Evidence map›Paper›PMID 36453008›Full record

ArticleIntestinal research2023

Low prevalence of primary sclerosing cholangitis in patients with inflammatory bowel disease in India.

Arshdeep Singh, Vandana Midha, Vikram Narang, Saurabh Kedia, Ramit Mahajan, Pavan Dhoble, Bhavjeet Kaur Kahlon, Ashvin Singh Dhaliwal, Ashish Tripathi, Shivam Kalra and 7 more

Open access · diamondAbstract read
In one paragraph

Article in Intestinal research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

7 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Inflammatory bowel disease in south Asia: a scoping review.The lancet. Gastroenterology & hepatology · 2025
    Article
  4. Review
  5. Article
  6. Article
  7. 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

17 authors at 5 institutions in 1 country.

Arshdeep SinghDepartment of Gastroenterology, Dayanand Medical College and Hospital, Ludhiana, India.
Vandana MidhaDepartment of Internal Medicine, Dayanand Medical College and Hospital, Ludhiana, India.
Vikram NarangDepartment of Pathology, Dayanand Medical College and Hospital, Ludhiana, India.
Saurabh KediaDepartment of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India.
Ramit MahajanDepartment of Gastroenterology, Dayanand Medical College and Hospital, Ludhiana, India.
Pavan DhobleP. D. Hinduja National Hospital and Medical Research Centre, Mumbai, India.
Bhavjeet Kaur KahlonDepartment of Gastroenterology, Dayanand Medical College and Hospital, Ludhiana, India.
Ashvin Singh DhaliwalDepartment of Gastroenterology, Dayanand Medical College and Hospital, Ludhiana, India.
Ashish TripathiDepartment of Gastroenterology, Dayanand Medical College and Hospital, Ludhiana, India.
Shivam KalraDepartment of Gastroenterology, Dayanand Medical College and Hospital, Ludhiana, India.
Narender Pal JainDepartment of Internal Medicine, Dayanand Medical College and Hospital, Ludhiana, India.
Namita BansalResearch and Development Centre, Department of Gastroenterology, Dayanand Medical College and Hospital, Ludhiana, India.
Rupa BanerjeeAsian Institute of Gastroenterology, Hyderabad, India.
Devendra DesaiP. D. Hinduja National Hospital and Medical Research Centre, Mumbai, India.
Usha DuttaDepartment of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Vineet AhujaDepartment of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India.
Ajit SoodDepartment of Gastroenterology, Dayanand Medical College and Hospital, Ludhiana, India.
Dayanand Medical College & Hospital · INAll India Institute of Medical Sciences · INP. D. Hinduja Hospital and Medical Research Centre · INAsian Institute of Gastroenterology · INPost Graduate Institute of Medical Education and Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsPrimary sclerosing cholangitis (PSC) represents the most common hepatobiliary extraintestinal manifestation of inflammatory bowel disease (IBD), including ulcerative colitis (UC) and Crohn's disease (CD). Limited data exist on PSC in patients with IBD from India. We aimed to assess the prevalence and disease spectrum of PSC in Indian patients with IBD.

methodsDatabase of IBD patients at 5 tertiary care IBD centers in India were analyzed retrospectively. Data were extracted and the prevalence of PSC-IBD was calculated.

resultsForty-eight patients out of 12,216 patients with IBD (9,231 UC, 2,939 CD, and 46 IBD unclassified) were identified to have PSC, resulting in a prevalence of 0.39%. The UC to CD ratio was 7:1. Male sex and pancolitis (UC) or colonic CD were more commonly associated with PSC-IBD. The diagnosis of IBD preceded the diagnosis of PSC in most of the patients. Majority of the patients were symptomatic for liver disease at diagnosis. Eight patients (16.66%) developed cirrhosis, 5 patients (10.41%), all UC, developed malignancies (3 colorectal cancer [6.25%] and 2 cholangiocarcinoma [4.16%]), and 3 patients died (2 decompensated liver disease [4.16%] and 1 cholangiocarcinoma [2.08%]) on follow-up. None of the patients mandated surgical therapy for IBD.

conclusionsConcomitant PSC in patients with IBD is uncommon in India and is associated with lower rates of development of malignancies.

Indexed as

Cholangitis, sclerosingColitis, ulcerativeIndiaInflammatory bowel diseasesPrevalence

Identifiers

PMID36453008
PMCPMC10626019
OpenAlexW4310522943

What OpenQuestion holds

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LicenceCC BY-NC
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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.