUniversity of Manitoba · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Inflammatory bowel disease (IBD), once considered a disease of the Western hemisphere, has emerged as a global disease. As the disease prevalence is on a steady rise, management of IBD has come under the spotlight. 5-Aminosalicylates, corticosteroids, immunosuppressive agents and biologics are the backbone of treatment of IBD. With the advent of biologics and small molecules, the need for surgery and hospitalization has decreased. However, economic viability and acceptability is an important determinant of local prescription patterns. Nearly one-third of the patients in West receive biologics as the first/initial therapy. The scenario is different in developing countries where biologics are used only in a small proportion of patients with IBD. Increased risk of reactivation of tuberculosis and high cost of the therapy are limitations to their use. Thiopurines hence become critical for optimal management of patients with IBD in these regions. However, approximately one-third of patients are intolerant or develop adverse effects with their use. This has led to suboptimal use of thiopurines in clinical practice. This review article discusses the clinical aspects of thiopurine use in patients with IBD with the aim of optimizing their use to full therapeutic potential.

Indexed as

6-ThioguanineAzathioprineDeveloping countriesInflammatory bowel diseaseMercaptopurine

Identifiers

PMID33845546
PMCPMC8831775
OpenAlexW3154802209

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.