Evidence map›Paper›PMID 34119329›Full record

ArticleAmerican journal of surgery2022

Understanding the surgical experience for Black and White patients with inflammatory bowel disease (IBD): The importance of health literacy.

Isabel C Dos Santos Marques, Ivan I Herbey, Lauren M Theiss, Connie C Shao, Mona N Fouad, Isabel C Scarinci, Daniel I Chu

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In one paragraph

Article in American journal of surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Designing a Culturally Adapted Perioperative Mental Health Intervention for Older Black Male Surgical Patients: A Community-Based Participatory Study.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2026
    Article
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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

7 authors.

Isabel C Dos Santos MarquesDivision of Gastrointestinal Surgery, University of Alabama at Birmingham, Birmingham, AL, USA. Electronic address: imarques@uabmc.edu.
Ivan I HerbeyDivision of Gastrointestinal Surgery, University of Alabama at Birmingham, Birmingham, AL, USA. Electronic address: iherbey@uab.edu.
Lauren M TheissDivision of Gastrointestinal Surgery, University of Alabama at Birmingham, Birmingham, AL, USA. Electronic address: laurentheiss@uabmc.edu.
Connie C ShaoDivision of Gastrointestinal Surgery, University of Alabama at Birmingham, Birmingham, AL, USA. Electronic address: cshao@uabmc.edu.
Mona N FouadDivision of Preventative Medicine, University of Alabama at Birmingham, Birmingham, AL, USA. Electronic address: mfouad@uabmc.edu.
Isabel C ScarinciDivision of Preventative Medicine, University of Alabama at Birmingham, Birmingham, AL, USA. Electronic address: iscarinci@uabmc.edu.
Daniel I ChuDivision of Gastrointestinal Surgery, University of Alabama at Birmingham, Birmingham, AL, USA. Electronic address: dchu@uab.edu.

Funding

UAB Health Services Research (HSR) Training ProgramT32HS013852 · AHRQ · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LEVITAN, EMILY B, MUGAVERO, MICHAEL J · 2003 to 2024
$8.0M
UAB K12 in Patient Centered Outcomes ResearchK12HS023009 · AHRQ · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SAAG, KENNETH G · 2014 to 2018
$4.0M
Enhancing Health Literacy in Surgery (EHLIS) to Eliminate Surgical Disparities for African-Americans with Inflammatory Bowel Disease (IBD)K23MD013903 · NIMHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CHU, DANIEL I · 2019 to 2021
$434k
AHRQ HHS K12 HS023009AHRQ HHS T32 HS013852NIMHD NIH HHS K23 MD013903
6 · The paper itself

Abstract

backgroundRacial/ethnic disparities in outcomes exist for patients with inflammatory bowel disease (IBD) undergoing surgery. The underlying mechanism(s) remain unclear and patient perspectives are needed. We therefore aimed to characterize the surgical experience for Black and White IBD patients using qualitative methods.

methodsPatients with IBD who had undergone surgery were recruited to same-race qualitative interviews. Semi-structured interviews explored barriers and facilitators to a positive or negative surgical experience. Transcripts were analyzed with NVivo 12 software.

resultsSix focus groups were conducted that included 10 Black and 17 White IBD participants. The mean age was 44.8 years (SD 13.2), 52% were male and 65% had Crohn's disease. Four themes emerged that most defined the surgical experience: the impact of the IBD diagnosis, the quality of provided information, disease management and the surgery itself. Within these themes, barriers to a positive surgical experience included inadequate personal knowledge of IBD, ineffective written and verbal communication, lack of a support system and complications after surgery. Both groups reported that information was provided inconsistently which led to unclear expectations of surgical outcomes.

conclusionsBlack and White patients with IBD have varied surgical experiences but all stressed the importance of accurate, trustworthy and understandable health information. These findings highlight the value of providing health literacy-sensitive care in surgery.

Indexed as

Crohn DiseaseHealth LiteracyInflammatory Bowel DiseasesAdultChronic DiseaseEthnicityFocus GroupsHumansMaleDisparitiesHealth literacyIBDOutcomesSurgery

Identifiers

PMID34119329
PMCPMC8655316

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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.