Evidence map›Paper›PMID 39600557›Full record

ArticleWorld journal of gastrointestinal endoscopy2024

Limited validity of Mayo endoscopic subscore in ulcerative colitis with concomitant primary sclerosing cholangitis.

Pavel Wohl, Alzbeta Krausova, Petr Wohl, Ondrej Fabian, Lukas Bajer, Jan Brezina, Pavel Drastich, Mojmir Hlavaty, Petra Novotna, Michal Kahle and 2 more

Abstract read
In one paragraph

Article in World journal of gastrointestinal endoscopy, 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. Article
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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

12 authors.

Pavel WohlDepartment of Gastroenterology, Institute for Clinical and Experimental Medicine, Prague 14021, Czech Republic.
Alzbeta KrausovaDepartment of Integrative Biology, Institute of Molecular Genetics of the Czech Academy of Sciences, Prague 14220, Czech Republic.
Petr WohlDepartment of Metabolism and Diabetes, Institute for Clinical and Experimental Medicine, Prague 14021, Czech Republic.
Ondrej FabianClinical and Transplant Pathology Centre, Institute for Clinical and Experimental Medicine, Prague 14021, Czech Republic.
Lukas BajerDepartment of Gastroenterology, Institute for Clinical and Experimental Medicine, Prague 14021, Czech Republic.
Jan BrezinaDepartment of Gastroenterology, Institute for Clinical and Experimental Medicine, Prague 14021, Czech Republic.
Pavel DrastichDepartment of Gastroenterology, Institute for Clinical and Experimental Medicine, Prague 14021, Czech Republic.
Mojmir HlavatyDepartment of Gastroenterology, Institute for Clinical and Experimental Medicine, Prague 14021, Czech Republic.
Petra NovotnaDepartment of Integrative Biology, Institute of Molecular Genetics of the Czech Academy of Sciences, Prague 14220, Czech Republic.
Michal KahleDepartment of Data Analysis, Statistics and Artificial Intelligence, Institute for Clinical and Experimental Medicine, Prague 14021, Czech Republic.
Julius SpicakDepartment of Gastroenterology, Institute for Clinical and Experimental Medicine, Prague 14021, Czech Republic.
Martin GregorDepartment of Integrative Biology, Institute of Molecular Genetics of the Czech Academy of Sciences, Prague 14220, Czech Republic. martin.gregor@img.cas.cz.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUlcerative colitis (UC) with concomitant primary sclerosing cholangitis (PSC) represents a distinct disease entity (PSC-UC). Mayo endoscopic subscore (MES) is a standard tool for assessing disease activity in UC but its relevance in PSC-UC remains unclear.

aimTo assess the accuracy of MES in UC and PSC-UC patients, we performed histological scoring using Nancy histological index (NHI).

methodsMES was assessed in 30 PSC-UC and 29 UC adult patients during endoscopy. NHI and inflammation were evaluated in biopsies from the cecum, rectum, and terminal ileum. In addition, perinuclear anti-neutrophil cytoplasmic antibodies, fecal calprotectin, body mass index, and other relevant clinical characteristics were collected.

resultsThe median MES and NHI were similar for UC patients (MES grade 2 and NHI grade 2 in the rectum) but were different for PSC-UC patients (MES grade 0 and NHI grade 2 in the cecum). There was a correlation between MES and NHI for UC patients (Spearman's

conclusionMES insufficiently identifies microscopic inflammation in PSC-UC. This indicates that histological evaluation should become a routine procedure of the diagnostic and grading system in both PSC-UC and PSC.

Indexed as

DiagnosisMayo endoscopic subscoreNancy histological indexPrimary sclerosing cholangitisUlcerative colitis

Identifiers

PMID39600557
PMCPMC11586720

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