Evidence map›Paper›PMID 26872402›Full record

ArticleClinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association2016

Distribution and Characteristics of Colonic Diverticula in a United States Screening Population.

Anne F Peery, Tope O Keku, Christopher F Martin, Swathi Eluri, Thomas Runge, Joseph A Galanko, Robert S Sandler

Open access · greenAbstract read
In one paragraph

Article in Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 94 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
94citing papers in PubMed, 8 pooled it
12.2field-weighted citation impact, top 1% 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

94 citing papers in PubMed, 8 syntheses or guidelines pooled it, 180 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Antibiotics for uncomplicated diverticulitis.The Cochrane database of systematic reviews · 2022
    Pooled it
  8. Pooled it
  9. Trial
  10. Observational
  11. Article
  12. Association betweenBMJ open gastroenterology · 2026
    Observational
  13. Article
  14. Article
  15. Comprehensive review on the current management of lower-gut bleed.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Review
  16. Observational
  17. Article
  18. The Epidemiology of Diverticulitis.Clinics in colon and rectal surgery · 2025
    Review
  19. Review
  20. Article

34 more citing papers are in PubMed but not listed here.

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

7 authors at 1 institution in 1 country.

Anne F PeeryUniversity of North Carolina School of Medicine, Chapel Hill, North Carolina.
Tope O KekuUniversity of North Carolina School of Medicine, Chapel Hill, North Carolina.
Christopher F MartinUniversity of North Carolina School of Medicine, Chapel Hill, North Carolina.
Swathi EluriUniversity of North Carolina School of Medicine, Chapel Hill, North Carolina.
Thomas RungeUniversity of North Carolina School of Medicine, Chapel Hill, North Carolina.
Joseph A GalankoUniversity of North Carolina School of Medicine, Chapel Hill, North Carolina.
Robert S SandlerUniversity of North Carolina School of Medicine, Chapel Hill, North Carolina. Electronic address: rsandler@med.unc.edu.
University of North Carolina at Chapel Hill · US

Funding

PILOT AND FEASIBILITY STUDIESP30DK034987 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Temitope O. Keku · 1985 to 2026
$30.5M
DIGESTIVE DISEASES EPIDEMIOLOGY TRAINING PROGRAMT32DK007634 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROBERT S. SANDLER · 1990 to 2026
$7.4M
North Carolina Translational & Clinical Sciences Institute (NC TraCS)KL2TR001109 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, CAREY, TIMOTHY S · 2013 to 2017
$5.7M
Risk Factors for Asymptomatic DiverticulosisR01DK094738 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KEKU, TEMITOPE O., SANDLER, ROBERT S. · 2012 to 2022
$4.8M
NCATS NIH HHS KL2 TR001109NIDDK NIH HHS P30 DK034987NIDDK NIH HHS R01 DK094738NIDDK NIH HHS T32 DK007634
6 · The paper itself

Abstract

BACKGROUND &

aimsColonic diverticula are the most common finding from colonoscopy examinations. Little is known about the distribution of colonic diverticula, which are responsible for symptomatic and costly diverticular disease. We aimed to assess the number, location, and characteristics of colonic diverticula in a large US screening population.

methodsWe analyzed data from a prospective study of 624 patients (mean age, 54 years) undergoing screening colonoscopy at the University of North Carolina Hospital from 2013 through 2015. The examination included a detailed assessment of colonic diverticula. To assess the association between participant characteristics and diverticula, we used logistic regression to estimate odds ratios and 95% confidence intervals.

resultsOf our population, 260 patients (42%) had 1 or more diverticula (mean number, 14; range, 1-158). Participants with diverticula were more likely to be older, male, and have a higher body mass index than those without diverticula. The distribution of diverticula differed significantly by race. Among white persons, 75% of diverticula were in the sigmoid colon, 11% in the descending splenic flexure, 6% in the transverse colon, and 8% were in the ascending colon or hepatic flexure. In black persons 64% of diverticula were in the sigmoid colon, 8% in the descending colon or splenic flexure, 7% in the transverse colon, and 20% in the ascending colon or hepatic flexure (P = .0008). The proportion of patients with diverticula increased with age: 35% were 50 years or younger, 40% were 51-60 years, and 58% were older than 60 years. The proportion of patients with more than 10 diverticula increased with age: 8% were 50 years or younger, 15% were 51-60 years, and 30% were older than 60 years.

conclusionsOlder individuals not only have a higher prevalence of diverticula than younger individuals, but also a greater density, indicating that this is a progressive disease. Black persons have a greater percentage of their diverticula in the proximal colon and fewer in the distal colon compared with white persons. Understanding the distribution and determinants of diverticula is the first step in preventing diverticulosis and its complications.

Indexed as

AdultAgedAged, 80 and overColonoscopyDemographyDiverticulum, ColonEarly Detection of CancerEthnicityFemaleHumansMaleMiddle AgedNorth CarolinaPrevalenceProspective StudiesBMIDiverticular DiseaseObesityRace

Identifiers

PMID26872402
PMCPMC4912930
OpenAlexW2270359023

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.