Evidence map›Paper›PMID 29852258›Full record

Observational studyThe Journal of allergy and clinical immunology2018

Alignment of parent- and child-reported outcomes and histology in eosinophilic esophagitis across multiple CEGIR sites.

Seema S Aceves, Eileen King, Margaret H Collins, Guang-Yu Yang, Kelley E Capocelli, J Pablo Abonia, Dan Atkins, Peter A Bonis, Christina L Carpenter, Evan S Dellon and 18 more

Open access · greenAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in The Journal of allergy and clinical immunology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 pooled it
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

31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Trial
  5. Review
  6. Recommendations for the diagnosis and management of eosinophilic esophagitis in adults and children in Canada: a Delphi consensus project.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2025
    Review
  7. Article
  8. Observational
  9. Article
  10. Review
  11. Observational
  12. Esophageal Epithelium and Lamina Propria Are Unevenly Involved in Eosinophilic Esophagitis.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. Observational
  17. Review
  18. Article
  19. Factors Associated With Adequate Lamina Propria Sampling and Presence of Lamina Propria Fibrosis in Children with Eosinophilic Esophagitis.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2021
    Article
  20. Article
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

28 authors at 14 institutions in 1 country.

Seema S AcevesDivision of Allergy Immunology, University of California, San Diego, Rady Children's Hospital, San Diego, Calif.
Eileen KingDivision of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Margaret H CollinsDivision of Pathology, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Guang-Yu YangDivision of Pathology, Northwestern University, Feinberg School of Medicine, Chicago, Ill.
Kelley E CapocelliDivision of Pathology, Children's Hospital Colorado, Aurora, Colo.
J Pablo AboniaDivision of Allergy and Immunology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Dan AtkinsSection of Allergy, Immunology, Children's Hospital Colorado, Aurora, Colo.
Peter A BonisDivision of Gastroenterology, Tufts Medical Center, Boston, Mass.
Christina L CarpenterHealth Informatics Institute, Departments of Pediatrics and Medicine, Morsani College of Medicine, University of South Florida, Tampa, Fla.
Evan S DellonDepartment of Gastroenterology and Hepatology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC.
Michael D EbyDivision of Allergy and Immunology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Gary W FalkDivision of Gastroenterology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pa.
Nirmala GonsalvesDivision of Gastroenterology & Hepatology, Northwestern University, Feinberg School of Medicine, Chicago, Ill.
Sandeep K GuptaDepartment of Pediatric Gastroenterology, Hepatology and Nutrition, University of Illinois College of Medicine, Chicago, Ill.
Ikuo HiranoDivision of Gastroenterology & Hepatology, Northwestern University, Feinberg School of Medicine, Chicago, Ill.
Kendra KocherGastrointestinal Eosinophilic Diseases Program, Section of Pediatric Gastroenterology, Hepatology and Nutrition, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colo.
Jeffrey P KrischerHealth Informatics Institute, Departments of Pediatrics and Medicine, Morsani College of Medicine, University of South Florida, Tampa, Fla.
John LeungDivision of Gastroenterology, Tufts Medical Center, Boston, Mass.
Jessi LipscombDivision of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Paul Menard-KatcherGastrointestinal Eosinophilic Diseases Program, Section of Pediatric Gastroenterology, Hepatology and Nutrition, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colo.
Vincent A MukkadaDivision of Gastroenterology, Hepatology, and Nutrition, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Zhaoxing PanPediatric Gastroenterology, Pediatric Allergy and Immunology, Children's Hospital of Colorado, Aurora, Colo.
Jonathan M SpergelDepartment of Allergy and Immunology, Children's Hospital of Philadelphia, Perelman School of Medicine at University of Pennsylvania, Philadelphia, Pa.
Qin SunDivision of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Barry K WershilDivision of Gastroenterology, Hepatology, and Nutrition, Ann & Robert Lurie Children's Hospital of Chicago, Chicago, Ill.
Marc E RothenbergDivision of Allergy and Immunology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio. Electronic address: Marc.Rothenberg@cchmc.org.
Glenn T FurutaGastrointestinal Eosinophilic Diseases Program, Section of Pediatric Gastroenterology, Hepatology and Nutrition, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colo.
Consortium of Eosinophilic Gastrointestinal Disease Researchers (CEGIR)
Northwestern University · USUniversity of Cincinnati · USChildren's Hospital Colorado · USCincinnati Children's Hospital Medical Center · USTufts Medical Center · USUniversity of Colorado Denver · USUniversity of Pennsylvania · USUniversity of South Florida · USChildren's Hospital of Philadelphia · USLurie Children's Hospital · USRady Children's Hospital-San Diego · USUniversity of Cincinnati Medical Center · USUniversity of Illinois Chicago · USUniversity of North Carolina at Chapel Hill · US

Funding

Rare Diseases Data Management and Coordinating CenterU01TR001263 · NCATS · UNIVERSITY OF SOUTH FLORIDA · PI KRISCHER, JEFFREY P · 2014 to 2018
$28.1M
Stem Cell/Organoid and Genome Editing CoreP30DK078392 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI Alexander Miethke · 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
NCATS NIH HHS U01 TR001263NIAID NIH HHS U54 AI117804NIDDK NIH HHS P30 DK078392
6 · The paper itself

Abstract

backgroundPatient-reported outcome metrics for eosinophilic esophagitis (EoE) have been developed and validated but not used in a multicenter pediatric population or systematically aligned with histology.

objectiveWe sought to understand (1) the potential of caregiver report to predict patient self-reported symptoms and (2) the correlation of patient-reported outcome domains with histology.

methodsPatients with EoE (n = 310) and their parents participating in the Consortium of Gastrointestinal Eosinophilic Disease Researchers (CEGIR) observational clinical trial were queried for baseline patient symptoms and quality of life (QOL) by using the Pediatric Eosinophilic Esophagitis Symptom Score, version 2 (PEESSv2.0), and the Pediatric QOL EoE module (PedsQL-EoE), and biopsy specimens were analyzed by using the EoE Histology Scoring System.

resultsPEESSv2.0 parental and child reports aligned across all domains (r = 0.68-0.73, P < .001). PedsQL-EoE reports correlated between parents and children across ages and multiple domains (r = 0.48-0.79, P < .001). There was a tight correlation between symptoms on PEESSv2.0 and their effects on QOL both on self-report and parental report (P < .001). Self-reported symptoms on PEESSv2.0 (positively) and PedsQL-EoE (inversely) showed a weak correlation with proximal, but not distal, peak eosinophil counts and features and architectural tissue changes on the EoE Histology Scoring System (P < .05).

conclusionsParents of children with EoE aged 3 to 18 years accurately reflected their children's disease symptoms and QOL. Self- and parent-reported symptoms correlate with proximal esophageal histology. Our data suggest that parental report in young children can function as an adequate marker for self-reported symptoms and that self-reported symptoms can reflect changes in tissue histology in the proximal esophagus. These findings should be considered during clinical trials for drug development.

Indexed as

ParentsPatient Reported Outcome MeasuresSelf ReportAdolescentChildChild, PreschoolEosinophilic EsophagitisFemaleHumansMaleQuality of LifeSurveys and QuestionnairesConsortium of Eosinophilic Gastrointestinal Disease ResearchersEosinophileosinophilic esophagitiseosinophilic oesophagitispatient-reported outcomespediatric eosinophilic esophagitis symptom scorepediatric QOL EoE modulequality of lifesymptomsversion 2

Identifiers

PMID29852258
PMCPMC6035777
OpenAlexW2807016938

What OpenQuestion holds

Textmetadata
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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.