Evidence map›Paper›PMID 37333465›Full record

ReviewTherapeutic advances in gastroenterology2023

Barriers in inflammatory bowel disease care in Central and Eastern Europe: a region-specific analysis.

Michal Prokopič, Georgiana Gilca-Blanariux, Peter Lietava, Anca Trifan, Anna Pietrzak, Agata Ladic, Marko Brinar, Svetlana Turcan, Tamás Molnár, Peter Bánovčin and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in Therapeutic advances in gastroenterology, 2023. 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
0.6field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. [Clinical activity and validation of the disability disc in inflammatory bowel disease].Revista medica del Instituto Mexicano del Seguro Social · 2026
    Article
  3. Article
  4. Article
  5. Models of outpatient care delivery in inflammatory bowel disease: a scoping review.Journal of the Canadian Association of Gastroenterology · 2025
    Article
  6. 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

11 authors at 7 institutions in 7 countries.

Michal ProkopičDepartment of Gastroenterology, Jessenius Faculty of Medicine, Comenius University Bratislava, Kollárova 2, Martin 036 01, Slovakia.ORCID https://orcid.org/0000-0003-0039-3759
Georgiana Gilca-BlanariuxDepartment of Gastroenterology, Grigore T Popa University of Medicine and Pharmacy, Iasi, Romania.
Peter LietavaDepartment of Gastroenterology, Jessenius Faculty of Medicine, Comenius University Bratislava, Martin, Slovakia.
Anca TrifanDepartment of Gastroenterology, Grigore T Popa University of Medicine and Pharmacy, Iasi, Romania.
Anna PietrzakSecond Gastroenterology Department, Centre of Postgraduate Medical Education, Warsaw, Poland.
Agata LadicDepartment of Gastroenterology and Hepatology, Division of Internal Medicine, University Hospital Center Zagreb, Zagreb, Croatia.
Marko BrinarDepartment of Gastroenterology and Hepatology, Division of Internal Medicine, University Hospital Center Zagreb, Zagreb, Croatia.
Svetlana TurcanDepartment of Gastroenterology, Nicolae Testemitanu State University of Medicine and Pharmacy, Chisinau, Moldova.
Tamás MolnárFirst Department of Medicine, University of Szeged Faculty of Medicine, Szeged, Hungary.
Peter BánovčinDepartment of Gastroenterology, Jessenius Faculty of Medicine, Comenius University Bratislava, Martin, Slovakia.
Milan LukášIBD Clinical and Research Center, ISCARE a.s. and the First Faculty of Medicine, Charles University, Prague, Czech Republic.
Comenius University Bratislava · SKGrigore T. Popa University of Medicine and Pharmacy · ROUniversity Hospital Centre Zagreb · HRCharles University · CZNicolae Testemițanu State University of Medicine and Pharmacy · MDPostgraduate School of Molecular Medicine · PLUniversity of Szeged · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Inflammatory bowel diseases (IBD), including Crohn's disease and ulcerative colitis, are chronic immune-mediated diseases with a high incidence and prevalence in Europe. Since these are diseases with associated disability, they require complex management and the availability of high-quality healthcare resources. We focused on the analysis of IBD care in selected countries of Central and Eastern Europe (Croatia, the Czech Republic, Hungary, Moldova, Poland, Romania and Slovakia) targeting the availability and reimbursement of diagnostic and therapeutic modalities, the role of IBD centers and also education and research in IBD. As part of the analysis, we created a questionnaire of 73 statements organized in three topics: (1) diagnostics, follow-up and screening, (2) medications and (3) IBD centers. The questionnaire was filled out by co-authoring IBD experts from individual countries, and then the answers and comments on the questionnaire were analyzed. We identified that despite the financial burden, which still partially persists in the region, the availability of some of the cost-saving tools (calprotectin test, therapeutic drug monitoring) differs among countries, mainly due to variable reimbursement from country to country. In most participating countries, there also remains a lack of dedicated dietary and psychological counseling, which is often replaced by recommendations offered by gastroenterologists. However, there is adequate availability of most of the currently recommended diagnostic methods and therapies in each participating country, as well as the implementation of established IBD centers in the region.

Indexed as

barriersCentral EuropeCrohn’s diseaseEastern Europehealthcareinflammatory bowel diseaseulcerative colitis

Identifiers

PMID37333465
PMCPMC10272651
OpenAlexW4380322897

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.