Evidence map›Paper›PMID 31634580›Full record

ArticleClinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association2020

Sex and Race Disparities in Diverticulosis Prevalence.

Anne F Peery, Temitope O Keku, 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, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
4.9field-weighted citation impact, top 4% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Review
  7. The Epidemiology of Diverticulitis.Clinics in colon and rectal surgery · 2025
    Review
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  9. Article
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  11. Review
  12. Article
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  18. Distinct changes in the colonic microbiome associated with acute diverticulitis.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2022
    Article
  19. Article
  20. Review
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

4 authors at 1 institution in 1 country.

Anne F PeeryUniversity of North Carolina, School of Medicine, Chapel Hill, North Carolina. Electronic address: anne_peery@med.unc.edu.
Temitope O KekuUniversity 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.
University of North Carolina at Chapel Hill · US

Funding

UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Stephanie Engel · 2001 to 2026
$36.3M
PILOT AND FEASIBILITY STUDIESP30DK034987 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROBERT S. SANDLER · 1985 to 2026
$30.5M
Risk Factors for Asymptomatic DiverticulosisR01DK094738 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KEKU, TEMITOPE O., SANDLER, ROBERT S. · 2012 to 2022
$4.8M
Comparative Effectiveness Research and Patient Reported Outcomes in DiverticulitisK23DK113225 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI PEERY, ANNE · 2017 to 2019
$581k
NIDDK NIH HHS K23 DK113225NIDDK NIH HHS P30 DK034987NIDDK NIH HHS R01 DK094738NIEHS NIH HHS P30 ES010126
6 · The paper itself

Abstract

BACKGROUND &

aimsThe prevalence of diverticulosis differs with demographic features of patients, but evidence is limited. Well-defined demographic studies are necessary to understand diverticulosis biology. We estimated the prevalence of diverticulosis among patients of different ages, sexes, and races and ethnicities and calculated odds ratios.

designUsing data from an endoscopic database, we identified 271,181 colonoscopy procedures performed from 2000 through 2012 at 107 sites in the United States. Our analysis included individuals 40 years and older who underwent colonoscopy examination for average-risk screening. The outcome was any reported diverticulosis on colonoscopy. Multivariate analyses were performed using logistic regression to estimate odds ratios (ORs) and 95% CI values, adjusting for confounding variables.

resultsThe prevalence of diverticulosis increased with age in men and women of all races and ethnicities. Women 40-49 years old had significantly lower odds of any diverticulosis (OR, 0.71; 95% CI, 0.63-0.80) compared with men 40-49 years old, after adjustment. The strength of this association decreased with age. Compared with non-Hispanic white individuals, non-Hispanic black individuals (OR, 0.80; 95% CI, 0.77-0.83) and Asian/Pacific Islanders (OR, 0.38; 95% CI, 0.35-0.41) had lower odds of any diverticulosis. However, non-Hispanic black individuals (OR, 1.53, 95% CI, 1.44-1.62) had increased odds of any proximal diverticulosis, whereas Asian/Pacific Islanders (OR, 3.12; 95% CI, 2.67-3.66) had increased odds of only proximal diverticulosis.

conclusionsIn an analysis of data from 271,181 colonoscopy procedures, diverticulosis was less prevalent in women compared with men in the same age groups, indicating that sex hormones might affect pathogenesis. Differences in the odds of diverticulosis by race and ethnicity indicate a genetic contribution to risk.

Indexed as

ColonoscopyDiverticulumAdultEthnicityFemaleHumansLogistic ModelsMaleMiddle AgedPrevalenceRisk FactorsUnited StatesDiverticular DiseaseDiverticular HemorrhageDiverticulitis

Identifiers

PMID31634580
PMCPMC7165024
OpenAlexW2980968700

What OpenQuestion holds

Textmetadata
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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.