Evidence map›Paper›PMID 37831183›Full record

Observational studyJournal of gastroenterology2023

Real-world efficacy and safety of advanced therapies in hospitalized patients with ulcerative colitis.

Makoto Naganuma, Taku Kobayashi, Reiko Kunisaki, Katsuyoshi Matsuoka, Shojiro Yamamoto, Ami Kawamoto, Daisuke Saito, Kosaku Nanki, Kazuyuki Narimatsu, Hisashi Shiga and 15 more

Abstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Journal of gastroenterology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
4.7field-weighted citation impact, top 5% 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

16 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
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  13. Treatment endpoints in ulcerative colitis: Does one size fit all?World journal of gastrointestinal pharmacology and therapeutics · 2024
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors at 20 institutions in 1 country.

Makoto NaganumaDivision of Gastroenterology and Hepatology, Third Department of Internal Medicine, Kansai Medical University, 2-5-1 Shinmachi, Hirakata, Osaka, 573-1010, Japan. naganuma@hirakata.kmu.ac.jp.ORCID http://orcid.org/0000-0002-4244-3243
Taku KobayashiCenter for Advanced IBD Research and Treatment, Kitasato University Kitasato Institute Hospital, Tokyo, Japan.
Reiko KunisakiInflammatory Bowel Disease Center, Yokohama City University Medical Center, Yokohama, Japan.
Katsuyoshi MatsuokaDivision of Gastroenterology, Department of Internal Medicine, Toho University Sakura Medical Center, Sakura, Japan.
Shojiro YamamotoDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan.
Ami KawamotoDepartment of Gastroenterology and Hepatology, Tokyo Medical and Dental University, Tokyo, Japan.
Daisuke SaitoDepartment of Gastroenterology and Hepatology, Kyorin University School of Medicine, Mitaka, Japan.
Kosaku NankiDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan.
Kazuyuki NarimatsuDepartment of Internal Medicine, National Defence Medical University, Tokorozawa, Japan.
Hisashi ShigaDivision of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Motohiro EsakiDivision of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, Saga University, Saga, Japan.
Shinichiro YoshiokaDivision of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume, Japan.
Shingo KatoDepartment of Gastroenterology and Hepatology, Saitama Medical Center, Saitama Medical University, Saitama, Japan.
Masayuki SarutaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan.
Shinji TanakaEndoscopy and Medicine, Hiroshima University Hospital, Hiroshima, Japan.
Eriko YasutomiDepartment of Gastroenterology and Hepatology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Japan.
Kaoru YokoyamaDepartment of Gastroenterology, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan.
Kei MoriyaDepartment of Gastroenterology, Nara Medical University, Kashihara, Nara, Japan.
Yoshikazu TsuzukiDepartment of Gastroenterology, Saitama Medical University, Saitama, Japan.
Makoto OoiDivision of Gastroenterology, Department of Internal Medicine, Graduate School of Medicine, Kobe University, Kobe, Japan.
Mikihiro FujiyaDivision of Metabolism and Biosystemic Science, Gastroenterology, and Hematology/Oncology, Department of Medicine, Asahikawa Medical University, Hokkaido, Japan.
Atsushi NakazawaDepartment of Gastroenterology, Saiseikai General Hospital, Tokyo, Japan.
Takayuki AbeSchool of Data Science, Yokohama City University, Yokohama, Japan.
Tadakazu HisamatsuDepartment of Gastroenterology and Hepatology, Tokyo Medical and Dental University, Tokyo, Japan.
Japanese UC Study Group
Kitasato Institute Hospital · JPKitasato University · JPKobe University · JPSocial Insurance Saitama Chuo Hospital · JPYokohama City University · JPAsahikawa Medical University · JPKurume University · JPKyorin University · JPOkayama University · JPToho University · JPTokyo Medical and Dental University · JPUniversity of Miyazaki · JPHiroshima University Hospital · JPJikei University School of Medicine · JPKansai Medical University · JPKeio University · JPNara Medical University · JPNational Defense Medical College Hospital · JPSaga University · JPSaitama Medical University · JP

Funding

he Japan Agency for Medical Research and Development 20314259
6 · The paper itself

Abstract

backgroundThis multicenter observational cohort study aimed to evaluate the utilization and short-term efficacy of advanced therapy (AT) in hospitalized patients with acute severe ulcerative colitis (ASUC).

methodsIn total, 221 patients with ASUC were enrolled between August 2020 and July 2021. The primary endpoint was clinical remission (CR, defined as a patient-reported outcome score < 2 with no blood in the stool) rate on Day 7 and 14 in hospitalized patients who received corticosteroids (CS) and AT.

resultsAmong patients with ASUC, 120 and 101 patients received CS or any AT as first-line treatment, respectively. The CR rates on Day 7 and 14 were 22.5% and 35.0%, respectively, in hospitalized patients who received CS as first-line treatment. Most patients who used ATs had CS-dependent or frequent recurrences. Eight different ATs (apheresis, tacrolimus, infliximab, golimumab, tofacitinib, vedolizumab, ustekinumab, and cyclosporine) were used as first-line treatment in patients with ASUC, and the CR rates on Day 7 and 14 were 16.8% and 29.7%, respectively. Twenty-five patients received the second ATs after hospitalizations, and the CR rates on Day 7 and 14 were 0% and 12%, respectively. The CR rates on Day 14 were significantly higher in patients who changed to AT than in those whose dose of CS increased (34.0% vs 10.7%, p = 0.020) among patients who had already used CS before hospitalization.

conclusionMost first-use ATs were effective for patients with ASUC, while second-use ATs might have had limited benefits in inducing CR. These findings may contribute to considerations for the management of hospitalized patients.

Indexed as

Colitis, UlcerativeAdrenal Cortex HormonesHumansInfliximabTacrolimusTreatment OutcomeAdrenal Cortex HormonesInfliximabTacrolimusAcute severe ulcerative colitisAdvanced therapyBiologicsJanus kinase inhibitor

Identifiers

PMID37831183
OpenAlexW4387598119

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.