Evidence map›Paper›PMID 32892260›Full record

ArticleDigestive diseases and sciences2021

Anemia Severity Associated with Increased Healthcare Utilization and Costs in Inflammatory Bowel Disease.

Hanna Blaney, Peter Vu, Antony Mathew, Robin Snelling, Julie England, Camille Duong, Kendall Hammonds, Christopher Johnson

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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 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 14% 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

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

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  6. International journal of molecular sciences · 2025
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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

8 authors at 2 institutions in 1 country.

Hanna BlaneyDepartment of Internal Medicine, Texas A&M Health Science Center College of Medicine, 2401 S 31st St, Temple, TX, 76508, USA.
Peter VuTexas A&M Health Science Center College of Medicine, 2401 S 31st St, Temple, TX, 76508, USA.
Antony MathewTexas A&M Health Science Center College of Medicine, 2401 S 31st St, Temple, TX, 76508, USA.
Robin SnellingTexas A&M Health Science Center College of Medicine, 2401 S 31st St, Temple, TX, 76508, USA.
Julie EnglandTexas A&M Health Science Center College of Medicine, 2401 S 31st St, Temple, TX, 76508, USA.
Camille DuongTexas A&M Health Science Center College of Medicine, 2401 S 31st St, Temple, TX, 76508, USA.
Kendall HammondsDepartment of Biostatistics, Baylor Scott and White Research Institute, 2401 S 31st St, Temple, TX, 76508, USA.
Christopher JohnsonDivision of Gastroenterology, Texas A&M Health Science Center College of Medicine, 2401 S 31st St, Temple, TX, 76508, USA. Christopher.johnson@bswhealth.org.
Texas A&M Health Science Center · USBaylor Scott & White Medical Center - Temple · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnemia is a common systemic complication of inflammatory bowel disease (IBD) and is associated with worse disease outcomes, quality of life, and higher healthcare costs.

aimsThe purpose of this study was to determine how anemia severity impacts healthcare resource utilization and if treatment of anemia was associated with reduced utilization and costs.

methodsRetrospective chart review of adult patients managed by gastroenterology between 2014 and 2018 at a tertiary referral center.

resultsThe records of 1763 patients with IBD were included in the analysis, with 966 (55%) patients with CD, 799 (44%) with UC, and 18 (1%) with unspecified IBD. Of these patients, 951 (54%) had anemia. Patients with anemia had significantly more hospitalizations, increased length of stays, more ER, GI, and PCP visits, as well as higher costs when compared to patients with IBD without anemia. Patients with more severe anemia had more healthcare utilization and incurred even higher total costs. Treatment with IV or oral iron did not lower overall utilization or costs, when compared to patients with anemia who did not receive treatment (p < 0.0001).

conclusionsOur results demonstrate that the presence of anemia is correlated with increased resource utilization in patients with IBD, with increase in anemia severity associated with higher utilization and costs. Anemia has been associated with increased disease activity and could represent a marker of more severe disease, possibly explaining these associations. Our results suggest that treating anemia is associated with increased resource utilization; however, further research is needed to investigate this relationship.

Indexed as

Health Care CostsPatient Acceptance of Health CareAdultAnemiaFemaleHumansInflammatory Bowel DiseasesMaleMiddle AgedRetrospective StudiesAnemiaHealthcare costsHealthcare utilizationIBDIron deficiency anemia

Identifiers

PMID32892260
OpenAlexW3083278572

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.