Evidence map›Paper›PMID 38883582›Full record

ArticleACG case reports journal2024

Sirolimus Use in Refractory Crohn's Disease.

Rex K Siu, Christian Karime, Jana G Hashash, Jami Kinnucan, Michael F Picco, Francis A Farraye

Abstract readCase Reports
In one paragraph

Article in ACG case reports journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Rex K SiuDepartment of Internal Medicine, Mayo Clinic Florida, Jacksonville, FL.ORCID https://orcid.org/0009-0003-4389-5967
Christian KarimeDepartment of Internal Medicine, Mayo Clinic Florida, Jacksonville, FL.
Jana G HashashInflammatory Bowel Disease Center, Mayo Clinic Florida, Jacksonville, FL.
Jami KinnucanInflammatory Bowel Disease Center, Mayo Clinic Florida, Jacksonville, FL.
Michael F PiccoInflammatory Bowel Disease Center, Mayo Clinic Florida, Jacksonville, FL.
Francis A FarrayeInflammatory Bowel Disease Center, Mayo Clinic Florida, Jacksonville, FL.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Treatment options for patients with inflammatory bowel disease are constantly evolving; however, medication-refractory disease remains an issue. Pediatric case series show the potential benefit of sirolimus therapy in refractory Crohn's disease (CD); however, limited data exist in adult patients. As such, we retrospectively identified and report clinical outcomes for 4 patients prescribed sirolimus for treatment of refractory CD. Despite a median sirolimus therapy duration of 524 days and some therapeutic benefits, all patients discontinued therapy due to adverse effects. Our findings suggest that while sirolimus may have clinical utility, its role may be limited by treatment-derived adverse effects.

Indexed as

adverse effectsCrohn's diseaseextremity edemaimmunomodulatorinflammatory bowel diseasepoor wound healingsirolimus

Identifiers

PMID38883582
PMCPMC11177837

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.