Evidence map›Paper›PMID 30971589›Full record

ArticleSaudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association

Diagnostic delay of pediatric inflammatory bowel disease in Saudi Arabia.

Mohammad I El Mouzan, Badr I AlSaleem, Mohammed Y Hasosah, Abdulrahman A Al-Hussaini, Aziz H Al Anazi, Omar I Saadah, Ahmed A Al Sarkhy, Mohammad A Al Mofarreh, Asaad A Assiri

Abstract readComparative StudyMulticenter Study
In one paragraph

Article in Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Saudi consensus guidance for the diagnosis and management of inflammatory bowel disease in children and adolescents.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2025
    Guideline
  2. Pooled it
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  16. Diagnostic delay of pediatric inflammatory bowel disease in Saudi Arabia-the community, the physicians, and the disease: Where's the hold-up?Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
    Article
  17. Incidence and clinical characteristics of pediatric inflammatory bowel disease in Oman.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
    Article
  18. Response to AlmalkiSaudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
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  19. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Mohammad I El MouzanDepartment of Pediatrics, Division of Gastroenterology and Head, Pediatric IBD Research Group, King Saud University, Riyadh, Kingdom of Saudi Arabia.
Badr I AlSaleemDivision of Gastroenterology, The Children Hospital, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia.
Mohammed Y HasosahDepartment of Pediatrics, Division of Gastroenterology, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, Kingdom of Saudi Arabia.
Abdulrahman A Al-HussainiDivision of Gastroenterology, The Children Hospital, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia.
Aziz H Al AnaziDepartment of Pediatrics, Division of Gastroenterology, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, Kingdom of Saudi Arabia.
Omar I SaadahDepartment of Pediatrics, Faculty of Medicine and Inflammatory Bowel Disease Research Group, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.
Ahmed A Al SarkhyDepartment of Pediatrics, Division of Gastroenterology, King Saud University, Riyadh, Kingdom of Saudi Arabia.
Mohammad A Al MofarrehDepartment of Gastroenterology, Al Mofarreh Polyclinics, Riyadh, Kingdom of Saudi Arabia.
Asaad A AssiriDepartment of Pediatrics, Division of Gastroenterology and Prince Abdullah Bin Khalid Celiac Disease Research Chair, King Saud University, Riyadh, Kingdom of Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimDelay in the diagnosis of inflammatory bowel disease (IBD) is associated with complications. Our aim was to describe the pattern and risk factors associated with delay in the diagnosis of IBD in Saudi children. PATIENTS AND

methodsThis was a multicenter study with a retrospective/prospective design. Data on diagnostic delay in children with Crohn's disease (CD) and ulcerative colitis (UC) were retrieved from physician's notes. Multivariate regression analysis was used to assess the risk factors associated with long delay in diagnosis.

resultsThere were 240 and 183 Saudi children with CD and UC, respectively. The median delays in diagnosis were 8 and 5 months in CD and UC, respectively, significantly longer in children with CD than UC (P < 0.001). Long diagnostic delays (>75

conclusionsLong diagnostic delay in IBD was mainly due to the longer delay in gastroenterologist consultation. Review of the referral system is needed to focus on measures to reduce long delays in diagnosis. The ileal location as a risk factor in CD and age older than 10 years as protective in UC should help recognition and early referral.

Indexed as

BiopsyChild, PreschoolDelayed DiagnosisDiagnostic ImagingEndoscopy, GastrointestinalFollow-Up StudiesHumansIncidenceInflammatory Bowel DiseasesPrognosisRetrospective StudiesRisk AssessmentRisk FactorsSaudi ArabiaTime FactorsCrohn's diseasediagnostic delayulcerative colitis

Identifiers

PMID30971589
PMCPMC6714469

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.