Evidence map›Paper›PMID 38974606›Full record

ArticleCrohn's & colitis 3602024

Does Timing of Ileal Pouch-Anal Anastomosis Matter in Patients With Primary Sclerosing Cholangitis and Orthotopic Liver Transplantation? A Systematic Review and Meta-analysis.

Saqr Alsakarneh, Mohamed Ahmed, Fouad Jaber, Mir Zulqarnain, Raffi Karagozian, Fadi Francis, Francis A Farraye, Jana G Hashash

Abstract read
In one paragraph

Article in Crohn's & colitis 360, 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. Review
  2. 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

8 authors.

Saqr AlsakarnehDepartment of Medicine, University of Missouri-Kansas City, Kansas City, MO, USA.ORCID https://orcid.org/0000-0002-8776-2176
Mohamed AhmedDepartment of Gastroenterology and Hepatology, University of Missouri-Kansas City, Kansas City, MO, USA.
Fouad JaberDepartment of Medicine, University of Missouri-Kansas City, Kansas City, MO, USA.
Mir ZulqarnainDepartment of Gastroenterology and Hepatology, University of Missouri-Kansas City, Kansas City, MO, USA.
Raffi KaragozianDepartment of Transplant Hepatology, Tufts University, Medford, MA, USA.
Fadi FrancisDepartment of Transplant Hepatology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Francis A FarrayeDepartment of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL, USA.ORCID https://orcid.org/0000-0001-6371-2441
Jana G HashashDepartment of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL, USA.ORCID https://orcid.org/0000-0001-8305-9742

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Pouchitis is the most common complication in patients with ileal pouch-anal anastomosis (IPAA), which can develop in up to 66% of patients. There is limited data on the effect of orthoptic liver transplantation (OLT) on the risk of developing pouchitis. We aimed to objectively assess whether OLT itself significantly modifies the risk of developing pouchitis in patients with overlap PSC and inflammatory bowel disease (IBD). Method: We searched Medline, Scopus, and Embase databases from inception through September 2023 for studies that describe the outcomes of IPAA in patients with PSC and IBD who also have a history of OLT. Pooled proportions, Odds Ratio (OR), and 95% confidence intervals (CI) for data were calculated utilizing a random effects model. Using the Freeman-Turkey double arcsine transformation (FTT) method, the pooled weight-adjusted estimate of event rates for clinical outcomes in each group was also calculated. Heterogeneity between studies was assessed using the Cochrane Q statistic (I Results: Seven studies with a total of 291 patients with a history of PSC, IBD, and OLT were identified. The pooled overall risk of pouchitis in PSC/IBD patients with a history of OLT was 65% (95% CI: 0.57-0.72), with no heterogeneity observed in the analysis (I Conclusions: Our meta-analysis revelaed that pouchitis is common in patients who underwent OLT for PSC, especially in those who had IPAA before the OLT. OLT before IPAA may reduce the risk of pouchitis. Further larger studies are warranted to reproduce this and investigate the reason behind this difference.

Indexed as

IPAAliverpouchitisPSCtransplant

Identifiers

PMID38974606
PMCPMC11224914

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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.