Evidence map›Paper›PMID 41084881›Full record

ArticleJournal of Korean medical science2025

Long-Term Safety of Tofacitinib for Treatment of Moderate-to-Severe Ulcerative Colitis: Three Years of Korean National Data.

Eun Mi Song, Gi Hyeon Seo, Sung Hoon Jung

Abstract read
In one paragraph

Article in Journal of Korean medical science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Guideline
  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

3 authors.

Eun Mi SongDepartment of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-2428-1551
Gi Hyeon SeoDepartment of Healthcare Review and Assessment Committee, Health Insurance Review and Assessment Service, Wonju, Korea.ORCID https://orcid.org/0000-0001-7414-0258
Sung Hoon JungDepartment of Internal Medicine, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. shjung74@catholic.ac.kr.ORCID https://orcid.org/0000-0001-9075-2027

Funding

Korea Health Industry Development Institute HI19C1298
6 · The paper itself

Abstract

backgroundUlcerative colitis (UC) requires long-term treatment. Tofacitinib, a JAK inhibitor approved for UC, raises safety concerns regarding serious adverse events (SAEs) such as thromboembolism, major adverse cardiovascular events (MACEs), and opportunistic infections. This study aimed to evaluate the long-term safety of tofacitinib versus anti-tumor necrosis factor (TNF) inhibitors in Korean patients with UC using a nationwide population-based cohort.

methodsWe analyzed data from the National Health Insurance Service database from May 2019 to April 2022. Patients with UC were identified using the International Classification of Diseases, 10th revision and rare intractable disease codes. We compared the incidence of SAEs, including MACE, thromboembolic events, herpes zoster, tuberculosis, and malignancy, between the tofacitinib and anti-TNF inhibitor groups. The risk factors for SAEs in all patients with UC and tofacitinib users were also analyzed.

resultsA total of 1,816 patients with UC were included (521 treated with tofacitinib and 1,295 treated with anti-TNF inhibitors). The overall incidence of SAEs was similar between the tofacitinib and anti-TNF inhibitor groups (4.41/100 person-years vs. 5.33/100 person-years,

conclusionTofacitinib demonstrates a safety profile comparable to that of anti-TNF inhibitors in Korean patients with UC. Despite safety concerns, tofacitinib can be safely used in this population with caution in older patients and those with comorbidities.

Indexed as

Colitis, UlcerativePiperidinesProtein Kinase InhibitorsPyrimidinesAdultAgedDatabases, FactualFemaleHerpes ZosterHumansIncidenceJanus Kinase InhibitorsMaleMiddle AgedRepublic of KoreaRisk FactorsJanus Kinase InhibitorsPiperidinesProtein Kinase InhibitorsPyrimidinestofacitinibTumor Necrosis Factor InhibitorsCardiovascular DiseasesInfectionsInflammatory Bowel DiseaseKoreaSafetyThromboembolismTofacitinibUlcerative Colitis

Identifiers

PMID41084881
PMCPMC12518759

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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.