Evidence map›Paper›PMID 38560721›Full record

ArticleTherapeutic advances in chronic disease2024

Impact of cytomegalovirus on outcomes in acute severe ulcerative colitis: a retrospective observational study.

Dazhong Huang, Michael Rennie, Alicia Krasovec, Shyam Nagubandi, Sichang Liu, Edward Ge, Barinder Khehra, Michael Au, Shobini Sivagnanam, Vu Kwan and 3 more

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in chronic disease, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. 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

13 authors at 3 institutions in 1 country.

Dazhong HuangDepartment of Gastroenterology and Hepatology, Blacktown and Mt Druitt Hospital, Blacktown Road, Blacktown NSW 2148, Australia.ORCID https://orcid.org/0000-0003-4698-0799
Michael RennieBlacktown and Mt Druitt Hospital, Blacktown, NSW, Australia.
Alicia KrasovecThe Wollongong Hospital, Wollongong, NSW, Australia.
Shyam NagubandiBlacktown and Mt Druitt Hospital, Blacktown, NSW, Australia.
Sichang LiuBlacktown and Mt Druitt Hospital, Blacktown, NSW, Australia.
Edward GeBlacktown and Mt Druitt Hospital, Blacktown, NSW, Australia.
Barinder KhehraBlacktown and Mt Druitt Hospital, Blacktown, NSW, Australia.
Michael AuBlacktown and Mt Druitt Hospital, Blacktown, NSW, Australia.
Shobini SivagnanamBlacktown and Mt Druitt Hospital, Blacktown, NSW, Australia.
Vu KwanWestmead Hospital, Westmead, NSW, Australia.
Claudia RoggeThe Wollongong Hospital, Wollongong, NSW, Australia.
Nikola MitrevBlacktown and Mt Druitt Hospital, Blacktown, NSW, Australia.
Viraj KariyawasamBlacktown and Mt Druitt Hospital, Blacktown, NSW, Australia.
Blacktown & Mount Druitt Hospital · AUWollongong Hospital · AUWestmead Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Concomitant cytomegalovirus (CMV) is highly prevalent in acute severe ulcerative colitis (ASUC) but data for outcomes of CMV positivity in ASUC and the benefit of antiviral therapy remain unclear. Objectives: We aim to determine the impact of CMV positivity, and antiviral therapy, on outcomes such as colectomy-free survival, length of hospital stay and readmission rate, among hospitalized patients with ASUC. Design: This is a retrospective, multicentre study of patients admitted with ASUC. Methods: CMV positivity was diagnosed from blood CMV DNA and inpatient colonic biopsies. Background demographics and disease characteristics, clinical characteristics and outcomes during admission and long-term outcomes were obtained from electronic medical records and compared according to the presence of CMV and the use of antiviral therapy. Results: CMV was detected in 40 (24%) of 167 ASUC admissions. Previous steroid exposure was the only clinical predictor of CMV positivity on multivariate analysis. Outcomes of greater requirement for rescue therapy (60% Conclusion: CMV positivity was associated with worse outcomes of need for rescue therapy, hospital stay and readmissions. Antiviral therapy was not found to reduce the risk of colectomy but did extend the time to colectomy. Further prospective studies will be required to more clearly determine its benefit in patients with concomitant CMV and ASUC.

Indexed as

cytomegalovirusulcerative colitis

Identifiers

PMID38560721
PMCPMC10981253
OpenAlexW4393322269

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.