Evidence map›Paper›PMID 34907660›Full record

SynthesisUnited European gastroenterology journal2022

Composite outcomes in observational studies of ulcerative colitis: A systematic review and meta-analysis.

Fernando Magro, Catarina Alves, Mafalda Santiago, Paula Ministro, Paula Lago, Luís Correia, Raquel Gonçalves, Diana Carvalho, Francisco Portela, Cláudia Camila Dias and 6 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in United European gastroenterology journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Mild to moderate ulcerative colitis: Call me by my name.United European gastroenterology journal · 2022
    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

16 authors.

Fernando MagroDepartment of Gastroenterology, São João University Hospital Center (CHUSJ), Porto, Portugal.ORCID 0000-0003-2634-9668
Catarina AlvesFaculty of Medicine, University of Porto, Porto, Portugal.
Mafalda SantiagoCenter for Health Technology and Services Research (CINTESIS), Porto, Portugal.
Paula MinistroDepartment of Gastroenterology, Tondela-Viseu Hospital Centre, Viseu, Portugal.
Paula LagoDepartment of Gastroenterology, Santo António University Hospital Center (CHUPorto), Porto, Portugal.
Luís CorreiaDepartment of Gastroenterology, Lisbon North Hospital Centre, Santa Maria Hospital, Lisbon, Portugal.
Raquel GonçalvesGastroenterology Department, Hospital de Braga, Braga, Portugal.
Diana CarvalhoDepartment of Gastroenterology, Santo António dos Capuchos Hospital at Centro Hospitalar Lisboa Central, Lisbon, Portugal.
Francisco PortelaDepartment of Gastroenterology, University Hospital Centre of Coimbra, Coimbra, Portugal.
Cláudia Camila DiasCenter for Health Technology and Services Research (CINTESIS), Porto, Portugal.
Axel DignassAgaplesion Markus Hospital, Department of Medicine I, Frankfurt, Germany.
Silvio DaneseDepartment of Biomedical Sciences, Humanitas University, Milan, Italy.
Laurent Peyrin-BirouletDepartment of Gastroenterology and Inserm NGERE U1256, University Hospital of Nancy, University of Lorraine, Vandoeuvre-lès-Nancy, France.
Maria Manuela EstevinhoDepartment of Biomedicine, Unit of Pharmacology and Therapeutics, Faculty of Medicine, University of Porto, Porto, Portugal.ORCID 0000-0001-7171-0139
Paula MoreiraDepartment of Clinical Pharmacology, São João University Hospital Center (CHUSJ), Porto, Portugal.
on behalf GEDII (Portuguese IBD Group)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUlcerative colitis (UC) has been the focus of numerous observational studies over the years and a common strategy employed in their design is the use of composite and aggregate outcomes.

objectiveThis systematic review and meta-analysis aims to identify composite and aggregate outcomes of observational studies in UC and to evaluate how the number and type of variables included and the length of follow-up affect the frequency of patients that achieve these outcomes.

methodsA systematic literature search was carried out using MEDLINE [via PubMed], Scopus, and Web of Science online databases. Observational studies that included UC patients and reported composite or aggregate outcomes were identified. A set of variables considered to be representative of progressive or disabling UC was defined, the proportion of patients attaining the outcomes was determined and a random-effects meta-analysis was performed by dividing the identified studies into subgroups according to different criteria of interest.

resultsA total of 10,264 records were identified in the systematic search, of which 33 were retained for qualitative analysis and 20 were included in the meta-analysis. The mean frequency for composite outcomes was 0.363 [95% confidence interval (CI) 0.323-0.403]. The frequency of composite outcome for the subgroup of studies that included the variable "Biologics" was significantly higher than for those in which this variable was not reported [0.410; 95% CI 0.364-0.457 versus 0.298; 95% CI 0.232-0.364; p = 0.006]. Composite outcomes were also more frequent as the follow-up duration increased.

conclusionThe frequency of composite outcomes in observational studies of UC is dependent on the specific identity of the variables being reported. Moreover, longer follow-up periods are associated with higher frequencies of composite outcomes. The evidence provided here is useful for the design of future observational studies of UC that aim to maximize the frequency of patients that achieve composite outcomes.

Indexed as

Observational Studies as TopicAdultBiasBiological ProductsChildColitis, UlcerativeConfidence IntervalsDisease ProgressionFollow-Up StudiesHospitalizationHumansImmunosuppressive AgentsSteroidsTime FactorsTreatment OutcomeBiological ProductsImmunosuppressive AgentsSteroidsaggregate outcomescomposite outcomesmeta-analysisobservational studiessystematic reviewulcerative colitis

Identifiers

PMID34907660
PMCPMC8830283

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.