Evidence map›Paper›PMID 35898191›Full record

ArticleTherapeutic advances in gastroenterology2022

Exploring the concept of deep remission in Crohn's disease: correlation between transmural healing and biomarkers.

Fabiana Castiglione, Nicola Imperatore, Anna Testa, Roberto de Sire, Olga Maria Nardone, Simona Ricciolino, Imma Di Luna, Marta Patturelli, Guido Daniele Villani, Oriana Olmo and 1 more

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in gastroenterology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Novel outcomes in inflammatory bowel disease.Journal of Crohn's & colitis · 2025
    Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
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 2 institutions in 1 country.

Fabiana CastiglioneGastroenterology Unit, Department of Clinical Medicine and Surgery, 'Federico II' School of Medicine, Naples, Italy, Via S. Pansini 5, Naples 80131, Italy.
Nicola ImperatoreGastroenterology and Endoscopy Unit, AORN Antonio Cardarelli, Naples, Italy.ORCID https://orcid.org/0000-0003-3230-6832
Anna TestaGastroenterology Unit, Department of Clinical Medicine and Surgery, 'Federico II' School of Medicine, Naples, Italy.
Roberto de SireGastroenterology Unit, Department of Clinical Medicine and Surgery, 'Federico II' School of Medicine, Naples, Italy.
Olga Maria NardoneGastroenterology Unit, Department of Clinical Medicine and Surgery, 'Federico II' School of Medicine, Naples, Italy.ORCID https://orcid.org/0000-0002-9554-4785
Simona RicciolinoGastroenterology Unit, Department of Clinical Medicine and Surgery, 'Federico II' School of Medicine, Naples, Italy.
Imma Di LunaGastroenterology Unit, Department of Clinical Medicine and Surgery, 'Federico II' School of Medicine, Naples, Italy.
Marta PatturelliGastroenterology Unit, Department of Clinical Medicine and Surgery, 'Federico II' School of Medicine, Naples, Italy.
Guido Daniele VillaniGastroenterology Unit, Department of Clinical Medicine and Surgery, 'Federico II' School of Medicine, Naples, Italy.
Oriana OlmoGastroenterology Unit, Department of Clinical Medicine and Surgery, 'Federico II' School of Medicine, Naples, Italy.
Antonio RispoGastroenterology Unit, Department of Clinical Medicine and Surgery, 'Federico II' School of Medicine, Naples, Italy.
Federico II University Hospital · ITOspedale Antonio Cardarelli · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: While mucosal healing (MH) and transmural healing (TH) predict relevant clinical outcomes in Crohn's disease (CD), little is known about the real significance and clinical impact of deep remission (DR). Objectives: To better explore the concept of DR, toward a direct correlation between MH, TH, and biomarkers. Design: Real-world observational longitudinal study to evaluate the rate of clinical remission (CR), MH and TH, and the fecal calprotectin (FC)/C-reactive protein (CRP) levels in all consecutive CD patients on biologics. Methods: A receiver operating characteristic (ROC) curve was constructed to define the best FC and CRP cut-offs associated with MH and TH. Finally, patients achieving CR, MH, and TH, in association with the target FC/CRP values, were considered in DR. Results: Among 118 CD patients, CR, MH, and TH were achieved in 62.7, 44.1, and 32.2%, respectively. After 2 years, the mean FC levels decreased from 494 ± 15.4 μg/g to 260 ± 354.9 μg/g ( Conclusion: An FC < 94 μg/g and a normal CRP are associated with CR, MH, and TH and could be included in the definition of DR in association. So by definition, DR could be achieved in approximately 30% of CD patients during maintenance treatment with biologics.

Indexed as

biologicsCrohn’s diseasedeep remissionfecal calprotectinmucosal healingtransmural healing

Identifiers

PMID35898191
PMCPMC9310328
OpenAlexW4286728626

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.