Evidence map›Paper›PMID 37323091›Full record

ArticleUnited European gastroenterology journal2023

Real-world use of endoscopic and histological indices in ulcerative colitis: Results of a global survey.

Olga Maria Nardone, Marietta Iacucci, Vincenzo Villanacci, Laurent Peyrin-Biroulet, Subrata Ghosh, Silvio Danese, Tommaso Lorenzo Parigi

Abstract read
In one paragraph

Article in United European gastroenterology journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Disease Clearance in Ulcerative Colitis: A Narrative Review.United European gastroenterology journal · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Review
  17. A new Simple Endoscopic Score for Ulcerative Colitis - the SES-UC.Frontiers in gastroenterology (Lausanne, Switzerland) · 2024
    Article
  18. AI and endoscopy/histology in UC: the rise of machine.Therapeutic advances in gastroenterology · 2024
    Review
  19. Article
  20. 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

7 authors.

Olga Maria NardoneGastroenterology, Department of Public Health, University of Naples Federico II, Naples, Italy.ORCID 0000-0002-9554-4785
Marietta IacucciCollege of Medicine and Health, University College of Cork and APC Microbiome, Cork, Ireland.
Vincenzo VillanacciInstitute of Pathology, ASST-Spedali Civili Brescia, Brescia, Italy.
Laurent Peyrin-BirouletUniversity of Lorraine, Inserm, NGERE, Nancy, France.ORCID 0000-0003-2536-6618
Subrata GhoshCollege of Medicine and Health, University College of Cork and APC Microbiome, Cork, Ireland.
Silvio DaneseDepartment of Gastroenterology and Digestive Endoscopy, IRCCS Ospedale San Raffaele, Milan, Italy.
Tommaso Lorenzo ParigiDepartment of Gastroenterology and Digestive Endoscopy, IRCCS Ospedale San Raffaele, Milan, Italy.ORCID 0000-0002-3398-0231

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTreatment targets of ulcerative colitis (UC) have evolved to include not only endoscopic but also histologic remission. However, the concept of histological activity is still in its early days. We aimed to capture the attitudes toward UC histology and the uptake of standardized reporting of endoscopy and histology of UC in daily practice.

methodsWe conducted a cross-sectional survey of physicians involved in the care of inflammatory bowel disease worldwide. The survey included 21 questions divided into three sections. The first recorded demographics, specialty, and level of experience of participants; the second covered clinical practices and attitudes toward the use and reporting of endoscopy; and the third covered histology.

resultsIn total, 359 participants from 60 countries and all levels of experience completed the survey. UC histology was used by nearly all respondents (90.5%) for initial diagnosis, by 72% to monitor disease course, by 62.4% to determine the microscopic extension, by 59.9% to confirm deep remission when considering to stop treatment, and 42.3% to increase/optimize treatment. Nevertheless 77.2% of participants reported that no standard histological index was available in their daily practice. Instead, endoscopy reports included the Mayo Endoscopic score in 90% of cases. The majority of respondents welcomed as useful or very useful an artificial intelligence system to automate scoring of endoscopy (69%) or histology (73%).

conclusionUC histology reports are less standard than endoscopy reports, although most physicians consider histological activity useful when managing UC and would welcome artificial intelligence systems to automate endoscopic and histological scoring.

Indexed as

Colitis, UlcerativeArtificial IntelligenceCross-Sectional StudiesEndoscopy, GastrointestinalHumansSurveys and Questionnairesartificial intelligencedeep remissionendoscopyhistological healinghistological indexhistologymucosal healingreportingUCulcerative colitis

Identifiers

PMID37323091
PMCPMC10337739

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.