Evidence map›Paper›PMID 38013474›Full record

Observational studyGut and liver2024

Fecal Calprotectin at Postinduction Is Capable of Predicting Persistent Remission and Endoscopic Healing after 1 Year of Treatment with Infliximab in Pediatric Patients with Crohn's Disease.

Yoo Min Lee, Eun Sil Kim, Sujin Choi, Hyo-Jeong Jang, Yu Bin Kim, So Yoon Choi, Byung-Ho Choe, Ben Kang

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Gut and liver, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Yoo Min LeeDepartment of Pediatrics, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea.ORCID 0000-0003-3554-6559
Eun Sil KimDepartment of Pediatrics, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.ORCID 0000-0003-2012-9867
Sujin ChoiDepartment of Pediatrics, School of Medicine, Kyungpook National University, Daegu, Korea.ORCID 0000-0001-8894-8127
Hyo-Jeong JangCrohn's and Colitis Association in Daegu-Gyeongbuk (CCAiD), Daegu, Korea.ORCID 0000-0003-1496-5754
Yu Bin KimDepartment of Pediatrics, Ajou University Medical Center, Suwon, Korea.ORCID 0000-0001-6325-6191
So Yoon ChoiDepartment of Pediatrics, Kosin University Gospel Hospital, Kosin University College of Medicine, Busan, Korea.ORCID 0000-0002-7389-7678
Byung-Ho ChoeDepartment of Pediatrics, School of Medicine, Kyungpook National University, Daegu, Korea.ORCID 0000-0001-9899-9120
Ben KangDepartment of Pediatrics, School of Medicine, Kyungpook National University, Daegu, Korea.ORCID 0000-0002-8516-9803

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/Aims: : The recent update on Selecting Therapeutic Targets in Inflammatory Bowel Disease initiative has added a decrease in fecal calprotectin (FC) to an acceptable range as an intermediate target for Crohn's disease (CD). We aimed to investigate whether postinduction FC could predict future persistent remission (PR) and endoscopic healing (EH) after 1 year of treatment with infliximab (IFX) in pediatric patients with CD. Methods: : This multicenter retrospective observational study included pediatric patients with CD who were followed up for at least 1 year after starting IFX. The association of postinduction FC with PR and EH was investigated. Results: : A total of 132 patients were included in this study. PR and EH were observed in 71.2% (94/132) and 73.9% (82/111) of the patients, respectively. In multivariate logistic regression analysis, only the postinduction FC level was associated with PR (odds ratio [OR], 0.26; 95% confidence interval [CI], 0.08 to 0.66; p=0.009). The FC levels at initiation of IFX and postinduction were significantly associated with EH (OR, 0.73; 95% CI, 0.53 to 0.99; p=0.044 and OR, 0.20; 95% CI, 0.06 to 0.49; p=0.002, respectively). According to the receiver operating characteristic curve analysis, the optimal cutoff level for postinduction FC associated with PR was 122 mg/kg, and that associated with EH was 377 mg/kg. Conclusions: : Postinduction FC was associated with PR and EH after 1 year of treatment with IFX in pediatric patients with CD. Our findings emphasize the importance of FC as an intermediate target in the treat-to-target era.

Indexed as

Crohn DiseaseFecesGastrointestinal AgentsInfliximabLeukocyte L1 Antigen ComplexRemission InductionAdolescentBiomarkersChildFemaleHumansLogistic ModelsMalePredictive Value of TestsRetrospective StudiesTreatment OutcomeBiomarkersGastrointestinal AgentsInfliximabLeukocyte L1 Antigen ComplexCalprotectinCrohn diseaseInfliximabPrognosis

Identifiers

PMID38013474
PMCPMC11096907

What OpenQuestion holds

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Registered trials

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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.