Evidence map›Paper›PMID 35277863›Full record

ArticleAlimentary pharmacology & therapeutics2022

A United States expert consensus to standardise definitions, follow-up, and treatment targets for extra-intestinal manifestations in inflammatory bowel disease.

Katherine Falloon, Benjamin Cohen, Ashwin N Ananthakrishnan, Edward L Barnes, Abhik Bhattacharya, Jean-Frederic Colombel, Raymond K Cross, Marcia S Driscoll, Anthony P Fernandez, Christina Ha and 15 more

Open access · greenAbstract readMulticenter StudyConsensus Statement
In one paragraph

Article in Alimentary pharmacology & therapeutics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 5% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Crotoxin fromFrontiers in immunology · 2026
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors at 12 institutions in 1 country.

Katherine FalloonDepartment of Gastroenterology and Hepatology, Cleveland Clinic Foundation, Cleveland, OH, USA.ORCID 0000-0002-8397-3670
Benjamin CohenDepartment of Gastroenterology and Hepatology, Cleveland Clinic Foundation, Cleveland, OH, USA.
Ashwin N AnanthakrishnanDepartment of Gastroenterology, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0002-9436-1821
Edward L BarnesDivision of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, NC, USA.ORCID 0000-0001-9894-8796
Abhik BhattacharyaDepartment of Gastroenterology, Mount Sinai, New York, NY, USA.
Jean-Frederic ColombelDepartment of Gastroenterology, Mount Sinai, New York, NY, USA.ORCID 0000-0001-6472-249X
Raymond K CrossDepartment of Medicine, Division of Gastroenterology and Hepatology, University of Maryland School of Medicine, Baltimore, MD, USA.
Marcia S DriscollDepartment of Dermatology, University of Maryland, Baltimore, MD, USA.
Anthony P FernandezDepartment of Dermatology, Cleveland Clinic Foundation, Cleveland, OH, USA.
Christina HaDepartment of Gastroenterology, Mayo Clinic Arizona, Scottsdale, AZ, USA.
Hans HerfarthDivision of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, NC, USA.
Sara HorstDepartment of Gastroenterology, Hepatology, and Nutrition, Vanderbilt University Medical Center, Nashville, TN, USA.ORCID 0000-0003-3585-9643
Jason HouCenter for Innovations in Quality, Effectiveness and Safety (IQuESt), Michael E. DeBakey Veterans Affairs Medical Center & Section of Gastroenterology and Hepatology, Baylor College of Medicine, Houston, TX, USA.
M Elaine HusniDepartment of Rheumatologic and Immunologic Disease, Cleveland Clinic Foundation, Cleveland, OH, USA.
Daniela KroshinskyDepartment of Dermatology, Massachusetts General Hospital, Boston, MA, USA.
Kristine A KuhnDepartment of Medicine, Division of Rheumatology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Careen Y LowderCleveland Clinic Foundation Cole Eye Institute, Cleveland, OH, USA.
George MartinDr. George Martin Dermatology Associates, Kihei, HI, USA.
Deep ParikhDepartment of Ophthalmology New York Eye and Ear Infirmary of Mount Sinai, Department of Ophthalmology, New York University Langone Health, New York, NY, USA.
Christopher J SayedDepartment of Dermatology, University of North Carolina, Chapel Hill, NC, USA.
Lisa SchocketDepartment of Ophthalmology, University of Maryland, Baltimore, MD, USA.
Bernadette C SiatonDivision of Rheumatology and Clinical Immunology, University of Maryland, Baltimore, MD, USA.
Priyanka VedakDepartment of Dermatology, University of North Carolina, Chapel Hill, NC, USA.
Michael H WeismanDepartment of Immunology and Rheumatology, Stanford University School of Medicine, Stanford, CA, USA.
Florian RiederDepartment of Gastroenterology and Hepatology, Cleveland Clinic Foundation, Cleveland, OH, USA.ORCID 0000-0002-9087-1568
Cleveland Clinic · USUniversity of Maryland, Baltimore · USUniversity of North Carolina at Chapel Hill · USMassachusetts General Hospital · USMount Sinai Hospital · USHematology Oncology Associates · USMayo Clinic in Arizona · USMichael E. DeBakey VA Medical Center · USNew York Eye and Ear Infirmary · USStanford University · USUniversity of Colorado Anschutz Medical Campus · USVanderbilt University Medical Center · US

Funding

Creeping fat and Crohn's disease associated stricturesR01DK123233 · NIDDK · CLEVELAND CLINIC LERNER COM-CWRU · PI RIEDER, FLORIAN · 2020 to 2024
$1.9M
Microbiota in Intestinal FibrosisK08DK110415 · NIDDK · CLEVELAND CLINIC LERNER COM-CWRU · PI RIEDER, FLORIAN · 2016 to 2020
$767k
NIDDK NIH HHS K08 DK110415NIDDK NIH HHS R01 DK123233
6 · The paper itself

Abstract

BACKGROUND AND

aimsExtra-intestinal manifestations (EIMs) are a common complication of inflammatory bowel diseases (IBD), affecting up to half of the patients. Despite their high prevalence, information on standardised definitions, diagnostic strategies, and treatment targets is limited.

methodsAs a starting point for a national EIM study network, an interdisciplinary expert panel of 12 gastroenterologists, 4 rheumatologists, 3 ophthalmologists, 6 dermatologists, and 4 patient representatives was assembled. Modified Delphi consensus methodology was used. Fifty-four candidate items were derived from the literature review and expert opinion focusing on five major EIMs (erythema nodosum, pyoderma gangrenosum, uveitis, peripheral arthritis, and axial arthritis) were rated in three voting rounds.

resultsFor use in a clinical practice setting and as part of the creation of a prospective registry of patients with EIMs, the panel developed definitions for erythema nodosum, pyoderma gangrenosum, uveitis, peripheral arthritis, and axial arthritis; identified the appropriate and optimal subspecialists to diagnose and manage each; provided methods to monitor disease course; offered guidance regarding monitoring intervals; and defined resolution and recurrence.

conclusionsConsensus criteria for appropriate and optimal means of diagnosing and monitoring five EIMs have been developed as a starting point to inform clinical practice and future trial design. Key findings include straightforward diagnostic criteria, guidance regarding who can appropriately and optimally diagnose each, and monitoring options that include patient and physician-reported outcomes. These findings will be used in a national multicenter study network to optimise the management of EIMs.

Indexed as

ArthritisErythema NodosumInflammatory Bowel DiseasesPyoderma GangrenosumUveitisConsensusFollow-Up StudiesHumansUnited States

Identifiers

PMID35277863
PMCPMC10022869
OpenAlexW4221085345

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.