Evidence map›Paper›PMID 34099464›Full record

ArticleBMJ open gastroenterology2021

Effect of disease duration on the association between serum albumin and mucosal healing in patients with ulcerative colitis.

Sen Yagi, Shinya Furukawa, Kana Shiraishi, Yu Hashimoto, Kazuhiro Tange, Kenichirou Mori, Tomoyuki Ninomiya, Seiyuu Suzuki, Naozumi Shibata, Hidehiro Murakami and 7 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% 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

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

  1. Pooled it
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  4. Review
  5. Review
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  7. Methylation ofGenes · 2022
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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 9 institutions in 2 countries.

Sen Yagi *Department of Internal Medicine, Saiseikai Matsuyama Hospital, Matsuyama, Japan.
Shinya Furukawa *Health Services Center, Ehime University, Matsuyama, Japan shinya.furukawa@gmail.com.ORCID 0000-0002-0041-7688
Kana ShiraishiDepartment of Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Toon, Japan.
Yu HashimotoDepartment of Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Toon, Japan.
Kazuhiro TangeDepartment of Inflammatory Bowel Diseases and Therapeutics, Ehime University Graduate School of Medicine, Toon, Japan.
Kenichirou MoriDepartment of Internal Medicine, Iyo Hospital, Iyo, Japan.
Tomoyuki NinomiyaDepartment of Gastroenterology, Ehime Prefectural Central Hospital, Matsuyama, Japan.
Seiyuu SuzukiDepartment of Gastroenterology, Sumitomo Besshi Hospital, Niihama, Japan.
Naozumi ShibataDepartment of Gastroenterology, Ehime Prefectural Niihama Hospital, Niihama, Japan.
Hidehiro MurakamiDepartment of Internal Medicine, Saiseikai Matsuyama Hospital, Matsuyama, Japan.
Katsuhisa OhashiOhashi Clinic participate in Gastro-Enterology and Ano-Proctology, Niihama, Japan.
Aki HasebeShikoku Cancer Center, Matsuyama, Japan.
Hideomi TomidaEndoscopy Center, Ehime University Hospital, Toon, Japan.
Yasunori YamamotoEndoscopy Center, Ehime University Hospital, Toon, Japan.
Eiji TakeshitaDepartment of Inflammatory Bowel Diseases and Therapeutics, Ehime University Graduate School of Medicine, Toon, Japan.
Yoshio IkedaEndoscopy Center, Ehime University Hospital, Toon, Japan.
Yoichi HiasaDepartment of Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Toon, Japan.
Ehime University · JPOrthopaedic Center · USSaiseikai Matsuyama Hospital · JPEhime Prefectural Central Hospital · JPHealth Services Center · USNational Institute of Technology, Niihama College · JPNational Sanyo Hospital · JPShikoku Cancer Center · JPSumitomo Besshi Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSerum albumin is used as a marker of acute inflammation. Several studies have addressed the association between serum albumin and clinical outcome in patients with ulcerative colitis (UC). While mucosal healing (MH) has been indicated as the therapeutic goal for UC, the association between serum albumin and MH remains unclear. We evaluated this issue in patients with UC overall and explored whether duration of UC affected this association.

designThis cross-sectional study recruited consecutive patients with UC. Study subjects consisted of 273 Japanese patients with UC. Serum albumin was divided into tertiles based on its distribution in all study subjects. One endoscopy specialist was responsible for measuring partial MH and MH, which were defined as a Mayo endoscopic subscore of 0-1 and 0, respectively. The association between serum albumin and clinical outcomes was assessed by multivariate logistic regression.

resultsRates of clinical remission, partial MH and MH were 57.9%, 63% and 26%, respectively. Only high serum albumin (>4.4 mg/dL) was significantly positively associated with MH (OR 2.29 (95% CI: 1.03 to 5.29), p for trend=0.043). In patients with short UC duration (<7 years) only, high serum albumin was significantly positively associated with MH and clinical remission. In patients with long UC duration (≥7 years), in contrast, no association between serum albumin and clinical outcomes was found.

conclusionIn Japanese patients with UC, serum albumin was significantly positively associated with MH. In patients with short UC duration, serum albumin might be a useful complementary marker for MH.

Indexed as

Colitis, UlcerativeColonoscopyCross-Sectional StudiesHumansIntestinal MucosaSerum AlbuminSeverity of Illness IndexSerum Albuminendoscopyinflammatory bowel diseaseulcerative colitis

Identifiers

PMID34099464
PMCPMC8186756
OpenAlexW3169742976

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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.