Evidence map›Paper›PMID 29615329›Full record

ArticleClinics and research in hepatology and gastroenterology2018

Individuals affected by eosinophilic gastrointestinal disorders have complex unmet needs and frequently experience unique barriers to care.

Girish Hiremath, Ellyn Kodroff, Mary J Strobel, Melissa Scott, Wendy Book, Cathy Reidy, Shay Kyle, Denise Mack, Kathleen Sable, Pablo Abonia and 5 more

Open access · greenAbstract read
In one paragraph

Article in Clinics and research in hepatology and gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
7.1field-weighted citation impact, top 2% 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

39 citing papers in PubMed, 56 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Emerging Tissue and Blood Biomarkers for Eosinophilic Esophagitis.Gastroenterology clinics of North America · 2026
    Review
  5. Article
  6. Article
  7. Lessons learned: telehealth for patients with eosinophilic gastrointestinal diseases.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2025
    Article
  8. Review
  9. Segmental overlap is common in eosinophilic gastrointestinal diseases and impacts clinical presentation and treatment.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. International Consensus Recommendations for Eosinophilic Gastrointestinal Disease Nomenclature.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2022
    Article
  18. Article
  19. A Single-Food Milk Elimination Diet Is Effective for Treatment of Eosinophilic Esophagitis in Children.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2022
    Observational
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 7 institutions in 1 country.

Girish HiremathDivision of Pediatric Gastroenterology, Hepatology and Nutrition, Monroe Carell Jr Children's Hospital at Vanderbilt, DOT Suite 10226, 2200 Children's Way, Nashville, TN 37232, USA. Electronic address: Girish.Hiremath@Vanderbilt.edu.
Ellyn KodroffCampaign Urging Research for Eosinophilic Diseases, Lincolnshire, IL, USA.
Mary J StrobelAmerican Partnership for Eosinophilic Disorders, Atlanta, GA, USA.
Melissa ScottEosinophilic Family Coalition, Cincinnati, OH, USA.
Wendy BookAmerican Partnership for Eosinophilic Disorders, Atlanta, GA, USA.
Cathy ReidyEosinophilic Family Coalition, Cincinnati, OH, USA.
Shay KyleCampaign Urging Research for Eosinophilic Diseases, Lincolnshire, IL, USA.
Denise MackAmerican Partnership for Eosinophilic Disorders, Atlanta, GA, USA.
Kathleen SableAmerican Partnership for Eosinophilic Disorders, Atlanta, GA, USA.
Pablo AboniaDivision of Allergy and Immunology, Cincinnati Children's Hospital and Medical Center, Cincinnati, OH, USA.
Jonathan SpergelDivision of Allergy and Immunology, Department of Pediatrics, Perelman School of Medicine at University of Pennsylvania, Philadelphia, PA, USA.
Sandeep K GuptaDivision of Pediatric Gastroenterology, Hepatology and Nutrition, University of Illinois College of Medicine, Peoria, IL, USA.
T Glenn FurutaDigestive Health Institute, Gastrointestinal Eosinophilic Diseases Program, Children's Hospital Colorado, Aurora, CO, USA.
Marc E RothenbergDivision of Allergy and Immunology, Cincinnati Children's Hospital and Medical Center, Cincinnati, OH, USA.
Evan S DellonCenter for Esophageal Diseases and Swallowing, Division of Gastroenterology and Hepatology, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
American Partnership for Eosinophilic Disorders · USCincinnati Children's Hospital Medical Center · USMonroe Carell Jr. Children's Hospital · USUniversity of Colorado Denver · USUniversity of Illinois Chicago · USUniversity of North Carolina at Chapel Hill · USUniversity of Pennsylvania · US

Funding

Vanderbilt Institute for Clinical and Translational Research (VICTR) -Identifying correlates of functional immunity in SARS-CoV-2 convalescent plasmaUL1TR002243 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Paul A. Harris, Wesley H Self · 2017 to 2026
$130.7M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Melissa A. Troester · 2001 to 2026
$36.3M
Stem Cell/Organoid and Genome Editing CoreP30DK078392 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI Theresa Alenghat · 2007 to 2026
$24.4M
TRAINING (CAREER DEVELOPMENT) COMPONENTU54AI117804 · NIAID · CINCINNATI CHILDRENS HOSP MED CTR · PI GLENN T FURUTA, Marc E. Rothenberg · 2014 to 2026
$18.5M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)KL2TR000446 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$2.8M
NCATS NIH HHS KL2 TR000446NCATS NIH HHS UL1 TR000445NCATS NIH HHS UL1 TR002243NIAID NIH HHS U54 AI117804NIDDK NIH HHS P30 DK078392NIEHS NIH HHS P30 ES010126
6 · The paper itself

Abstract

introductionEosinophilic gastrointestinal disorders (EGIDs) are a rare but emerging healthcare problem. Patient advocacy groups (PAGs) have an important role in representing the EGID community, and serve as valuable research partners. By leveraging the partnership between medical researchers and PAGs, we examined the unmet needs and barriers to care perceived by individuals affected by EGIDs. Next, we examined if these varied between adult EGID patients and adult caregivers of children with EGID.

methodsAdult EGID patients and adult caregivers of children (<18 years) with EGIDs participated in this study. PAGs conducted focus groups comprised of individuals affected by EGIDs to identify domains and questions meaningful to the EGID community and this information was used to develop an online REDCap survey. The survey consisted of 58 questions across medical, healthcare, social, and emotional impact domains. It was distributed via the PAGs' web-based platforms. Demographic data, and responses to questions on a six-point Likert scale were collected and analyzed.

resultsOf the 361 responses analyzed, 90 (25%) were from adult EGID patients and 271 (75%) were from adult caregivers. Of the applicable responses, in the medical domain only 19% of participants indicated that repeated endoscopies to monitor response to treatment was convenient. In the healthcare domain, 67% indicated that lack of insurance coverage for elemental formula was a barrier. In the social domain, only 5% of respondents reported adequate awareness of EGIDs in schools. In the emotional domain, 64% had experienced significant stress due to EGID related out-of-pocket costs. Multivariate logistic regression revealed that some of these responses varied between adult EGID patients and adult caregivers of children with EGID. The respondents indicated highest priority for improvement in the medical domain compared to other domains.

conclusionsIndividuals affected by EGIDs have a constellation of complex unmet needs and perceived barriers across medical, healthcare, social and emotional domains. Addressing unmet needs in the medical domain is relatively more important for the EGID community. Understanding unmet needs and barriers will likely help design improved patient-centered EGID care paradigms.

Indexed as

AdolescentAdultCaregiversChildChild, PreschoolCross-Sectional StudiesEnteritisEosinophiliaGastritisHealth Services AccessibilityHealth Services Needs and DemandHumansInfantYoung AdultEosinophilic esophagitisEosinophilic gastritisEosinophilic gastroenteritisEosinophilic gastrointestinal disordersHealthcare barriersHealth promotionHealth services researchRare diseasesSurveyUnmet needs

Identifiers

PMID29615329
PMCPMC6167209
OpenAlexW2794608553

What OpenQuestion holds

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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.