Evidence map›Paper›PMID 38292522›Full record

ArticleFrontiers in psychology2023

Median arcuate ligament syndrome: a cost analysis to determine the economic burden of a rarely diagnosed disease.

Christopher L Skelly, Colleen Stiles-Shields, Hayley Goldenthal, Nicole Bohr, Estee Feldman, Grace Zee Mak, Tina Drossos

Abstract read
In one paragraph

Article in Frontiers in psychology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Approach to Meal-Related Nausea and Vomiting.Gastroenterology & hepatology · 2025
    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.

Christopher L SkellyDepartment of Surgery, Section of Vascular and Endovascular Surgery, University of Chicago Medicine, Chicago, IL, United States.
Colleen Stiles-ShieldsInstitute for Juvenile Research, Department of Psychiatry, The University of Illinois at Chicago, Chicago, IL, United States.
Hayley GoldenthalDepartment of Psychiatry and Behavioral Sciences, University of Chicago Medicine, Chicago, IL, United States.
Nicole BohrDepartment of Surgery, Section of Vascular and Endovascular Surgery, University of Chicago Medicine, Chicago, IL, United States.
Estee FeldmanDepartment of Psychiatry and Behavioral Sciences, University of Chicago Medicine, Chicago, IL, United States.
Grace Zee MakDepartment of Surgery, Section of Pediatric Surgery, University of Chicago Medicine, Chicago, IL, United States.
Tina DrossosDepartment of Psychiatry and Behavioral Sciences, University of Chicago Medicine, Chicago, IL, United States.

Funding

Supporting Mental Health in Underserved Youth: Engagement with Digital Mental Health Technologies in Pediatric Primary CareK08MH125069 · NIMH · UNIVERSITY OF ILLINOIS AT CHICAGO · PI STILES-SHIELDS, COLLEEN · 2021 to 2024
$628k
NIMH NIH HHS K08 MH125069
6 · The paper itself

Abstract

Background: Chronic abdominal pain (CAP) is a medical condition resulting in enormous economic burden and healthcare utilization costs. One understudied source of CAP is the median arcuate ligament syndrome (MALS). MALS is often not diagnosed and treated for a variety of reasons, including the fact that MALS is highly comorbid with psychological symptoms and psychiatric disorders similar to CAP. To better inform future work on the study of MALS, we undertook a pilot study to estimate the economic impact and public health burden of this condition. We hypothesized that MALS imposes a significant public health burden. Methods: Pediatric and adult patients enrolled in a prospective study undergoing multidisciplinary evaluation and treatment for MALS at a tertiary care facility were invited to participate in a brief self-report survey, the Direct and Indirect Medical Care Impact of MALS Form, to capture health care resources including procedures, surgeries, health care visits, and absenteeism (school and work). To estimate costs from the Direct and Indirect Medical Care Impact of MALS Form, the medical care usage data self-reported by patients were converted to dollar value utilizing FSC-93 billing data and corresponding current procedural terminology (CPT) codes for procedures and provider visits one year prior to surgery and then following surgery. Descriptive analyses were conducted to characterize the sample in terms of demographics and reported absences from school and work. Results: One hundred and nineteen patients (mean age = 30.9 ± 13.0) completed the questionnaires, yielding a 57% response rate. 82.4% ( Conclusion: Median arcuate ligament syndrome imposes a large economic burden on patients and the healthcare system. The current findings, although reflective of a homogenous population, are adding to a growing body of literature suggesting that healthcare disparities play a role in the low rates of diagnosis and treatment of MALS.

Indexed as

chronic abdominal paincognitive behavioral therapycopingcost analysiseconomic burdenmedian arcuate ligament syndromerare disease

Identifiers

PMID38292522
PMCPMC10824967

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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.