Evidence map›Paper›PMID 34117730›Full record

ArticleUnited European gastroenterology journal2021

A diagnostic delay of 10 years in the DanEoE cohort calls for focus on education - a population-based cross-sectional study of incidence, diagnostic process and complications of eosinophilic oesophagitis in the North Denmark Region.

Dorte Melgaard, Signe Westmark, Peter Thaysen Laurberg, Anne Lund Krarup

Open access · bronzeAbstract read
In one paragraph

Article in United European gastroenterology journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
6.1field-weighted citation impact, top 3% 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, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Conservative management of gastroesophageal junction perforation secondary to eosinophilic esophagitis: a case report.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. UEG week and UEG journal: A strong scientific liaison.United European gastroenterology journal · 2022
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  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

4 authors at 2 institutions in 1 country.

Dorte MelgaardCentre for Clinical Research, North Denmark Regional Hospital, Hjørring, Denmark.ORCID 0000-0002-5656-402X
Signe WestmarkCentre for Clinical Research, North Denmark Regional Hospital, Hjørring, Denmark.ORCID 0000-0001-8456-8063
Peter Thaysen LaurbergDepartment of Neurogastroenterological Research, North Denmark Regional Hospital, Hjørring, Denmark.
Anne Lund KrarupCentre for Clinical Research, North Denmark Regional Hospital, Hjørring, Denmark.ORCID 0000-0002-2228-7132
North Denmark Region · DKAalborg University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the North Denmark Region with a population of 580,000 the awareness of eosinophilic oesophagitis (EoE) increased after 2011 due to a regional biopsy guideline. However, very little was known of the incidence, diagnostic process, or complications of EoE in Denmark.

objectiveThe objectives of the study were to establish a cohort of EoE patients and describe the incidence, diagnostic process, and complications of EoE.

methodsPatient files and histology reports for the 308 DanEoE cohort of patients with eosinophilia in the oesophagus in 2007-2017 identified by the histopathology registry were analyzed.

resultsThe incidence of EoE in the North Denmark Region increased to 5.5-8.7/100,000 after 2011, where the regional biopsy guideline was implemented. The diagnostic delay was 10 (12) years for the EoE population. There was an insufficient number of biopsies sampled in 40 % of the patients. At the diagnostic endoscopy, the macroscopic appearance of the oesophagus was often described as normal (24%), and infrequently having one or more macroscopic signs of EoE (43%). Food bolus obstruction was observed in 38%, and strictures in 7.5% of EoE patients. In 22.2% of EoE patient's treatment was not initiated at debut.

conclusionsThe EoE incidence was documented. The diagnostic process was analyzed and showed an unmet need for education among referring physicians and endoscopists: A diagnostic delay of a decade, infrequently noted macroscopic EoE changes and lack of treatment at the debut in one fifth. Strictures in the DanEoE cohort were rare whereas food bolus obstruction was frequent.

Indexed as

AdultBiopsyCross-Sectional StudiesDelayed DiagnosisDenmarkEndoscopy, GastrointestinalEosinophilic EsophagitisEsophagusFemaleHumansIncidenceMaleMiddle AgedRegistriesRetrospective Studiescohortstudiescomplicationsdiagnostic delayeosinophiliaeosinophilic esophagitisesophagusgastroesophageal refluxincidencepopulationregistryretrospective studiesstricture

Identifiers

PMID34117730
PMCPMC8280802
OpenAlexW3166014203

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.