Evidence map›Paper›PMID 35288834›Full record

SynthesisDigestive diseases and sciences2022

Diagnostic Delay in Pediatric Inflammatory Bowel Disease: A Systematic Review.

Aymane Ajbar, Eleanor Cross, Simbarashe Matoi, Charles A Hay, Libby M Baines, Benjamin Saunders, Adam D Farmer, James A Prior

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Digestive diseases and sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–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

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. A nomogram for predicting the risk ofFrontiers in pediatrics · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Unmet Challenges in Patients with Crohn's Disease.Journal of clinical medicine · 2023
    Review
  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

8 authors.

Aymane AjbarRoyal College of Surgeons in Ireland, Medical University of Bahrain, Busaiteen, Bahrain.
Eleanor CrossSchool of Medicine, Keele University, Staffordshire, ST5 5BG, UK.
Simbarashe MatoiRoyal College of Surgeons in Ireland, Medical University of Bahrain, Busaiteen, Bahrain.
Charles A HaySchool of Medicine, Keele University, Staffordshire, ST5 5BG, UK.
Libby M BainesSchool of Medicine, Keele University, Staffordshire, ST5 5BG, UK.
Benjamin SaundersSchool of Medicine, Keele University, Staffordshire, ST5 5BG, UK.ORCID 0000-0002-0856-1596
Adam D FarmerSchool of Medicine, Keele University, Staffordshire, ST5 5BG, UK.
James A PriorSchool of Medicine, Keele University, Staffordshire, ST5 5BG, UK. j.a.prior@keele.ac.uk.ORCID 0000-0001-9213-2796

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDelays in diagnosing pediatric inflammatory bowel disease (IBD) are common, but the extent of this delay remains unclear due to variations in reported time-periods between studies. The objectives of this systematic review were to examine the extent of diagnostic delay in pediatric IBD and examine any association between specific characteristics and length of diagnostic delay.

methodsWe identified studies from several medical bibliographical databases (EMBASE, Medline and CINAHL) from their inception to April 2021. Studies examining pediatric cohorts (< 18 years old) defined as having a diagnosis of Crohn's Disease (CD), ulcerative colitis (UC), or by the more general definition of IBD, and reporting a median time-period between the onset of symptoms and a final diagnosis (diagnostic delay) were included. Two reviewers selected each study, extracted data, and assessed their quality using the Newcastle-Ottawa scale. Narrative synthesis was then used to examine the extent of overall diagnostic delay and delay associated with specific sample characteristics.

resultsOf the 10,119 studies initially identified, 24 were included in the review. The overall median diagnostic delay range was 2-10.4 months for IBD, 2.0-18.0 months for UC and 4.0-24.0 months for CD. However, for approximately two thirds of UC (68.8%) and CD (66.7%) studies, delay ranged from 2.0-3.0 and 4.0-6.3 months, respectively. A longer delay was significantly associated with several sample characteristics; however, these were too infrequently examined to draw robust conclusion on their role.

conclusionChildren continue to wait several months for a final diagnosis of IBD, and those with CD experience longer delay than those with UC. The role of specific characteristics on delay needs further exploration.

Indexed as

Colitis, UlcerativeCrohn DiseaseInflammatory Bowel DiseasesAdolescentChildChronic DiseaseDelayed DiagnosisHumansCrohn’s diseaseDiagnostic delayInflammatory bowel diseasePediatricUlcerative colitis

Identifiers

What OpenQuestion holds

Textmetadata
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.