Evidence map›Paper›PMID 38341192›Full record

ReviewBMJ open gastroenterology2024

Biological therapy for inflammatory bowel disease: cyclical rather than lifelong treatment?

Christian Philipp Selinger, Konstantina Rosiou, Marco V Lenti

Open access · goldAbstract readReview
In one paragraph

Review in BMJ open gastroenterology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
7.7field-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

13 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. 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

3 authors at 3 institutions in 2 countries.

Christian Philipp SelingerGastroenterology, Leeds Teaching Hospitals NHS Trust, Leeds, UK christian.selinger@web.de.ORCID 0000-0003-2022-5859
Konstantina RosiouDepartment of Gastroenterology, St James's University Hospital, Leeds, UK.ORCID 0000-0001-7260-1866
Marco V LentiInternal Medicine, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Leeds Teaching Hospitals NHS Trust · GBPoliclinico San Matteo Fondazione · ITSt James's University Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Inflammatory bowel disease (IBD) treatment was revolutionised with the arrival of biological therapy two decades ago. There are now multiple biologics and increasingly novel small molecules licensed for the treatment of IBD. Treatment guidelines highlight the need for effective control of inflammation and early escalation to advanced therapies to avoid long-term complications. Consequently, a large proportion of patients with IBD receive advanced therapies for a long time. Despite their beneficial risk-benefit profile, these treatments are not without risk of side effects, are costly to healthcare providers and pose a burden to the patient. It is, therefore, paramount to examine in which circumstances a temporary cessation of therapy can be attempted without undue clinical risk. Some patients may benefit from cyclical rather than continuous treatment. This review examines the risk of relapse after discontinuation of advanced therapies, how to identify patients at the lowest risk of relapse and the chance of recapturing response when flaring after discontinuation.

Indexed as

Colitis, UlcerativeCrohn DiseaseInflammatory Bowel DiseasesBiological TherapyHumansRecurrenceTumor Necrosis Factor-alphaTumor Necrosis Factor-alphaCROHN'S DISEASEINFLAMMATORY BOWEL DISEASETNF-ALPHAULCERATIVE COLITIS

Identifiers

PMID38341192
PMCPMC10870786
OpenAlexW4391719283

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.