Evidence map›Paper›PMID 37408514›Full record

ReviewDeutsches Arzteblatt international2023

Treatment Strategies in Inflammatory Bowel Diseases.

Andreas Stallmach, Raja Atreya, Philip Christian Grunert, Johannes Stallhofer, Jan de Laffolie, Carsten Schmidt

Open access · greenAbstract readReview
In one paragraph

Review in Deutsches Arzteblatt international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
10.6field-weighted citation impact, top 1% 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

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. Nutrients · 2026
    Article
  11. Review
  12. Foods (Basel, Switzerland) · 2026
    Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. Review
  18. Observational
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  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

6 authors at 1 institution in 1 country.

Andreas StallmachDepartment of Internal Medicine IV, Gastroenterology, Hepatology and Infectology, Jena University Hospital, Jena; Medical Department 1, University Hospital Erlangen-Nürnberg, Friedrich-Alexander-University Erlangen-Nürnberg; Center for Pediatric and Adolescent Medicine, Justus Liebig University, Gießen; Medical Department II, Gastroenterology, Hepatology, Endocrinology, Diabetology und Infectiology, Klinikum Fulda AG, Universitätsmedizin Marburg - Campus Fulda.
Raja Atreya
Philip Christian Grunert
Johannes Stallhofer
Jan de Laffolie
Carsten Schmidt
Friedrich-Alexander-Universität Erlangen-Nürnberg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence of inflammatory bowel disease (IBD) is rising globally. In Germany, these conditions affect 0.7% of the population, or approximately 600 000 patients. Treatment strategies have become more diversified as a result of an improved understanding of disease pathogenesis. It remains unclear how the currently available drugs should best be used in each individual patient.

methodsThis review is based on pertinent publications retrieved by a selective search in PubMed, with special attention to phase III and IV trials and to the German and European guidelines on the treatment of IBD.

resultsAn improved understanding of the immunological mechanisms of disease underlies the current treatment strategies in patients with IBD. For those with a complex clinical course, monoclonal antibodies against pro-inflammatory cytokines (TNF, IL-12/IL-23, IL-23) and cell adhesion molecules (α4β7) are of established therapeutic value, along with "small molecules" such as JAK inhibitors and sphingosine-1-phosphate receptor modulators. The numerous studies that have been performed, only a few of which have been head-to-head comparison trials, and the (network) meta-analyses that have been published to date do not imply that any single one of these drugs can be considered the universal, primary treatment for all patients with IBD. In this review, we discuss the available substances and certain important differential-therapeutic aspects of the treatment of IBD.

conclusionThe treatment of a patient with IBD must take his or her prior treatment(s) and comorbidities into account, along with individual patient characteristics and treatment goals. Rational decision-making is required on the basis of the mechanism of action and the side-effect profile of the various drugs that are now available for use.

Indexed as

Inflammatory Bowel DiseasesAntibodies, MonoclonalCytokinesFemaleGermanyHumansInterleukin-23MaleAntibodies, MonoclonalCytokinesInterleukin-23

Identifiers

PMID37408514
PMCPMC10745558
OpenAlexW4383302099

What OpenQuestion holds

Textmetadata
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.