Evidence map›Paper›PMID 36158630›Full record

ArticleWorld journal of gastrointestinal endoscopy2022

Disparities in colonoscopy utilization for lower gastrointestinal bleeding in rural

Nagapratap Ganta, Mina Aknouk, Dina Alnabwani, Ivan Nikiforov, Veera Jayasree Latha Bommu, Vraj Patel, Pramil Cheriyath, Christopher S Hollenbeak, Alan Hamza

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Article in World journal of gastrointestinal endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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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

9 authors.

Nagapratap GantaDepartment of Internal Medicine, Hackensack Meridian Health Ocean Medical Center, Brick, NJ 08724, United States.
Mina AknoukDepartment of Internal Medicine, Hackensack Meridian Health Ocean Medical Center, Brick, NJ 08724, United States.
Dina AlnabwaniDepartment of Internal Medicine, Hackensack Meridian Health Ocean Medical Center, Brick, NJ 08724, United States.
Ivan NikiforovDepartment of Internal Medicine, Hackensack Meridian Health Ocean Medical Center, Brick, NJ 08724, United States.
Veera Jayasree Latha BommuDepartment of Internal Medicine, Hackensack Meridian Health Ocean Medical Center, Brick, NJ 08724, United States.
Vraj PatelDepartment of Internal Medicine, Hackensack Meridian Health Ocean Medical Center, Brick, NJ 08724, United States.
Pramil CheriyathDepartment of Internal Medicine, Hackensack Meridian Health Ocean Medical Center, Brick, NJ 08724, United States. pramil.cheriyath@hmhn.org.
Christopher S HollenbeakPenn State Milton S. Hershey Medical Center, 500 University Drive, University Park, PA 16802, United States.
Alan HamzaDepartment of Internal Medicine, Ocala Health, Ocala, FL 34471, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLower gastrointestinal bleeds (LGIB) is a very common inpatient condition in the United States. Gastrointestinal bleeds have a variety of presentations, from minor bleeding to severe hemorrhage and shock. Although previous studies investigated the efficacy of colonoscopy in hospitalized patients with LGIB, there is limited research that discusses disparities in colonoscopy utilization in patients with LGIB in urban and rural settings.

aimTo investigate the difference in utilization of colonoscopy in lower gastrointestinal bleeding between patients hospitalized in urban and rural hospitals.

methodsThis is a retrospective cohort study of 157748 patients using National Inpatient Sample data and the Healthcare Cost and Utilization Project provided by the Agency for Healthcare Research and Quality. It includes patients 18 years and older hospitalized with LGIB admitted between 2010 and 2016. This study does not differentiate between acute and chronic LGIB and both are included in this study. The primary outcome measure of this study was the utilization of colonoscopy among patients in rural and urban hospitals admitted for lower gastrointestinal bleeds; the secondary outcome measures were in-hospital mortality, length of stay, and costs involved in those receiving colonoscopy for LGIB. Statistical analyses were all performed using STATA software. Logistic regression was used to analyze the utilization of colonoscopy and mortality, and a generalized linear model was used to analyze the length of stay and cost.

resultsOur study found that 37.9% of LGIB patients at rural hospitals compared to approximately 45.1% at urban hospitals received colonoscopy, (OR = 0.730, 95%CI: 0.705-0.7,

conclusionAlthough there was a lower percentage of LGIB patients that received colonoscopies in rural hospitals compared to urban hospitals, patients in both urban and rural hospitals with LGIB undergoing colonoscopy had decreased in-hospital mortality. In both settings, benefit came at a cost of extended stay, and higher total costs.

Indexed as

ColonoscopyInpatient admission costsLength of stayLower gastrointestinal bleedingRural-urban disparitiesUtilization of colonoscopy

Identifiers

PMID36158630
PMCPMC9453311

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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.