Evidence map›Paper›PMID 37545640›Full record

ArticleWorld journal of gastroenterology2023

Azathioprine monotherapy withdrawal in inflammatory bowel diseases: A retrospective mono-centric study.

Martina Crepaldi, Daria Maniero, Alessandro Massano, Margherita Pavanato, Brigida Barberio, Edoardo Vincenzo Savarino, Fabiana Zingone

Abstract read
In one paragraph

Article in World journal of gastroenterology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
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  5. Article
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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.

Martina CrepaldiDepartment of Surgery, Oncology, and Gastroenterology, University of Padua, Padua 35128, Italy.
Daria ManieroDepartment of Surgery, Oncology, and Gastroenterology, University of Padua, Padua 35128, Italy.
Alessandro MassanoDepartment of Surgery, Oncology, and Gastroenterology, University of Padua, Padua 35128, Italy.
Margherita PavanatoDepartment of Surgery, Oncology, and Gastroenterology, University of Padua, Padua 35128, Italy.
Brigida BarberioDepartment of Surgery, Oncology, and Gastroenterology, University of Padua, Padua 35128, Italy.
Edoardo Vincenzo SavarinoDepartment of Surgery, Oncology, and Gastroenterology, University of Padua, Padua 35128, Italy.
Fabiana ZingoneDepartment of Surgery, Oncology, and Gastroenterology, University of Padua, Padua 35128, Italy. fabiana.zingone@unipd.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is no consensus on the recommended duration of and optimal time to stop azathioprine (AZA) therapy in inflammatory bowel disease (IBD). Determining the optimal duration and cessation time can help to balance the risks of long-term intake with the possibility of relapse after cessation.

aimTo describe the events following AZA cessation.

methodsRetrospective analysis was performed to examine data from adult patients affected by IBD who were followed at the University of Padua and had started but then discontinued AZA between 1995 and 2022. Data on therapy duration, reasons for cessation, and type of relapse after cessation were collected. Cox regression models were used to estimate the risk of relapse in different subgroups.

resultsA total of 133 ulcerative colitis patients and 141 Crohn's disease patients were included. Therapy with AZA was stopped in the 1

conclusionAZA administration is effective and safe, but it requires careful monitoring for potential minor and major side effects. Only 10% of patients who achieved remission with AZA needed a new treatment within 1 year of drug interruption.

Indexed as

Colitis, UlcerativeInflammatory Bowel DiseasesAdultAzathioprineHumansImmunosuppressive AgentsRemission InductionRetrospective StudiesAzathioprineImmunosuppressive AgentsAzathioprineCrohn's DiseaseInflammatory bowel diseasesRelapseSide effectsUlcerative Colitis

Identifiers

PMID37545640
PMCPMC10401657

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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.