Evidence map›Paper›PMID 34614239›Full record

ArticleJPEN. Journal of parenteral and enteral nutrition2022

Teduglutide in short bowel syndrome patients: A way back to normal life?

Felix Harpain, Lukas Schlager, Elisabeth Hütterer, Christopher Dawoud, Sabine Kirchnawy, Judith Stift, Pavla Krotka, Anton Stift

Open access · greenAbstract read
In one paragraph

Article in JPEN. Journal of parenteral and enteral nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

18 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Sleep and home parenteral nutrition in adults: A narrative review.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2024
    Review
  6. Review
  7. Observational
  8. Normothermic Preservation of the Intestinal Allograft.Gastroenterology clinics of North America · 2024
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Teduglutide in short bowel syndrome patients: A way back to normal life?JPEN. Journal of parenteral and enteral nutrition · 2022
    Article
  17. Article
  18. Review
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

8 authors at 2 institutions in 1 country.

Felix HarpainDepartment of General Surgery, Division of Visceral Surgery, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-6589-5712
Lukas SchlagerDepartment of General Surgery, Division of Visceral Surgery, Medical University of Vienna, Vienna, Austria.
Elisabeth HüttererDepartment of Internal Medicine I, Division of Oncology, Medical University of Vienna, Vienna, Austria.
Christopher DawoudDepartment of General Surgery, Division of Visceral Surgery, Medical University of Vienna, Vienna, Austria.
Sabine KirchnawyDepartment of General Surgery, Division of Visceral Surgery, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-4507-1211
Judith StiftDepartment of Pathology, Medical University of Vienna, Vienna, Austria.
Pavla KrotkaCenter for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Vienna, Austria.
Anton StiftDepartment of General Surgery, Division of Visceral Surgery, Medical University of Vienna, Vienna, Austria.
Medical University of Vienna · ATStatistics Austria · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe glucagon-like peptide 2 analogue teduglutide is an effective drug for the treatment of short bowel syndrome patients with intestinal failure (SBS-IF). This intestinotrophic peptide improves intestinal capacity for fluid and nutrient absorption through induction of mucosal growth and reduction of gastrointestinal motility. Clinical trials demonstrated the efficacy of teduglutide in reducing the need for parenteral support (PS). This study describes an SBS-IF patient population receiving teduglutide therapy in a specialized medical care setting.

methodA retrospective analysis was performed using data of patients experiencing nonmalignant SBS-IF. They were treated with teduglutide in a multidisciplinary SBS-IF program at a single university medical center between June 2016 and June 2020.

resultsThirteen patients under teduglutide treatment were included in the final analysis. Mean small bowel length was 82 ± 31 cm, with 77% of patients having their colon in continuity. Over a median follow-up of 107 weeks, all patients (13 of 13, 100%) responded to the therapy with a clinically significant reduction of PS volume. Mean PS reduction increased with therapy duration and ranged from -82.5% at week 24 (n = 13) to -100% in patients (n = 5) who were treated for 144 weeks. Enteral autonomy was achieved in 12 of 13 (92%) patients. Teduglutide therapy improved stool frequency and consistency, changed dietary habits, and reduced disease-associated sleep disruptions.

conclusionIntegrating SBS-IF patients treated with teduglutide in a proactive and tight-meshed patient care program significantly improves the clinical outcome, leading to an increased proportion of patients reaching enteral autonomy.

Indexed as

Gastrointestinal AgentsPeptidesShort Bowel SyndromeHumansRetrospective StudiesTreatment OutcomeGastrointestinal AgentsPeptidesteduglutideenteral autonomyglucagon-like peptide 2intestinal failureshort bowel syndrometeduglutide

Identifiers

PMID34614239
PMCPMC9298195
OpenAlexW3202638626

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.