Evidence map›Paper›PMID 38259414›Full record

ArticleCureus2023

Comparing Myelosuppression Frequency in Indian Inflammatory Bowel Disease Patients: A Randomized Trial of Full Dose Versus Gradual Escalation of Thiopurines.

Alok Kumar Singh, Sanjeev Sachdeva, Siddharth Srivastava, Ujjwal Sonika, Ajay Kumar, Barjesh C Sharma, Amarender S Puri, Ashok Dalal

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 27% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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 at 2 institutions in 1 country.

Alok Kumar SinghDepartment of Gastroenterology, G.B. Pant Hospital, New Delhi, IND.
Sanjeev SachdevaDepartment of Gastroenterology, G.B. Pant Hospital, New Delhi, IND.
Siddharth SrivastavaDepartment of Gastroenterology, G.B. Pant Hospital, New Delhi, IND.
Ujjwal SonikaDepartment of Gastroenterology, G.B. Pant Hospital, New Delhi, IND.
Ajay KumarDepartment of Gastroenterology, G.B. Pant Hospital, New Delhi, IND.
Barjesh C SharmaDepartment of Gastroenterology, G.B. Pant Hospital, New Delhi, IND.
Amarender S PuriDepartment of Gastroenterology, Medanta - The Medicity Hospital, Gurugram, IND.
Ashok DalalDepartment of Gastroenterology, G.B. Pant Hospital, New Delhi, IND.
Govind Ballabh Pant Hospital · INMedanta The Medicity · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe aimed to compare the frequency of myelosuppression in patients initiating azathioprine (AZA) at full dose versus those undergoing gradual dose escalation.

methodsForty patients with inflammatory bowel disease were recruited over one year and randomized into two groups of 20. Group A initiated AZA at a full dose of 2 mg/kg, while group B started at 1 mg/kg with subsequent dose increases at regular intervals.

resultsSeventeen patients from each group were included in the final analysis. During follow-up, two patients (11.8%) from group A and four patients (23.5%) from group B experienced relapses (p=0.65). Myelosuppression occurred in two patients (11.8%) from each group. Absolute neutrophil counts in group A tended to have lower median values than those in group B, particularly four weeks after AZA initiation. Univariate analysis identified serum proteins, albumin, and bilirubin as significantly associated with leukopenia, but these factors were not significant according to multivariate analysis.

conclusionsThe incidence of myelosuppression was similar between the groups. Patients with full-dose initiation of AZA had numerically fewer relapses during the follow-up period.

Indexed as

azathioprineinflammatory bowel diseaseleukopeniamyelosuppressionulcerative colitis

Identifiers

PMID38259414
PMCPMC10801346
OpenAlexW4390126895

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.