Evidence map›Paper›PMID 37302444›Full record

ReviewClinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association2023

Optimizing the Utility of Anorectal Manometry for Diagnosis and Therapy: A Roundtable Review and Recommendations.

Satish S C Rao, Nitin K Ahuja, Adil E Bharucha, Darren M Brenner, William D Chey, Jill K Deutsch, David C Kunkel, Baharak Moshiree, Leila Neshatian, Robert M Reveille and 6 more

Open access · hybridAbstract readReview
In one paragraph

Review in Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

13 citing papers in PubMed, 18 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Review
  6. Multicenter Validation of Video-based Deep Learning to Evaluate Defecation Patterns on 3-dimensional High-definition Anorectal Manometry.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2026
    Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Controversies in fecal incontinence.World journal of gastroenterology · 2025
    Article
  12. Review
  13. 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

16 authors at 14 institutions in 1 country.

Satish S C RaoDivision of Gastroenterology and Hepatology, Department of Medicine, Medical College of Georgia, Augusta University, Augusta, Georgia. Electronic address: srao@augusta.edu.
Nitin K AhujaDivision of Gastroenterology and Hepatology, University of Pennsylvania, Philadelphia, Pennsylvania.
Adil E BharuchaDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.
Darren M BrennerDivision of Gastroenterology and Hepatology, Northwestern University, Chicago, Illinois.
William D CheyDivision of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan.
Jill K DeutschSection of Digestive Diseases, Department of Internal Medicine, Yale New Haven Hospital, Yale School of Medicine, New Haven, Connecticut.
David C KunkelDivision of Gastroenterology, University of California San Diego, La Jolla, California.
Baharak MoshireeDivision of Gastroenterology and Hepatology, Atrium Health, Wake Forest Medical University, Charlotte, North Carolina.
Leila NeshatianDivision of Gastroenterology and Hepatology, Stanford University School of Medicine, Redwood City, California.
Robert M ReveilleDivision of Gastroenterology, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
Gregory S SayukDivision of Gastroenterology, Washington University School of Medicine, Veterans Affairs Medical Center, St. Louis, Missouri.
Jordan M ShapiroGastro Health and Nutrition - Katy, Katy, Texas.
Eric D ShahDivision of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan.
Kyle StallerDivision of Gastroenterology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
Steven D WexnerEllen Leifer Shulman and Steven Shulman Digestive Disease Center, Cleveland Clinic Florida, Weston, Florida.
Jason R BakerDepartment of Gastroenterology and Hepatology, Atrium Health, University of North Carolina, Charlotte, North Carolina.
University of Michigan · USAugusta University · USCleveland Clinic Florida · USHarvard University · USKinetic Art & Technology (United States) · USMayo Clinic · USNorthwestern University · USStanford University · USUniversity of California San Diego · USUniversity of Colorado Anschutz Medical Campus · USUniversity of North Carolina at Charlotte · USUniversity of Pennsylvania · USWake Forest University · USYale New Haven Hospital · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
The Role of Fiber in the Etiopathogenesis of Fecal IncontinenceK23DK120945 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI STALLER, KYLE · 2020 to 2024
$1.0M
Guideline to Implementation: A Rapid Clinical Care Pathway to Care for Patients Affected by Chronic ConstipationK23DK134752 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Eric Dinesh Shah · 2023 to 2026
$776k
NCATS NIH HHS UL1 TR001863NIDDK NIH HHS K23 DK120945NIDDK NIH HHS K23 DK134752
6 · The paper itself

Abstract

BACKGROUND &

aimsAnorectal manometry (ARM) is a comprehensive diagnostic tool for evaluating patients with constipation, fecal incontinence, or anorectal pain; however, it is not widely utilized for reasons that remain unclear. The aim of this roundtable discussion was to critically examine the current clinical practices of ARM and biofeedback therapy by physicians and surgeons in both academic and community settings.

methodsLeaders in medical and surgical gastroenterology and physical therapy with interest in anorectal disorders were surveyed regarding practice patterns and utilization of these technologies. Subsequently, a roundtable was held to discuss survey results, explore current diagnostic and therapeutic challenges with these technologies, review the literature, and generate consensus-based recommendations.

resultsARM identifies key pathophysiological abnormalities such as dyssynergic defecation, anal sphincter weakness, or rectal sensory dysfunction, and is a critical component of biofeedback therapy, an evidence-based treatment for patients with dyssynergic defecation and fecal incontinence. Additionally, ARM has the potential to enhance health-related quality of life and reduce healthcare costs. However, it has significant barriers that include a lack of education and training of healthcare providers regarding the utility and availability of ARM and biofeedback procedures, as well as challenges with condition-specific testing protocols and interpretation. Additional barriers include understanding when to perform, where to refer, and how to use these technologies, and confusion over billing practices.

conclusionsOvercoming these challenges with appropriate education, training, collaborative research, and evidence-based guidelines for ARM testing and biofeedback therapy could significantly enhance patient care of anorectal disorders.

Indexed as

Fecal IncontinenceRectal DiseasesAnal CanalBiofeedback, PsychologyConstipationDefecationHumansManometryQuality of LifeRectumAnorectal ManometryBiofeedback TherapyDyssynergic DefecationFecal Incontinence

Identifiers

PMID37302444
PMCPMC10542660
OpenAlexW4380148631

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.