Evidence map›Paper›PMID 32621259›Full record

ArticleDigestive diseases and sciences2021

Motivations, Barriers, and Outcomes of Patient-Reported Shared Decision Making in Eosinophilic Esophagitis.

Joy W Chang, Joel H Rubenstein, Jessica L Mellinger, Ellyn Kodroff, Mary J Strobel, Melissa Scott, Denise Mack, Wendy Book, Kathleen Sable, Scholeigh Kyle and 2 more

Open access · greenAbstract read
In one paragraph

Article in Digestive diseases and sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Diffuse esophageal eosinophilia is associated with increased endoscopic severity and topical steroid non-response in patients with eosinophilic esophagitis.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2026
    Article
  3. Review
  4. Treatment patterns of eosinophilic esophagitis in the biologic era-a real-world analysis.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2026
    Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. 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
  10. Exploring X: barriers to care for eosinophilic esophagitis.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2025
    Article
  11. Article
  12. Review
  13. Artificial Intelligence Chatbot Shows Multiple Inaccuracies When Responding to Questions About Eosinophilic Esophagitis.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2024
    Article
  14. Article
  15. Development of a Practical Guide to Implement and Monitor Diet Therapy for Eosinophilic Esophagitis.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2023
    Review
  16. Article
  17. Article
  18. What patients with eosinophilic esophagitis may not share with their providers: a qualitative assessment of online health communities.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2022
    Article
  19. Review
  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

12 authors at 3 institutions in 1 country.

Joy W ChangDivision of Gastroenterology, Department of Internal Medicine, University of Michigan, 3912 Taubman Center, 1500 E. Medical Center Drive, SPC 5362, Ann Arbor, MI, 48109, USA. CHJOY@med.umich.edu.ORCID http://orcid.org/0000-0001-8319-6042
Joel H RubensteinDivision of Gastroenterology, Department of Internal Medicine, University of Michigan, 3912 Taubman Center, 1500 E. Medical Center Drive, SPC 5362, Ann Arbor, MI, 48109, USA.
Jessica L MellingerDivision of Gastroenterology, Department of Internal Medicine, University of Michigan, 3912 Taubman Center, 1500 E. Medical Center Drive, SPC 5362, Ann Arbor, MI, 48109, USA.
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.
Denise MackAmerican Partnership for Eosinophilic Disorders, Atlanta, GA, USA.
Wendy BookAmerican Partnership for Eosinophilic Disorders, Atlanta, GA, USA.
Kathleen SableAmerican Partnership for Eosinophilic Disorders, Atlanta, GA, USA.
Scholeigh KyleCampaign Urging Research for Eosinophilic Diseases, Lincolnshire, IL, USA.
Allisa PalianaCampaign Urging Research for Eosinophilic Diseases, Lincolnshire, IL, USA.
Evan S DellonDivision of Gastroenterology, Center for Esophageal and Swallowing Disorders, University of North Carolina, Chapel-Hill, NC, USA.
American Partnership for Eosinophilic Disorders · USUniversity of Michigan · USUniversity of North Carolina at Chapel Hill · US

Funding

TRAINING (CAREER DEVELOPMENT) COMPONENTU54AI117804 · NIAID · CINCINNATI CHILDRENS HOSP MED CTR · PI GLENN T FURUTA, Marc E. Rothenberg · 2014 to 2026
$18.5M
NIAID NIH HHS U54 AI117804
6 · The paper itself

Abstract

backgroundLittle is known about patient choice in treatment of eosinophilic esophagitis (EoE).

aimDetermine motivators and barriers to using common EoE therapies and describe patient-reported shared decision making (SDM) and satisfaction with treatment.

methodsWe developed and administered a Web-based survey on factors influencing EoE treatment choice, SDM, and satisfaction. Adults with EoE and adult caregivers of pediatric EoE patients were recruited via patient advocacy groups and at two centers. Descriptive statistics of multiple response questions and multivariable logistic regression were performed to identify predictors of SDM and satisfaction with treatment.

resultsA total of 243 adults (mean age 38.7 years) and 270 adult caregivers of children (mean age 9.5 years) completed the survey. Preventing worsening disease was the most common motivator to treat EoE. Barriers to topical steroids were potential side effects, cost, and preferring a medication-free approach. Inconvenience and quality of life were barriers to diet. Potential adverse events, discomfort, and cost were barriers to dilation. Nearly half (42%) of patients experienced low SDM, but those followed by gastroenterologists were more likely to experience greater SDM compared to non-specialists (OR 1.81; 95% CI 1.03-3.15). Patients receiving more SDM were more satisfied with treatment, regardless of provider or treatment type (OR 2.62, 95% CI 1.76-3.92).

conclusionsPatients with EoE pursue treatment mostly to prevent worsening disease. Common barriers to treatment are inconvenience and financial costs. SDM is practiced most by gastroenterologists, but nearly half of patients do not experience SDM, indicating a substantial area of need in EoE.

Indexed as

Decision Making, SharedMotivationAdolescentAdultChildChild, PreschoolCross-Sectional StudiesEosinophilic EsophagitisFemaleGastroenterologistsHumansMaleMiddle AgedPatient ParticipationTreatment OutcomeYoung AdultBarriersOutcomesSatisfactionSymptomsTreatment preferences

Identifiers

PMID32621259
PMCPMC9110111
OpenAlexW3038270205

What OpenQuestion holds

Textmetadata
LicenceTDM
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.