Evidence map›Paper›PMID 34112810›Full record

ReviewNature reviews. Disease primers2021

Microscopic colitis.

Kristin E Burke, Mauro D'Amato, Siew C Ng, Darrell S Pardi, Jonas F Ludvigsson, Hamed Khalili

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Disease primers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
6.9field-weighted citation impact, top 2% 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

51 citing papers in PubMed, 79 citations in OpenAlex.

  1. Review
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  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Pralsetinib-Induced Lymphocytic Colitis.ACG case reports journal · 2026
    Article
  14. Article
  15. Cholecystectomy Is a Risk Factor for Microscopic Colitis: A Nationwide Population-based Matched Case Control Study.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2025
    Article
  16. Article
  17. Article
  18. Review
  19. 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

6 authors at 5 institutions in 4 countries.

Kristin E BurkeGastroenterology Unit, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA. keburke@mgh.harvard.edu.ORCID 0000-0002-2536-5538
Mauro D'AmatoGastrointestinal Genetics Lab, CIC bioGUNE, Basque Research and Technology Alliance (BRTA), Derio, Spain.ORCID 0000-0003-2743-5197
Siew C NgDepartment of Medicine and Therapeutics, State Key Laboratory of Digestive Disease, LK Institute of Health Science, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, China.ORCID 0000-0002-6850-4454
Darrell S PardiDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
Jonas F LudvigssonDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Hamed KhaliliGastroenterology Unit, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA. hkhalili@mgh.harvard.edu.
Harvard University · USChinese University of Hong Kong · HKIkerbasque · ESKarolinska Institutet · SEMayo Clinic in Arizona · US

Funding

Medications, the gut microbiota, and risk of microscopic colitisR01AG068390 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI KHALILI, HAMED · 2020 to 2024
$2.5M
Diet and metabolic factors in the pathogenesis of microscopic colitisK23DK131366 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI Kristin E. Burke · 2022 to 2026
$981k
NIA NIH HHS R01 AG068390NIDDK NIH HHS K23 DK131366
6 · The paper itself

Abstract

Microscopic colitis (MC) is an inflammatory disease of the large intestine associated with urgent watery diarrhoea. MC may occur in people of all ages, although the disease primarily affects older women. Once believed to be rare, MC is now known to be a common cause of chronic watery diarrhoea in high-income countries, affecting 1 in 115 women and 1 in 286 men during their lifetime in Swedish population-based estimates. An inappropriate immune response to disturbances in the gut microenvironment is implicated in the pathogenesis of MC. Evidence also supports an underlying genetic basis for disease. The diagnosis of MC relies on clinical symptoms and microscopic assessment of colonic biopsy samples. MC is categorized histologically into collagenous colitis, lymphocytic colitis and their incomplete forms. The mainstay of treatment includes the use of budesonide, with or without adjunctive therapies, and withdrawal of offending drugs. Emerging studies suggest a role for biologicals and immunosuppressive therapies for the management of budesonide-refractory or budesonide-dependent disease. MC can have a substantial negative effect on patient quality of life. The outlook for MC includes a better understanding of the immune response, genetics and the microbiome in disease pathogenesis along with progress in disease management through robust clinical trials.

Indexed as

Colitis, MicroscopicMicrobiotaAgedBudesonideDiarrheaFemaleHumansMaleQuality of LifeBudesonide

Identifiers

PMID34112810
OpenAlexW4211005681

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.