Evidence map›Paper›PMID 39403342›Full record

ReviewClinical and experimental gastroenterology2024

Refractory Crohn's Disease: Perspectives, Unmet Needs and Innovations.

Luisa Bertin, Martina Crepaldi, Miriana Zanconato, Greta Lorenzon, Daria Maniero, Caterina De Barba, Erica Bonazzi, Sonia Facchin, Marco Scarpa, Cesare Ruffolo and 5 more

Abstract readReview
In one paragraph

Review in Clinical and experimental gastroenterology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
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  6. Review
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  8. Article
  9. 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

15 authors.

Luisa BertinGastroenterology Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.ORCID 0009-0001-9816-4171
Martina CrepaldiGastroenterology Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.
Miriana ZanconatoGastroenterology Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.ORCID 0009-0000-9141-269X
Greta LorenzonGastroenterology Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.ORCID 0000-0001-9378-2117
Daria ManieroGastroenterology Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.
Caterina De BarbaGastroenterology Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.ORCID 0009-0005-6120-5936
Erica BonazziGastroenterology Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.
Sonia FacchinGastroenterology Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.
Marco ScarpaChirurgia Generale 3 Unit, Azienda Ospedale Università di Padova, Padua, Italy.
Cesare RuffoloChirurgia Generale 3 Unit, Azienda Ospedale Università di Padova, Padua, Italy.
Imerio AngrimanChirurgia Generale 3 Unit, Azienda Ospedale Università di Padova, Padua, Italy.ORCID 0000-0001-5873-5833
Andrea BudaGastroenterology Unit, Department of Oncological Gastrointestinal Surgery, Feltre, Italy.
Fabiana ZingoneGastroenterology Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.
Edoardo Vincenzo SavarinoGastroenterology Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.ORCID 0000-0002-3187-2894
Brigida BarberioGastroenterology Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.ORCID 0000-0002-3164-8243

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Crohn's disease (CD) is a complex, chronic inflammatory bowel disease characterized by unpredictable flare-ups and periods of remission. Despite advances in treatment, CD remains a significant health burden, leading to substantial direct healthcare costs and out-of-pocket expenses for patients, especially in the first-year post-diagnosis. The impact of CD on patients' quality of life is profound, with significant reductions in physical, emotional, and social well-being. Despite advancements in therapeutic options, including biologics, immunomodulators, and small molecules, many patients struggle to achieve or maintain remission, leading to a considerable therapeutic ceiling. This has led to an increased focus on novel and emerging treatments. This context underscores the importance of exploring advanced and innovative treatment options for managing refractory CD. By examining the latest approaches, including immunomodulators, combination therapies, stem cell therapies, and emerging treatments like fecal microbiota transplantation and dietary interventions, there is an opportunity to gain a comprehensive understanding of how best to address and manage refractory cases of CD.

Indexed as

biologic drugscombination therapyfecal microbiota transplantationhyperbaric oxygen therapymedical therapymesenchymal stem cell therapyperianal Crohn’s diseaserefractory Crohn’s diseasesmall molecules

Identifiers

PMID39403342
PMCPMC11472755

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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 Socratic graph.