Evidence map›Paper›PMID 37048587›Full record

ArticleJournal of clinical medicine2023

Comparison of Short- and Long-Term Effectiveness between Anti-TNF and Ustekinumab after Vedolizumab Failure as First-Line Therapy in Crohn's Disease: A Multi-Center Retrospective Cohort Study.

Ahmad Albshesh, Lian Bannon, Tali Sharar Fischler, Marie Truyens, Stephan R Vavricka, Katja Tepes, Daniela Pugliese, Edoardo V Savarino, Eran Zittan, David Drobne and 8 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Observational
  2. Article
  3. Review
  4. 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

18 authors at 12 institutions in 6 countries.

Ahmad AlbsheshSheba Medical Center, Department of Gastroenterology, Tel Hashomer, Ramat Gan 5262100, Israel.ORCID 0000-0001-8962-4263
Lian BannonSackler School of Medicine, Tel-Aviv University, Tel-Aviv 52621, Israel.ORCID 0000-0002-5317-3613
Tali Sharar FischlerRabin Medical Center, Division of Gastroenterology, Department of Gastroenterology, Petah Tikva 49100, Israel.
Marie TruyensIBD Unit, Department of Gastroenterology, Ghent University Hospital, 9000 Ghent, Belgium.
Stephan R VavrickaDivision of Gastroenterology and Hepatology, University Hospital, CH-8048 Zurich, Switzerland.
Katja TepesGeneral Hospital Celje, 3000 Celje, Slovenia.ORCID 0000-0002-6131-0059
Daniela PuglieseIBD Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.ORCID 0000-0001-7930-5402
Edoardo V SavarinoDivision of Gastroenterology, Department of Surgery, Oncology and Gastroenterology, University of Padua, 35128 Padua, Italy.ORCID 0000-0002-3187-2894
Eran ZittanAbraham and Sonia Rochlin IBD Unit, Department of Gastroenterology, Emek Medical Center, Afula 1834111, Israel.
David DrobneDepartment of Gastroenterology, University Medical Centre Ljubljana, 1231 Ljubljana, Slovenia.ORCID 0000-0003-2734-675X
Xavier RoblinService de Gastrologie-Entérologie-Hépatologie, CHU de Saint-Etienne, 42270 Saint-Etienne, France.
Ariella Bar-Gil ShitritShaare Zedek Medical Center, Digestive Diseases Institute, Jerusalem 9103102, Israel.
Alessandro ArmuzziIBD Center, IRCCS Humanitas Research Hospital, Rozzano, 35128 Milan, Italy.ORCID 0000-0003-1572-0118
Triana LobatonIBD Unit, Department of Gastroenterology, Ghent University Hospital, 9000 Ghent, Belgium.ORCID 0000-0003-1817-7704
Nitsan MaharshakSackler School of Medicine, Tel-Aviv University, Tel-Aviv 52621, Israel.
Henit YanaiSackler School of Medicine, Tel-Aviv University, Tel-Aviv 52621, Israel.ORCID 0000-0001-5483-5271
Shomron Ben-HorinSheba Medical Center, Department of Gastroenterology, Tel Hashomer, Ramat Gan 5262100, Israel.
Uri KopylovSheba Medical Center, Department of Gastroenterology, Tel Hashomer, Ramat Gan 5262100, Israel.
Tel Aviv University · ILGhent University Hospital · BECentre Hospitalier Universitaire de Saint-Étienne · FRCollege of Nursing in Celje · SIHebrew University of Jerusalem · ILHumanitas University · ITRabin Medical Center · ILTechnion – Israel Institute of Technology · ILUniversità Cattolica del Sacro Cuore · ITUniversity Hospital of Zurich · CHUniversity of Ljubljana · SIUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe effectiveness of anti-TNF or ustekinumab (UST) as a second-line biologic after vedolizumab (VDZ) failure has not yet been described. AIMS AND

methodsIn this retrospective multicenter cohort study, We aim to investigate the effectiveness of anti-TNF and UST as second-line therapy in patients with Crohn's disease (CD) who failed VDZ as a first-line treatment. The primary outcome was clinical response at week 16-22. Secondary outcomes included the rates of clinical remission, steroid-free clinical remission, CRP normalization, and adverse events.

resultsFifty-nine patients who failed on VDZ as a first-line treatment for CD were included; 52.8% patients received anti-TNF and 47.2% UST as a second-line therapy. In initial period (Week 16-22), the clinical response and remission rate was similar between both groups: 61.2% vs. 68%,

conclusionSecond-line biological therapy after VDZ failure therapy was effective in >60% of the patients with CD. No differences in effectiveness were detected between the use of anti-TNF and UST as a second line.

Indexed as

anti-TNFCrohn’s diseasedrug positioningtreatment failuretreatment responseustekinumabvedolizumab

Identifiers

PMID37048587
PMCPMC10095015
OpenAlexW4361007667

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.