Evidence map›Paper›PMID 42298817›Full record

ArticleJournal of digestive diseases

Comparison of Tacrolimus and Infliximab for Acute Severe Ulcerative Colitis in Hospitalized Adults: A Retrospective Study.

Neta Sror, Natalie Tamir-Degabli, Daniel Shaham, Anna Rozenfeld, Haim Leibovitzh, Ayal Hirsch, Tamar Thurm, Yulia Ron, Sigal Fishman, Nitsan Maharshak and 1 more

Abstract readComparative Study
In one paragraph

Article in Journal of digestive diseases. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

11 authors.

Neta SrorDepartment of Internal Medicine B, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.ORCID https://orcid.org/0000-0003-3584-1195
Natalie Tamir-DegabliFaculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Daniel ShahamFaculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Anna RozenfeldFaculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Haim LeibovitzhFaculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.ORCID https://orcid.org/0000-0002-4172-6903
Ayal HirschFaculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Tamar ThurmFaculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Yulia RonFaculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Sigal FishmanFaculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Nitsan MaharshakFaculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Nathaniel A CohenFaculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesComparative data on infliximab (IFX) and tacrolimus as salvage therapies for intravenous glucocorticoid (ivGC)-refractory acute severe ulcerative colitis (ASUC) are limited. We aimed to evaluate the effectiveness and safety of IFX versus tacrolimus in hospitalized patients with ivGC-refractory ASUC.

methodsThis retrospective study was conducted between 2017 and 2024 at a tertiary medical center, including inpatients with ASUC who failed ivGC and received IFX or tacrolimus. The primary outcome was colectomy-free clinical response at discharge.

resultsThirty-seven patients received IFX (median age 27 years; 32.4% males), and 24 received tacrolimus (median age 32 years; 41.7% males). Compared with the patients who received IFX, those receiving tacrolimus had a longer disease duration (4 years vs. 1 year, p = 0.031) and a higher rate of prior exposure to advanced therapy (anti-tumor necrosis factor agent: 58.3% vs. 2.7%, p = 1.05 × 10

conclusionsIn ivGC-refractory ASUC cases, IFX and tacrolimus showed comparable effectiveness and safety. Similar outcomes were observed despite a more treatment-refractory profile in the tacrolimus group. These findings support the use of either agent as a feasible salvage option in this clinical setting.

Indexed as

Colitis, UlcerativeGastrointestinal AgentsImmunosuppressive AgentsInfliximabTacrolimusAcute DiseaseAdultColectomyFemaleGlucocorticoidsHospitalizationHumansLength of StayMaleMiddle AgedRetrospective StudiesGastrointestinal AgentsGlucocorticoidsImmunosuppressive AgentsInfliximabTacrolimusacute severe ulcerative colitisinfliximabsalvage therapysteroid‐refractorytacrolimus

Identifiers

PMID42298817
PMCPMC13281753

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Registered trials

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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.