Evidence map›Paper›PMID 37370250›Full record

ArticleUnited European gastroenterology journal2023

Self-reported treatment effectiveness for Crohn's disease using a novel crowdsourcing web-based platform.

Tal Engel, Eran Dotan, Yossi Synett, Ron Held, Shelly Soffer, Shomron Ben-Horin, Uri Kopylov

Open access · hybridAbstract 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.6field-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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. UEG onwards & upwards: A president's perspective.United European gastroenterology journal · 2024
    Article
  2. Article
  3. Surfing the web as a patient with IBD: New horizons.United European gastroenterology journal · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Tal EngelDepartment of Gastroenterology, Sheba Medical Center, Ramat Gan, Israel.ORCID 0000-0002-4215-9832
Eran DotanSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Yossi SynettStuffThatWorks©, Tel Aviv, Israel.
Ron HeldStuffThatWorks©, Tel Aviv, Israel.
Shelly SofferInternal Medicine B, Assuta Medical Center, Ashdod, Israel.ORCID 0000-0002-7853-2029
Shomron Ben-HorinDepartment of Gastroenterology, Sheba Medical Center, Ramat Gan, Israel.ORCID 0009-0001-1586-6056
Uri KopylovDepartment of Gastroenterology, Sheba Medical Center, Ramat Gan, Israel.ORCID 0000-0002-7156-0588
Tel Aviv University · ILBen-Gurion University of the Negev · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsInternet and social media platforms have become an unprecedented source for sharing self-experience, potentially allowing the collection and integration of health data with patient experience. StuffThatWorks (STW) is an online open platform that applies machine learning and the power of crowdsourcing, where patients with chronic medical conditions can self-report and compare their individual outcomes using a structured online questionnaire. We aimed to conduct a cross-sectional, international, crowdsourcing, artificial-intelligence (AI) web-based study of patients with Crohn's disease (CD) self-reporting their outcomes.

methodsA proprietary STW Bayesian inference model was built to measure improvement in CD severity (on scale of 1-5) for each treatment and ranked treatments using effectiveness. The effectiveness of first-line biological treatments was analyzed by multiple comparisons and by calculating odds ratios and 95% confidence intervals for each treatment pair.

resultsWe included 7593 self-reported CD patients for the analysis. Most of the participants were female (75.8%) and from English-speaking countries (95.7%). Overall, anti-TNF drugs were the most reported tried treatment (52.8%). Infliximab (IFX) was ranked as the most effective treatment by the STW effectiveness model followed by bowel surgery (second), adalimumab (ADA, third), ustekinumab (UST, 4rd), and vedolizumab (VDZ, fifth). In paired comparison analyses, IFX was most effective, ADA had similar effectiveness compared to UST and all three were more effective than VDZ.

conclusionWe present the first online crowdsourcing AI platform-based study of self-reported treatment effectiveness in CD. Net-based crowdsourcing patient-reported outcome platforms can potentially help both clinicians and patients select the best treatment for their condition.

Indexed as

Crohn DiseaseCrowdsourcingBayes TheoremCross-Sectional StudiesFemaleHumansInfliximabInternetMaleSelf ReportTreatment OutcomeTumor Necrosis Factor-alphaTumor Necrosis Factor InhibitorsInfliximabTumor Necrosis Factor-alphaTumor Necrosis Factor Inhibitorsanti TNF drugsartificial intelligencecrohn's diseasesocial mediastuffthatworks

Identifiers

PMID37370250
PMCPMC10493337
OpenAlexW4382344659

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.