Evidence map›Paper›PMID 39944752›Full record

RevieweGastroenterology2024

Pathogenesis and precision medicine for predicting response in inflammatory bowel disease: advances and future directions.

Robert D Little, Thisun Jayawardana, Sabrina Koentgen, Fan Zhang, Susan J Connor, Alex Boussioutas, Mark G Ward, Peter R Gibson, Miles P Sparrow, Georgina L Hold

Abstract readReview
In one paragraph

Review in eGastroenterology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

10 authors.

Robert D LittleDepartment of Gastroenterology, Alfred Health, Melbourne, Victoria, Australia.ORCID 0000-0002-5314-6666
Thisun JayawardanaMicrobiome Research Centre, University of New South Wales, Sydney, New South Wales, Australia.
Sabrina KoentgenMicrobiome Research Centre, University of New South Wales, Sydney, New South Wales, Australia.
Fan ZhangMicrobiome Research Centre, University of New South Wales, Sydney, New South Wales, Australia.
Susan J ConnorSouth West Sydney Clinical Campuses, Medicine & Health, University of New South Wales, Sydney, New South Wales, Australia.
Alex BoussioutasDepartment of Gastroenterology, Alfred Health, Melbourne, Victoria, Australia.
Mark G WardDepartment of Gastroenterology, Alfred Health, Melbourne, Victoria, Australia.
Peter R GibsonFaculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Victoria, Australia.
Miles P SparrowDepartment of Gastroenterology, Alfred Health, Melbourne, Victoria, Australia.
Georgina L HoldMicrobiome Research Centre, University of New South Wales, Sydney, New South Wales, Australia.ORCID 0000-0001-7573-3397

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The pathogenesis of inflammatory bowel disease (IBD) is complex and multifactorial. Undertreated disease has substantial individual and societal consequences. Current patient classification and subsequent positioning of IBD therapy are based on crude, readily accessible clinical data. These broad parameters are unlikely to reflect underlying molecular profiles and may account for the observed heterogeneity in treatment response. Precision medicine offers identification and integration of molecular profiles into clinical decision-making. Despite several promising scientific and technological advances, the pathogenesis and targetable molecular drivers of IBD remain incompletely understood. Precision medicine therefore remains aspirational. This comprehensive narrative review describes our current understanding of IBD pathophysiology, highlights preliminary genetic, immunological and microbial predictors of treatment response and outlines the role of 'big data' and machine learning in the path towards precision medicine.

Indexed as

Crohn's DiseaseGastrointestinal MicrobiomeInflammatory Bowel DiseasesUlcerative Colitis

Identifiers

PMID39944752
PMCPMC11770437

What Socratic holds

Textmetadata
LicenceCC BY
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.