Evidence map›Paper›PMID 34987611›Full record

ArticleTherapeutic advances in gastroenterology2021

Optimizing biologic therapy in inflammatory bowel disease: a Delphi consensus in the United Arab Emirates.

Vito Annese, Rahul Nathwani, Maryam Alkhatry, Ahmad Al-Rifai, Sameer Al Awadhi, Filippos Georgopoulos, Ahmad N Jazzar, Ahmed M Khassouan, Zaher Koutoubi, Mazen S Taha and 1 more

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
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  5. Article
  6. Article
  7. Raising the bar in ulcerative colitis management.Therapeutic advances in gastroenterology · 2024
    Review
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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

11 authors at 8 institutions in 2 countries.

Vito AnneseDepartment of Gastroenterology, Fakeeh University Hospital, Dubai, United Arab Emirates.ORCID https://orcid.org/0000-0002-0082-892X
Rahul NathwaniDepartment of Gastroenterology, Mediclinic City Hospital, Mohammed Bin Rashid University, Dubai, United Arab Emirates.
Maryam AlkhatryGastroenterology and Endoscopy Department, Ibrahim Bin Hamad Obaid Allah Hospital, Ministry of Health and Prevention, Ras Al Khaimah, United Arab Emirates.
Ahmad Al-RifaiDepartment of Gastroenterology, Sheikh Shakhbout Medical City, Abu Dhabi, United Arab Emirates.
Sameer Al AwadhiDigestive Disease Unit, Rashid Hospital, Dubai, United Arab Emirates.
Filippos GeorgopoulosGastroenterology and Endoscopy Unit, Al Zahra Hospital Dubai, Dubai, United Arab Emirates.
Ahmad N JazzarGastroenterology Division, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates.
Ahmed M KhassouanDigestive Disease Unit, Rashid Hospital, Dubai, United Arab Emirates.
Zaher KoutoubiDigestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
Mazen S TahaGastroenterology and Hepatology, Tawam Hospital, Al Ain, United Arab Emirates.
Jimmy K LimdiDepartment of Gastroenterology, The Pennine Acute Hospitals NHS Trust, Manchester Academic Health Sciences, University of Manchester, Manchester, UK.
Rashid Hospital · AEDubai Hospital · AEMediclinic City Hospital · AEMinistry of Health · AEPennine Acute Hospitals NHS Trust · GBShaikh Khalifa Medical City · AESheikh Shakhbout Medical City · AETawam Hospital · AE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInflammatory bowel diseases (IBD) are chronic, relapsing-remitting inflammatory conditions with a substantial negative impact on health-related quality of life and work productivity. Treatment of IBD has been revolutionized by the advent of biologic therapies, initially with anti-TNF agents and more recently with multiple alternatives targets, and yet more under development.

objectivesApproximatively one third of patients do not respond to biologic therapy and more importantly a significant proportion experiences partial response or loss of response during treatment. The latter are common clinical situations and paradoxically are not addressed in the commercial drug labels and available guidelines. There is therefore a clinical need for physicians to understand when and how eventually to optimize the biologic therapy.

designThis consensus using a Delphi methodology was promoted and supported by the Emirates Society of Gastroenterology and Hepatology to close this gap. DATA SOURCES AND

methodsFollowing an extensive systematic review of over 60,000 studies, 81 studies with dose escalation and five addressing drug monitoring were selected and in addition five systematic reviews and three guidelines. RESULTS AND

conclusionafter three rounds of voting 18 statements were selected with agreement ranging from of 80% to 100.

Indexed as

biologic therapydose-intensificationinflammatory bowel disease (IBD)therapeutic drug monitoring (TDM)

Identifiers

PMID34987611
PMCPMC8721421
OpenAlexW4200004408

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.