Evidence map›Paper›PMID 36402945›Full record

Observational studyBMC gastroenterology2022

Medication use among patients with Crohn's disease or ulcerative colitis before and after the initiation of advanced therapy.

Theresa Hunter, April N Naegeli, Chi Nguyen, Mingyang Shan, Joseph L Smith, Hiangkiat Tan, Klaus Gottlieb, Keith Isenberg

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC gastroenterology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 24% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. 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

8 authors at 3 institutions in 1 country.

Theresa HunterEli Lilly and Company, 893 S. Delaware Street, Indianapolis, IN, 46225, USA. hunter_theresa_marie@lilly.com.
April N NaegeliEli Lilly and Company, 893 S. Delaware Street, Indianapolis, IN, 46225, USA.
Chi NguyenHealthCore, Inc., Wilmington, USA.
Mingyang ShanEli Lilly and Company, 893 S. Delaware Street, Indianapolis, IN, 46225, USA.
Joseph L SmithHealthCore, Inc., Wilmington, USA.
Hiangkiat TanHealthCore, Inc., Wilmington, USA.
Klaus GottliebEli Lilly and Company, 893 S. Delaware Street, Indianapolis, IN, 46225, USA.
Keith IsenbergAnthem, Inc., Indianapolis, USA.
Eli Lilly (United States) · USWilmington University · USAnthem (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough various treatments help reduce abdominal pain, real-world pain medication utilization among patients with Crohn's disease (CD) or ulcerative colitis (UC) receiving advanced therapies is poorly understood. The aim is to understand the utilization of pain medication 12 months before and after the initiation of advanced therapies among patients with newly diagnosed CD or UC.

methodsThis retrospective, observational cohort study used administrative medical and pharmacy claims data of patients with CD or UC from HealthCore Integrated Research Database (HIRD

resultsPrior to initiating advanced therapies, 23.1% of patients with CD (N = 540) received nonsteroidal anti-inflammatory drugs (NSAIDs), 78.1% glucocorticoids, 49.4% opioids, and 29.3% neuromodulators; similarly, 20.9% of patients with UC (N = 373) received NSAIDs, 91.4% glucocorticoids, 40.8% opioids, and 29.5% neuromodulators. After receiving advanced therapies for 12 months, patients reported a reduction in the use of steroids (78.1% vs. 58.9%, P < 0.001 in CD; 91.4% vs. 74.3%, P < 0.001 in UC), opioids (49.4% vs. 41.5%, P = 0.004 in CD; 40.8% vs. 36.5%, P = 0.194 in UC), and NSAIDs (23.1% vs. 15.0%, P < 0.001 in CD; 20.9% vs. 15.8%, P = 0.035 in UC), while the use of neuromodulators significantly increased (29.3% vs. 33.7%, P = 0.007 in CD; 29.5% vs. 35.7%; P = 0.006 in UC).

conclusionsThe use of pain medications such as NSAIDs, glucocorticoids, opioids, and neuromodulators was common among patients with CD or UC. These results highlight that patients with CD or UC continued to receive pain medications even after initiating advanced therapies.

Indexed as

Colitis, UlcerativeCrohn DiseaseAnti-Inflammatory Agents, Non-SteroidalGlucocorticoidsHumansPainRetrospective StudiesAnti-Inflammatory Agents, Non-SteroidalGlucocorticoidsAbdominal painAdvanced therapiesCrohn’s diseaseUlcerative colitis

Identifiers

PMID36402945
PMCPMC9675977
OpenAlexW4309402762

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.