Evidence map›Paper›PMID 34884252›Full record

ReviewJournal of clinical medicine2021

Treatment Targets in Ulcerative Colitis: Is It Time for All In, including Histology?

Panu Wetwittayakhlang, Livia Lontai, Lorant Gonczi, Petra A Golovics, Gustavo Drügg Hahn, Talat Bessissow, Peter L Lakatos

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–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.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Novel outcomes in inflammatory bowel disease.Journal of Crohn's & colitis · 2025
    Review
  10. Observational
  11. Is Disease Stability an Attainable Chronic Obstructive Pulmonary Disease Treatment Goal?American journal of respiratory and critical care medicine · 2025
    Review
  12. Article
  13. Review
  14. Pharmaceutical biology · 2024
    Review
  15. Article
  16. Antioxidants (Basel, Switzerland) · 2024
    Article
  17. Review
  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

7 authors.

Panu WetwittayakhlangDivision of Gastroenterology, McGill University Health Center, Montreal, QC H3G 1A4, Canada.ORCID 0000-0002-5962-4112
Livia LontaiFirst Department of Medicine, Semmelweis University, H-1083 Budapest, Hungary.
Lorant GoncziFirst Department of Medicine, Semmelweis University, H-1083 Budapest, Hungary.
Petra A GolovicsDivision of Gastroenterology, McGill University Health Center, Montreal, QC H3G 1A4, Canada.
Gustavo Drügg HahnDivision of Gastroenterology, McGill University Health Center, Montreal, QC H3G 1A4, Canada.
Talat BessissowDivision of Gastroenterology, McGill University Health Center, Montreal, QC H3G 1A4, Canada.
Peter L LakatosDivision of Gastroenterology, McGill University Health Center, Montreal, QC H3G 1A4, Canada.ORCID 0000-0002-3948-6488

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The main therapeutic goal of ulcerative colitis (UC) is to induce and maintain remission to prevent long-term disease progression. Treat-to-target strategies, first introduced by the STRIDE consensus and updated in 2021, have shifted focus from symptomatic control toward more stringent objective endpoints. Today, patient monitoring should be based on a combination of biomarkers and clinical scores, while patient-reported outcomes could be used as short-term targets in monitoring disease activity and therapeutic response. In addition, endoscopic healing was the preferred long-term goal in UC. A Mayo endoscopic score (MES) ≤ 1 can be recommended as a minimum target. However, recent evidence suggests that more stringent endoscopic goals (MES of 0) are associated with superior outcomes. Recently, emerging data support that histological remission (HR) is a superior prognostic factor to endoscopic healing in predicting long-term remission. Despite not yet being recommended as a target, HR may become an important potential therapeutic goal in UC. However, it remains questionable if histological healing should be used as a routine assessment in addition to clinical, biomarker, and endoscopic targets in all patients. Therefore, in this review, our aim was to discuss the current evidence for the different treatment targets and their value in everyday clinical practice.

Indexed as

histological remissioninflammatory bowel diseasesmucosal healingtreatment targettreat to targetulcerative colitis

Identifiers

PMID34884252
PMCPMC8658443

What OpenQuestion holds

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Registered trials

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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.