Evidence map›Paper›PMID 25684957›Full record

ArticleWorld journal of gastroenterology2015

Snapshot of an integrated psychosocial gastroenterology service.

Sarah W Kinsinger, Sarah Ballou, Laurie Keefer

Open access · hybridAbstract read
In one paragraph

Article in World journal of gastroenterology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% of its field
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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. The Efficacy, Safety and Applications of Medical Hypnosis.Deutsches Arzteblatt international · 2016
    Pooled it
  2. The specialized educational and psychological counseling in inflammatory bowel disease patients - a target or a challenge?The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2020
    Trial
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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

3 authors at 1 institution in 1 country.

Sarah W KinsingerSarah W Kinsinger, Sarah Ballou, Laurie Keefer, Division of Gastroenterology, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, United States.
Sarah BallouSarah W Kinsinger, Sarah Ballou, Laurie Keefer, Division of Gastroenterology, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, United States.
Laurie KeeferSarah W Kinsinger, Sarah Ballou, Laurie Keefer, Division of Gastroenterology, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, United States.
Northwestern University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo characterize the patients utilizing a gastroenterology behavioral medicine service and examine the effect of treatment on health care utilization.

methodsPatients were referred by their gastroenterologists for psychological treatment during a 15 mo period. Patients seen for an intake with a psychologist completed the Brief Symptom Inventory (BSI) and a checklist of psychosocial concerns. A subset of patients with functional bowel disorders also completed a disease specific quality of life measure. Chart review was conducted to obtain information on type and frequency of sessions with the psychologist, the number of outpatient gastroenterology visits, and number of gastroenterology-related medical procedures during the 6 mo following psychological intake.

resultsOf 259 patients referred for treatment, 118 (46%) completed an intake with a psychologist. Diagnoses included: irritable bowel syndrome (42%), functional dyspepsia (20%), inflammatory bowel diseases (20%), esophageal symptoms (10%), and "other" (8%). Demographic variables and disease type did not differentiate between those who did and did not schedule an intake. Mean t-scores for the BSI global score index and the depression, anxiety, and somatization subscales fell below the cutoff for clinical significance (t = 63). Treatments were predominantly gut-directed hypnosis (48%) and cognitive behavioral therapy (44%). Average length of treatment was 4 sessions. Among functional gastrointestinal (GI) patients, those patients who initiated treatment received significantly fewer GI-related medical procedures during the 6 mo following the referral than patients who did not schedule an intake [t (197) = 2.69, P < 0.01].

conclusionPatients are receptive to psychological interventions for GI conditions and there is preliminary evidence that treatment can decrease health-care utilization among patients with functional GI conditions.

Indexed as

AdultAmbulatory CareChecklistChicagoCognitive Behavioral TherapyCross-Sectional StudiesDelivery of Health Care, IntegratedFemaleGastroenterologyGastrointestinal DiseasesHealth ResourcesHumansHypnosisMaleOffice VisitsPsychiatric Status Rating ScalesCognitive-behavioral therapyFunctional gastrointestinal disordersHypnosisIrritable bowel syndromePsychological treatment

Identifiers

PMID25684957
PMCPMC4323468
OpenAlexW2047018762

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.