Evidence map›Paper›PMID 35803583›Full record

ArticleJournal of Crohn's & colitis2022

Faecal Myeloperoxidase as a Biomarker of Endoscopic Activity in Inflammatory Bowel Disease.

Akhilesh Swaminathan, Grace M Borichevsky, Teagan S Edwards, Esther Hirschfeld, Thomas C Mules, Chris M A Frampton, Andrew S Day, Mark B Hampton, Anthony J Kettle, Richard B Gearry

Open access · hybridAbstract read
In one paragraph

Article in Journal of Crohn's & colitis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
10.3field-weighted citation impact, top 1% 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

39 citing papers in PubMed, 57 citations in OpenAlex.

  1. Article
  2. Article
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  4. Review
  5. Factors Associated With Loss of Fecal Biomarker Accuracy During Routine Assessment of Inflammatory Bowel Disease.JGH open : an open access journal of gastroenterology and hepatology · 2026
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  16. Observational
  17. ModifiedWorld journal of gastroenterology · 2025
    Article
  18. Article
  19. Review
  20. Neutrophil diversity and function in health and disease.Signal transduction and targeted therapy · 2024
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Akhilesh SwaminathanDepartment of Medicine, University of Otago, Christchurch, New Zealand.ORCID 0000-0003-1954-844X
Grace M BorichevskyCentre for Free Radical Research, Department of Pathology and Biomedical Science, University of Otago, Christchurch, New Zealand.
Teagan S EdwardsCentre for Free Radical Research, Department of Pathology and Biomedical Science, University of Otago, Christchurch, New Zealand.
Esther HirschfeldDepartment of Medicine, University of Otago, Christchurch, New Zealand.
Thomas C MulesDepartment of Gastroenterology, Christchurch Hospital, Christchurch, New Zealand.
Chris M A FramptonDepartment of Medicine, University of Otago, Christchurch, New Zealand.
Andrew S DayDepartment of Paediatrics, University of Otago, Christchurch, New Zealand.
Mark B HamptonCentre for Free Radical Research, Department of Pathology and Biomedical Science, University of Otago, Christchurch, New Zealand.
Anthony J KettleCentre for Free Radical Research, Department of Pathology and Biomedical Science, University of Otago, Christchurch, New Zealand.
Richard B GearryDepartment of Medicine, University of Otago, Christchurch, New Zealand.
University of Otago · NZChristchurch Hospital · NZ

Funding

New Zealand Society of Gastroenterology JanssenRoyal Australasian College of Physicians Research Entry Grant
6 · The paper itself

Abstract

BACKGROUND AND

aimsInflammatory bowel disease [IBD], consisting of Crohn's disease [CD] and ulcerative colitis [UC], is a relapsing-remitting illness. Treat-to-target IBD management strategies require monitoring of gastrointestinal inflammation. This study aimed to investigate faecal myeloperoxidase [fMPO], a neutrophil granule enzyme, as a biomarker of IBD activity.

methodsProspectively recruited participants with IBD, undergoing ileocolonoscopy for disease assessment, provided biological samples and completed symptom questionnaires prior to endoscopy. fMPO, C-reactive protein [CRP], and faecal calprotectin [fCal] were compared with validated endoscopic indices [simple endoscopic score for CD and UC endoscopic index of severity]. Receiver operating characteristic [ROC] curves assessed the performance of fMPO, CRP, and fCal in predicting endoscopic disease activity. Baseline biomarkers were used to predict a composite endpoint of complicated disease at 12 months [need for escalation of biologic/immunomodulator due to relapse, steroid use, IBD-related hospitalisation, and surgery].

resultsA total of 172 participants were recruited [91 female, 100 with CD]. fMPO was significantly correlated with endoscopic activity in both CD [r = 0.53, p < 0.01] and UC [r = 0.63, p < 0.01], and with fCal in all patients with IBD [r = 0.82, p < 0.01]. fMPO was effective in predicting moderate-to-severely active CD [AUROC 0.86, p < 0.01] and UC [AUROC 0.92, p < 0.01]. Individuals with a baseline fMPO > 26 µg/g were significantly more likely to reach the composite outcome at 12 months (hazard ratio [HR] 3.71, 95% confidence interval [CI] 2.07-6.64, p < 0.01).

conclusionsFaecal myeloperoxidase is an accurate biomarker of endoscopic activity in IBD and predicted a more complicated IBD course during follow-up.

Indexed as

Colitis, UlcerativeCrohn DiseaseInflammatory Bowel DiseasesBiomarkersChronic DiseaseC-Reactive ProteinEndoscopy, GastrointestinalFecesFemaleHumansLeukocyte L1 Antigen ComplexMalePeroxidaseSeverity of Illness IndexBiomarkersC-Reactive ProteinLeukocyte L1 Antigen ComplexPeroxidaseBiomarkersmyeloperoxidaseprognosis

Identifiers

PMID35803583
PMCPMC9721461
OpenAlexW4284959031

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.