Evidence map›Paper›PMID 37586038›Full record

ReviewJournal of Crohn's & colitis2024

Defining Comprehensive Disease Control for Use as a Treatment Target for Ulcerative Colitis in Clinical Practice: International Delphi Consensus Recommendations.

Stefan Schreiber, Silvio Danese, Axel Dignass, Eugeni Domènech, Massimo C Fantini, Marc Ferrante, Jonas Halfvarson, Ailsa Hart, Fernando Magro, Charlie W Lees and 6 more

Open access · hybridAbstract readReviewConsensus Statement
In one paragraph

Review in Journal of Crohn's & colitis, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
6.6field-weighted citation impact, top 3% 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

19 citing papers in PubMed, 21 citations in OpenAlex.

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  13. Disease Clearance in Ulcerative Colitis: A Narrative Review.United European gastroenterology journal · 2025
    Review
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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

16 authors at 14 institutions in 10 countries.

Stefan SchreiberUniversity Hospital Schleswig-Holstein, Department of Internal Medicine I, Kiel, Germany.
Silvio DaneseGastroenterology and Endoscopy, IRCCS Ospedale San Raffaele and Vita-Salute San Raffaele University, Milan, Italy.ORCID 0000-0001-7341-1351
Axel DignassDepartment of Medicine I, Agaplesion Markus Hospital, Goethe University, Frankfurt, Germany.
Eugeni DomènechDepartment of Gastroenterology, Hospital Universitari Germans Trias i Pujol and CIBEREHD, Badalona, Spain.ORCID 0000-0002-2315-7196
Massimo C FantiniDepartment of Medical Science and Public Health, University of Cagliari, Cagliari, Italy.
Marc FerranteDepartment of Gastroenterology and Hepatology, University Hospitals Leuven, KU Leuven, Leuven, Belgium.ORCID 0000-0003-1492-0716
Jonas HalfvarsonDepartment of Gastroenterology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.ORCID 0000-0003-0122-7234
Ailsa HartIBD Unit, St. Mark's Hospital, London, UK.
Fernando MagroCINTESIS@RISE, Faculty of Medicine of the University of Porto, Porto, Portugal.
Charlie W LeesEdinburgh Inflammatory Bowel Disease Unit, Western General Hospital, Edinburgh, UK.
Salvo LeoneEuropean Federation of Crohn's & Ulcerative Colitis Associations [EFCCA], Brussels, Belgium.
Marieke J PierikDivision Gastroenterology and Hepatology, Maastricht University Medical Centre, Maastricht, The Netherlands.ORCID 0000-0001-6981-6516
Michele PetersNuffield Department of Population Health, University of Oxford, Oxford, UK.
Polly FieldOxford PharmaGenesis, Oxford, UK.
Helen FishpoolOxford PharmaGenesis, Oxford, UK.
Laurent Peyrin-BirouletDepartment of Gastroenterology, Nancy University Hospital, Vandœuvre-lès-Nancy, France.
Oxford Instruments (United Kingdom) · GBGoethe University Frankfurt · DEInserm · FRKU Leuven · BEMaastricht University Medical Centre · NLÖrebro University · SESt Mark's Hospital · GBUniversidade do Porto · PTUniversitat Autònoma de Barcelona · ESUniversity Hospital Schleswig-Holstein · DEUniversity of Cagliari · ITUniversity of Oxford · GBVita-Salute San Raffaele University · ITWestern General Hospital · GB

Funding

Medical Research Council MR/S034919/1
6 · The paper itself

Abstract

BACKGROUND AND

aimsTreatment of ulcerative colitis [UC] requires a patient-centric definition of comprehensive disease control that considers improvements in aspects not typically captured by classical landmark trial endpoints. In an international initiative, we reviewed aspects of UC that affect patients and/or indicate mucosal inflammation, to achieve consensus on which aspects to combine in a definition of comprehensive disease control, using a modified Delphi process.

methodsThe Delphi panel comprised 12 gastroenterologists and one patient advocate. Two gastroenterologists were elected as chairs and did not vote. To inform statements, we asked 18 patients and the panel members about their experiences of remission and reviewed published literature. Panel members voted on statements anonymously in three rounds, with a live discussion before Round 3. Consensus was met if ≥67% of the panel agreed. Statements without consensus in Rounds 1 and 2 were revised or discarded after Round 3.

resultsThe panel agreed to measure individual patient benefit using a definition of comprehensive disease control that combines aspects currently measured in trials [rectal bleeding, stool frequency, disease-related quality of life, endoscopy, histological inflammatory activity, inflammatory biomarkers, and corticosteroid use] with additional patient-reported symptoms [bowel urgency, abdominal pain, extraintestinal manifestations, fatigue, and sleep disturbance]. The panel agreed on scoring systems and thresholds for many aspects.

conclusionsUsing a robust methodology, we defined comprehensive disease control in UC. Next, we will combine the measurement and scoring of these aspects into a multicomponent tool and will adopt comprehensive disease control as a treatment target in clinical practice and trials.

Indexed as

Colitis, UlcerativeDelphi TechniqueEndoscopy, GastrointestinalHumansQuality of LifeDelphi consensuspatient-reported symptomsremissionUlcerative colitis

Identifiers

PMID37586038
PMCPMC10821705
OpenAlexW4385854366

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.