A Meta-Analysis of Adalimumab for Fistula in Crohn’s Disease

Purpose. This study aimed to evaluate the therapeutic value of adalimumab (ADA) for fistula in Crohn’s disease (CD). Methods. A computerized search of electronic databases, including PubMed, Web of Science, Embase, Google scholar, and the Cochrane Library from 2000 to October 2016, was performed. Ra...

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Main Authors: Yin-mei Fu, Ming Chen, Ai-jun Liao
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2017/1745692
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author Yin-mei Fu
Ming Chen
Ai-jun Liao
author_facet Yin-mei Fu
Ming Chen
Ai-jun Liao
author_sort Yin-mei Fu
collection DOAJ
description Purpose. This study aimed to evaluate the therapeutic value of adalimumab (ADA) for fistula in Crohn’s disease (CD). Methods. A computerized search of electronic databases, including PubMed, Web of Science, Embase, Google scholar, and the Cochrane Library from 2000 to October 2016, was performed. Randomized controlled trials (rcts) or nonrandomized controlled trials (n-rcts) were included in this article to evaluate the role of ADA in the management of fistula in CD. The methodological index for nonrandomized studies (MINORS evaluation tools) was used to assess the quality of every study. Result. Overall, seven studies and 379 patients comforted to the inclusion criteria of this meta-analysis. The result showed that 36% (95% CI: 0.31–0.41) of patients with complete fistula closure and 31% (95% CI: 0.031–0.61) of patients with partial response were received in CD with ADA treatment. Conclusion. We concluded that ADA is effective and safe for the treatment of fistula in CD according to current evidence.
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spelling doaj-art-7e0aaa9e92c542ada169c55b46e912522025-02-03T01:09:37ZengWileyGastroenterology Research and Practice1687-61211687-630X2017-01-01201710.1155/2017/17456921745692A Meta-Analysis of Adalimumab for Fistula in Crohn’s DiseaseYin-mei Fu0Ming Chen1Ai-jun Liao2Department of Gastroenterology and Hepatology, First Affiliated Hospital of University of South China, Hengyang, Hunan 421001, ChinaDepartment of Gastroenterology and Hepatology, First Affiliated Hospital of University of South China, Hengyang, Hunan 421001, ChinaDepartment of Gastroenterology and Hepatology, First Affiliated Hospital of University of South China, Hengyang, Hunan 421001, ChinaPurpose. This study aimed to evaluate the therapeutic value of adalimumab (ADA) for fistula in Crohn’s disease (CD). Methods. A computerized search of electronic databases, including PubMed, Web of Science, Embase, Google scholar, and the Cochrane Library from 2000 to October 2016, was performed. Randomized controlled trials (rcts) or nonrandomized controlled trials (n-rcts) were included in this article to evaluate the role of ADA in the management of fistula in CD. The methodological index for nonrandomized studies (MINORS evaluation tools) was used to assess the quality of every study. Result. Overall, seven studies and 379 patients comforted to the inclusion criteria of this meta-analysis. The result showed that 36% (95% CI: 0.31–0.41) of patients with complete fistula closure and 31% (95% CI: 0.031–0.61) of patients with partial response were received in CD with ADA treatment. Conclusion. We concluded that ADA is effective and safe for the treatment of fistula in CD according to current evidence.http://dx.doi.org/10.1155/2017/1745692
spellingShingle Yin-mei Fu
Ming Chen
Ai-jun Liao
A Meta-Analysis of Adalimumab for Fistula in Crohn’s Disease
Gastroenterology Research and Practice
title A Meta-Analysis of Adalimumab for Fistula in Crohn’s Disease
title_full A Meta-Analysis of Adalimumab for Fistula in Crohn’s Disease
title_fullStr A Meta-Analysis of Adalimumab for Fistula in Crohn’s Disease
title_full_unstemmed A Meta-Analysis of Adalimumab for Fistula in Crohn’s Disease
title_short A Meta-Analysis of Adalimumab for Fistula in Crohn’s Disease
title_sort meta analysis of adalimumab for fistula in crohn s disease
url http://dx.doi.org/10.1155/2017/1745692
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