Evidence map›Paper›PMID 39768646›Full record

ReviewJournal of clinical medicine2024

Future of Acute Severe Ulcerative Colitis-A Narrative Review.

Leshni Pillay, Janakan Selvarajah, Bridgette Andrew, Britt Christensen, Finlay Macrae, Jonathan P Segal

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 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
  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

6 authors.

Leshni PillayDepartment of Gastroenterology, Royal Melbourne Hospital, Parkville, Melbourne 3052, Australia.
Janakan SelvarajahDepartment of Gastroenterology, Royal Melbourne Hospital, Parkville, Melbourne 3052, Australia.
Bridgette AndrewDepartment of Gastroenterology, Royal Melbourne Hospital, Parkville, Melbourne 3052, Australia.
Britt ChristensenDepartment of Gastroenterology, Royal Melbourne Hospital, Parkville, Melbourne 3052, Australia.
Finlay MacraeDepartment of Gastroenterology, Royal Melbourne Hospital, Parkville, Melbourne 3052, Australia.
Jonathan P SegalDepartment of Gastroenterology, Royal Melbourne Hospital, Parkville, Melbourne 3052, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

While corticosteroids have led to significant reduction in ASUC mortality over the last few decades, they are associated with significant side effects and up to 30% of patients have steroid refractory ASUC, which means we require safer and better therapies for patients with ASUC. Several salvage therapies have been proposed in guidelines; however, we lack high quality head-to-head randomised controlled trials to assess effectiveness and safety of these agents. Furthermore, the role of newer novel agents in ASUC management is unclear. We aim to present an up to date review and envisage future treatment of ASUC without steroids based on current trials and data. In summary, we conclude that ASUC treatment still heavily relies on corticosteroids despite the side effect profile. While infliximab and cyclosporine have extensive data, there are no prospective studies comparing them with corticosteroids as initial therapy. Novel therapies open up the possibility of oral options but require prospective data before any conclusion can be made.

Indexed as

acute severe ulcerative colitiscolectomyintravenous corticosteroids

Identifiers

PMID39768646
PMCPMC11678293

What OpenQuestion holds

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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.