Evidence map›Paper›PMID 37954750›Full record

ReviewCureus2023

Clinical Outcomes of Ustekinumab in Inflammatory Bowel Disease.

Sirisha K Gara, Prathima Guntipalli, Sima Marzban, Muhammad Taqi, Vinayak Aryal, Qurat Ul Ain Khan, Shahtaj A Shah, Hanieh Akbariromani, Darren Salinger, Miguel Diaz-Miret

Open access · diamondAbstract readReview
In one paragraph

Review in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 14% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Engineered Tissue Models to Decode Host-Microbiota Interactions.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  5. Article
  6. Review
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

10 authors at 6 institutions in 4 countries.

Sirisha K GaraRichard M. Fairbanks School of Public Health, Indiana University, Indianapolis, USA.
Prathima GuntipalliResearch and Academic Affairs, Larkin Community Hospital, South Miami, USA.
Sima MarzbanResearch and Academic Affairs, Larkin Community Hospital, South Miami, USA.
Muhammad TaqiOrthopedic Surgery, Mayo Hospital, King Edward Medical University (KEMU), Lahore, PAK.
Vinayak AryalPathology and Laboratory Medicine, Nepal Cancer Hospital and Research Center, Lalitpur, NPL.
Qurat Ul Ain KhanInternal Medicine, Services Institute of Medical Sciences, Lahore, PAK.
Shahtaj A ShahResearch and Academic Affairs, Larkin Community Hospital, South Miami, USA.
Hanieh AkbariromaniResearch and Academic Affairs, Larkin Community Hospital, South Miami, USA.
Darren SalingerResearch and Academic Affairs, Larkin Community Hospital, South Miami, USA.
Miguel Diaz-MiretFamily Medicine, Larkin Community Hospital Palm Springs Campus, Hialeah, USA.
Islamic Azad University Medical Branch of Tehran · IRLarkin Community Hospital · USNepal Cancer Hospital and Research Center · NPIslamic Azad University, Tehran · IRPalm Springs General Hospital · USVA Palo Alto Health Care System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Inflammatory bowel diseases including Crohn's disease (CD) and ulcerative colitis (UC) are characterized by abdominal pain, diarrhea, blood in stools, weight loss, and fatigue. It presents in patients with varying severity from mild to severe depending on the inflammation. Detailed analysis and guidelines are required for the safe usage of biological therapies in the treatment of inflammatory bowel diseases as surgery is reserved for more complex cases. There is also geographical variation in inflammatory bowel disease (IBD) incidence and prevalence based on environmental and climate changes, and socio-demographics. Studies also show that there is more hospitalization and reduced health-related quality of life in IBD patients when compared to normal people. We conducted an extensive literature database search for articles with keywords within the last 10 years on adults >18 years of age with IBD and its treatment, especially with ustekinumab. Ustekinumab is a human immunoglobulin G1 (IgG1) kappa monoclonal antibody, that blocks IL-12 and IL-23 and was approved by the FDA for the treatment of moderate to severe IBD, especially in patients who are intolerant to immunomodulators or corticosteroids treatment. There are several retrospective studies that show the effectiveness of ustekinumab dosage escalation every four weeks in IBD patients. This escalation of dose not only improved the clinical outcome but also reduced the worsening of the disease. Previous studies also show the importance of considering dosage escalation before switching biological agents in the IBD treatment. Ustekinumab has also demonstrated both efficacy and safety in the induction and maintenance of the treatment of this disease. There are certain challenges and opportunities associated with ustekinumab usage in IBD patients that require further research. Ustekinumab seems to be more cost-effective in the tumor necrosis factor (TNF)-alpha-inhibitor failure population when compared to previously used biological treatment regimes.

Indexed as

crohn's diseaseibdinflammatory bowel diseaseinterleukin-12interleukin-12/23 monoclonal antibody and ibdinterleukin-23 and ulcerative colitisulcerative colitisustekinumab

Identifiers

PMID37954750
PMCPMC10636694
OpenAlexW4387539377

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.