Evidence map›Paper›PMID 34160593›Full record

ArticleJournal of Crohn's & colitis2021

ECCO Topical Review: Refractory Inflammatory Bowel Disease.

Tim Raine, Bram Verstockt, Uri Kopylov, Konstantinos Karmiris, Rimma Goldberg, Raja Atreya, Johan Burisch, John Burke, Pierre Ellul, Charlotte Hedin and 5 more

RetractedErratum issuedAbstract readConsensus Statement
PubMed Publisher
In one paragraph

Article in Journal of Crohn's & colitis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 22 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

22 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Practical guidelines on medical management of adults with moderate-to-severe inflammatory bowel disease.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2026
    Article
  8. [Single-center clinical study of upadacitinib in children with refractory inflammatory bowel disease].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2026
    Article
  9. The roles and heterogeneity of CD8International journal of molecular medicine · 2026
    Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Understanding the therapeutic toolkit for inflammatory bowel disease.Nature reviews. Gastroenterology & hepatology · 2025
    Review
  16. Article
  17. Article
  18. Article
  19. Refractory Crohn's Disease: Perspectives, Unmet Needs and Innovations.Clinical and experimental gastroenterology · 2024
    Review
  20. Article
4 · The record

Corrections and comments

  • Expression of concern · 2022-01-24Civil Proceedings · Concerns/Issues about Data · Concerns/Issues about Results and/or Conclusions · Legal Reasons and/or Threats · · See also: https://doi.org/10.1093/ecco-jcc/jjab225 Journal was previously published by Elsevier until 2015.
  • Commented on by
  • Erratum issued
5 · Who and what money

Authors and funding

15 authors.

Tim RaineDepartment of Gastroenterology, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Bram VerstocktDepartment of Gastroenterology and Hepatology, University Hospitals Leuven, KU Leuven, Leuven, Belgium.ORCID 0000-0003-3898-7093
Uri KopylovDepartment of Gastroenterology, Sheba Medical Center, Ramat Gan, Israel.
Konstantinos KarmirisDepartment of Gastroenterology, Venizeleio General Hospital, Heraklion, Greece.
Rimma GoldbergDepartment of Gastroenterology, Monash Health and School of Clinical Sciences, Monash University, Melbourne, VIC, Australia.
Raja AtreyaDepartment of Medicine 1, University of Erlangen-Nürnberg, Erlangen, Germany.
Johan BurischGastrounit, Medical Division, Hvidovre Hospital, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0002-3312-5139
John BurkeColorectal and General Surgery, Beaumont Hospital, Dublin, Ireland.
Pierre EllulDepartment of Medicine, Division of Gastroenterology, Mater Dei Hospital, Msida, Malta.
Charlotte HedinKarolinska Institutet, Department of Medicine Solna, Stockholm, Sweden.ORCID 0000-0002-4921-8516
Stefan D HolubarDepartment of Colon & Rectal Surgery, Cleveland Clinic, Cleveland, OH, USA.ORCID 0000-0002-2549-9042
Konstantinos KatsanosDepartment of Gastroenterology and Hepatology, University and Medical School of Ioannina, Ioannina, Greece.
Triana LobatonDepartment of Gastroenterology, Ghent University Hospital, Ghent, Belgium.
Carsten SchmidtMedical Faculty of the Friedrich Schiller University, Jena, Germany.
Garret CullenCentre for Colorectal Disease, St Vincent's University Hospital and School of Medicine, University College Dublin, Gastroenterology, Dublin, Ireland.

Funding

ECCO
6 · The paper itself

Abstract

Inflammatory bowel disease is a chronic disease with variable degrees of extent, severity, and activity. A proportion of patients will have disease that is refractory to licensed therapies, resulting in significant impairment in quality of life. The treatment of these patients involves a systematic approach by the entire multidisciplinary team, with particular consideration given to medical options including unlicensed therapies, surgical interventions, and dietetic and psychological support. The purpose of this review is to guide clinicians through this process and provide an accurate summary of the available evidence for different strategies.

Indexed as

Biological FactorsDietDigestive System Surgical ProceduresFecal Microbiota TransplantationGastrointestinal AgentsHematopoietic Stem Cell TransplantationHumansImmunosuppressive AgentsInflammatory Bowel DiseasesMedication AdherenceMesenchymal Stem Cell TransplantationPatient Care TeamRemission InductionBiological FactorsGastrointestinal AgentsImmunosuppressive AgentsCrohn’s diseaseInflammatory bowel diseaserefractoryulcerative colitisunlicensed medication

Identifiers

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.