Evidence map›Paper›PMID 37255887›Full record

ReviewCureus2023

Comparison of Effectiveness and Safety of Ustekinumab and Adalimumab As Induction or Maintenance Therapy in Patients With Moderate to Severe Crohn's Disease: A Systematic Review and Meta-Analysis.

Venkata Sai Harshabhargav Chenna, Talwinder K Nagi, Zoilo K Suarez, Oscar L Hernandez, Maymona E Nageye, Nafisa Reyaz, Ibrahim Reyaz, Neelum Ali

Open access · diamondAbstract readReview
In one paragraph

Review in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 21% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. 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

8 authors at 7 institutions in 5 countries.

Venkata Sai Harshabhargav ChennaMedicine, University of Perpetual Help System Dalta, Las Pinas, PHL.
Talwinder K NagiInternal Medicine, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, USA.
Zoilo K SuarezInternal Medicine, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, USA.
Oscar L HernandezInternal Medicine, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, USA.
Maymona E NageyeInternal Medicine-Pediatrics, Avalon University School of Medicine, Willemstad, CUW.
Nafisa ReyazMedicine, Jawaharlal Nehru Medical College and Hospital, Aligarh, IND.
Ibrahim ReyazInternal Medicine, Christian Medical College and Hospital Ludhiana, Ludhiana, IND.
Neelum AliInternal Medicine, University of Health Sciences, Lahore, PAK.
University of Perpetual Help System DALTA · PHAvalon University School of Medicine · CWChristian Medical College · INChristian Medical College & Hospital · INFlorida Atlantic University · USJawaharlal Nehru Medical College Hospital · INUniversity of Health Sciences Lahore · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This meta-analysis has been conducted to compare ustekinumab and adalimumab as induction or maintenance therapy in patients with moderate to severe Crohn's disease (CD). The current meta-analysis was conducted in accordance with the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Two investigators independently searched online databases including PubMed, Cumulated Index to Nursing and Allied Health Literature (CINAHL), and Cochrane Library for relevant articles published up to April 2023. The initial search terms were "ustekinumab," "adalimumab," and "Crohn's disease". Three studies (with a total of 612 patients) were included in the present meta-analysis. We did not find any significant difference in clinical remission (OR: 1.31, 95% CI: 0.68-2.52), clinical response (OR: 1.39, 95% CI: 0.39-4.91), endoscopic remission (OR: 1.56, 95% CI: 0.66-3.64), and steroid-free remission (OR: 0.98, 95% CI: 0.67-1.42) between patients who received ustekinumab and patients who received adalimumab. In conclusion, this meta-analysis provides valuable insights into the efficacy and safety of ustekinumab and adalimumab in the treatment of moderate to severe CD. Our findings indicate that both drugs have similar effectiveness in achieving clinical remission, clinical response, radiological remission and steroid-free remission.

Indexed as

adalimumabclinical remissioncrohn's diseasemeta-analysisustekinumab

Identifiers

PMID37255887
PMCPMC10226155
OpenAlexW4367368248

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.