Evidence map›Paper›PMID 32928463›Full record

ArticleAnnals of emergency medicine2020

Emergency Department Utilization for Patients Living With Sickle Cell Disease: Psychosocial Predictors of Health Care Behaviors.

Khadijah Abdallah, Ashley Buscetta, Kayla Cooper, Julia Byeon, Andrew Crouch, Sabrina Pink, Caterina Minniti, Vence L Bonham

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Annals of emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

10 citing papers in PubMed, 24 citations in OpenAlex.

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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 3 institutions in 1 country.

Khadijah AbdallahSocial and Behavioral Branch, National Human Genome Research Institute, National Institute of Health, Bethesda, MD. Electronic address: khadijah.abdallah@nih.gov.
Ashley BuscettaSocial and Behavioral Branch, National Human Genome Research Institute, National Institute of Health, Bethesda, MD.
Kayla CooperSocial and Behavioral Branch, National Human Genome Research Institute, National Institute of Health, Bethesda, MD.
Julia ByeonSocial and Behavioral Branch, National Human Genome Research Institute, National Institute of Health, Bethesda, MD.
Andrew CrouchDivision of Hematology/Sickle Cell Center, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY.
Sabrina PinkDivision of Hematology/Sickle Cell Center, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY.
Caterina MinnitiDivision of Hematology/Sickle Cell Center, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY.
Vence L BonhamSocial and Behavioral Branch, National Human Genome Research Institute, National Institute of Health, Bethesda, MD.
National Human Genome Research Institute · USAlbert Einstein College of Medicine · USMontefiore Medical Center · US

Funding

Insights into Sickle Cell Trait and Sickle Cell DiseaseZIAHG200394 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI BONHAM, VENCE L · 2014 to 2025
$3.8M
Intramural NIH HHS ZIA HG200394
6 · The paper itself

Abstract

STUDY

objectiveIndividuals living with sickle cell disease (SCD) often require urgent care; however, some patients hesitate to present to the emergency department (ED), which may increase the risk of serious clinical complications. Our study aims to examine psychosocial, clinical, and demographic factors associated with delaying ED care.

methodsThis was a cross-sectional study of 267 adults with SCD from the national INSIGHTS Study. The binary outcome variable asked whether, in the past 12 months, participants had delayed going to an ED when they thought they needed care. Logistic regression was performed with clinical, demographic, and psychosocial measures.

resultsApproximately 67% of the participants reported delaying ED care. Individuals who delayed care were more likely to have reported higher stigma experiences (odds ratio [OR]=1.09; 95% confidence interval [CI] 1.03 to 1.16), more frequent pain episodes (OR=1.15; 95% CI 1.01 to 1.32), lower health care satisfaction (OR= 0.74; 95% CI 0.59 to 0.94), and more frequent ED visits (OR=6.07; 95% CI 1.18 to 31.19). Disease severity and demographics, including sex, age, and health insurance status, were not significantly associated with delay in care.

conclusionPsychosocial factors, including disease stigma and previous negative health care experiences, are associated with delay of ED care in this SCD cohort. There is a need to further investigate the influence of psychosocial factors on the health care-seeking behaviors of SCD patients, as well as the downstream consequences of these behaviors on morbidity and mortality. The resulting knowledge can contribute to efforts to improve health care experiences and patient-provider relationships in the SCD community.

Indexed as

AdultAgedAnemia, Sickle CellCross-Sectional StudiesDelayed DiagnosisEmergency Service, HospitalFemaleHumansLogistic ModelsMaleMiddle AgedPatient Acceptance of Health CarePatient SatisfactionPsychologySocial StigmaYoung Adult

Identifiers

PMID32928463
PMCPMC7486179
OpenAlexW3085437030

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.