Evidence map›Paper›PMID 38170338›Full record

ArticleDigestive diseases and sciences2024

Digital Rectal Exams Are Infrequently Performed Prior to Anorectal Manometry.

Joseph A Menand, Robinderpal Sandhu, Yonatan Israel, Emma Reford, Ahmun Zafar, Priyanka Singh, Kimberly Cavaliere, Jean Saleh, Michael S Smith, Daniela Jodorkovsky and 1 more

Abstract read

PubMed Publisher

In one paragraph

Article in Digestive diseases and sciences, 2024. 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

–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

2 citing papers in PubMed.

Incorporating Pelvic Floor Physical Therapy in the Treatment of Obstructed Defecation Syndrome and Posterior Compartment Pelvic Organ and Rectal Prolapse : Proceedings of the Consensus Meeting of the Pelvic Floor Consortium of the American Society of Colon and Rectal Surgeons, the International Continence Society, the International Urogynecological Association, the American Urogynecologic Society, and the American Physical Therapy Association.International urogynecology journal · 2026
Article
Diagnosis of Chronic Constipation.The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2024
Review

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.

Joseph A MenandIcahn School of Medicine at Mount Sinai, Mount Sinai Morningside and West Hospitals, New York, NY, 10019, USA. Joseph.Menand@mountsinai.org.ORCID http://orcid.org/0000-0002-5549-5587

Robinderpal SandhuIcahn School of Medicine at Mount Sinai, Mount Sinai Morningside and West Hospitals, New York, NY, 10019, USA.

Yonatan IsraelIcahn School of Medicine at Mount Sinai, New York, NY, 10029, USA.

Emma RefordIcahn School of Medicine at Mount Sinai, New York, NY, 10029, USA.

Ahmun ZafarIcahn School of Medicine at Mount Sinai, Mount Sinai Morningside and West Hospitals, New York, NY, 10019, USA.

Priyanka SinghIcahn School of Medicine at Mount Sinai, Mount Sinai Center for GI Physiology and Motility, New York, NY, 10019, USA.

Kimberly CavaliereIcahn School of Medicine at Mount Sinai, Mount Sinai Center for GI Physiology and Motility, New York, NY, 10019, USA.

Jean SalehIcahn School of Medicine at Mount Sinai, Mount Sinai Center for GI Physiology and Motility, New York, NY, 10019, USA.

Michael S SmithIcahn School of Medicine at Mount Sinai, Mount Sinai Center for GI Physiology and Motility, New York, NY, 10019, USA.

Daniela JodorkovskyIcahn School of Medicine at Mount Sinai, Mount Sinai Center for GI Physiology and Motility, New York, NY, 10019, USA.

Yuying LuoIcahn School of Medicine at Mount Sinai, Mount Sinai Center for GI Physiology and Motility, New York, NY, 10019, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDigital rectal examination should be performed prior to anorectal manometry; however, real-world data is lacking.

aimsCharacterize real world rates of digital rectal and their sensitivity for detecting dyssynergia compared to anorectal manometry and balloon expulsion test.

methodsA retrospective single-center study was conducted to examine all patients who underwent anorectal manometry for chronic constipation between 2021 and 2022 at one tertiary center with motility expertise. Primary outcomes consisted of the rate of digital rectal exam prior to anorectal manometry; and secondary outcomes included the sensitivity of digital rectal exam for dyssynergic defecation.

resultsOnly 42.3% of 142 patients had digital rectal examinations prior to anorectal manometry. Overall sensitivity for detecting dyssynergic defecation was 46.4%, but significantly higher for gastroenterology providers (p = .004), and highest for gastroenterology attendings (82.6%).

conclusionsDigital rectal examination is infrequently performed when indicated for chronic constipation. Sensitivity for detecting dyssynergic defecation may be impacted by discipline and level of training.

Indexed as

DefecationRectumAnal CanalAtaxiaConstipationDigital Rectal ExaminationHumansManometryRetrospective StudiesAnorectal manometryDigital rectal examDyssynergic defecationMotility

Identifiers

PMID38170338

DOI10.1007/s10620-023-08243-2

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Registered trials

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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.