Evidence map›Paper›PMID 37690544›Full record

ArticleUrology2023

Access and Utilization of Health Care by Adults with Spina Bifida.

Lillian Y Lai, Alejandro D Lopez, Hillary L Copp, Nima Baradaran, Benjamin N Breyer, I Elaine Allen, Lindsay A Hampson

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Urology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. 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

7 authors at 4 institutions in 1 country.

Lillian Y LaiDepartment of Urology, University of Michigan, Ann Arbor, MI.
Alejandro D LopezSchool of Medicine, University of California San Francisco, San Francisco, CA.
Hillary L CoppDepartment of Urology, University of California San Francisco, San Francisco, CA.
Nima BaradaranDepartment of Urology, The Ohio State University Wexner Medical Center, Columbus, OH.
Benjamin N BreyerDepartment of Urology, University of California San Francisco, San Francisco, CA.
I Elaine AllenDepartment of Epidemiology and Biostatistics, School of Medicine, University of California San Francisco, San Francisco, CA.
Lindsay A HampsonDepartment of Urology, University of California San Francisco, San Francisco, CA; Department of Surgery, San Francisco Veterans Affairs Medical Center, San Francisco, CA. Electronic address: Lindsay.Hampson@ucsf.edu.
University of California, San Francisco · USSan Francisco VA Medical Center · USThe Ohio State University Wexner Medical Center · USUniversity of Michigan · US

Funding

UCSF KURe Career Development ProgramK12DK083021 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BASKIN, LAURENCE, CARROLL, PETER R · 2008 to 2017
$5.9M
NIDDK NIH HHS K12 DK083021
6 · The paper itself

Abstract

objectiveTo contextualize the challenges that persons with congenital genitourinary conditions (CGC) may encounter in adulthood, we examined health care access, readiness for self-management, and health care utilization of adults with spina bifida (SB).

methodsThrough surveys distributed via social media, persons with SB were asked about access and barriers to care, readiness for self-management, and health care utilization (ie, medical visits, missed visits, emergency room [ER] visits, hospital admissions) within the past year. Multivariable models were fitted to examine determinants of utilization.

resultsOf the 270 eligible respondents (mean age 39), 24.5% had not received care from a urologist in the past year. The odds of missing any medical visits were increased among those with more prior urologic surgeries (odds ratio (OR) 1.35, 95%confidence interval (CI) 1.05-1.78) and those with ER visits for urologic condition within the past year (OR 2.65, 95%CI 1.22-6.01). Those with private insurance had lower odds of having ER visits for urologic condition (OR 0.46, 95%CI 0.22-0.84). The odds of hospital admission related to urologic condition were increased among female (OR 2.35, 95%CI 1.01-6.64), those with more prior urologic surgeries (OR 1.18, 95%CI 1.09-1.51), and those with a urologist (OR 2.98, 95%CI 1.15-14.47).

conclusionA substantial proportion of adults with CGC lack routine urologic care. Considering the significant barriers to care and lapses in care, efforts to improve access and optimize health care services utilization for this population with high medical complexity are warranted.

Indexed as

Patient Acceptance of Health CareSpinal DysraphismAdultFemaleHealth FacilitiesHealth Services AccessibilityHospitalizationHumans

Identifiers

PMID37690544
PMCPMC10842464
OpenAlexW4386575082

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.