Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

34 questions · 40 findings · 8 reviews · Gut

No studies found 1 · 2.5%GRADE not reported 0 · 0%Very low 16 · 40%Low 12 · 30%Moderate 10 · 25%High 1 · 2.5%

Methotrexate vs placebo

Remission and complete withdrawal from steroids · patients with induction of remission in ulcerative colitis

Methotrexate showed no clear difference in remission and complete withdrawal from steroids compared with placebo (low certainty).

1 finding from 1 review

Delayed‐release mesalamine (3 ‐ 4.5 g/day) vs corticosteroids

Induction of remission (CDAI < or =150 with or without decrease of at least 60 points) · patients with Induction of remission or response in Crohn's disease

Delayed‐release mesalamine (3 ‐ 4.5 g/day) showed no clear difference in induction of remission (CDAI < or =150 with or without decrease of… compared with corticosteroids (moderate certainty).

5 findings from 1 review
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Budesonide 9 mg vs steroids

Clinical remission · Patients with active Crohn's disease

Budesonide 9 mg probably leads to lower induction of clinical remission (CDAI < 150) ‐ 8 weeks compared with conventional steroids (moderate certainty).

1 finding from 1 review

Budesonide 9 mg vs steroids

Withdrawal due to disease worsening · Patients with active Crohn's disease

It is very uncertain whether budesonide 9 mg changes withdrawal due to disease worsening compared with conventional steroids (very low certainty).

1 finding from 1 review