Evidence map›Paper›PMID 38366807›Full record

ArticleInflammatory bowel diseases2024

Health Services Utilization and Specialist Care in Pediatric Inflammatory Bowel Disease: A Multiprovince Population-Based Cohort Study.

M Ellen Kuenzig, Alain Bitton, Matthew W Carroll, Anthony R Otley, Harminder Singh, Gilaad G Kaplan, Therese A Stukel, David R Mack, Kevan Jacobson, Anne M Griffiths and 17 more

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

Article in Inflammatory bowel diseases, 2024. 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, top 97% 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

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. 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

27 authors at 17 institutions in 2 countries.

M Ellen KuenzigSickKids Inflammatory Bowel Disease Centre, Division of Gastroenterology, Hepatology and Nutrition, The Hospital for Sick Children, Toronto, ON, Canada.ORCID 0000-0002-3984-8426
Alain BittonDivision of Gastroenterology and Hepatology, McGill University Health Centre, Montreal, QC, Canada.
Matthew W CarrollDivision of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, University of Alberta, Edmonton, AB, Canada.
Anthony R OtleyDepartment of Pediatrics, Dalhousie University, Halifax, NS, Canada.
Harminder SinghUniversity of Manitoba IBD Clinical and Research Centre, University of Manitoba, Winnipeg, MB, Canada.ORCID 0000-0002-9354-2356
Gilaad G KaplanDepartments of Medicine and Community Health Sciences, University of Calgary, Calgary, AB, Canada.ORCID 0000-0003-2719-0556
Therese A StukelICES, Toronto, ON, Canada.
David R MackCHEO Inflammatory Bowel Disease Centre, Division of Gastroenterology, Hepatology and Nutrition, CHEO, Ottawa, ON, Canada.
Kevan JacobsonDepartment of Pediatrics, BC Children's Hospital Research Institute, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0001-7269-8557
Anne M GriffithsSickKids Inflammatory Bowel Disease Centre, Division of Gastroenterology, Hepatology and Nutrition, The Hospital for Sick Children, Toronto, ON, Canada.
Wael El-MataryDepartment of Pediatrics, University of Manitoba, Winnipeg, MB, Canada.ORCID 0000-0001-6417-7583
Laura E TargownikMount Sinai Hospital Centre for Inflammatory Bowel Disease, Department of Medicine, University of Toronto, Toronto, ON, Canada.
Geoffrey C NguyenICES, Toronto, ON, Canada.
Jennifer L JonesDepartment of Medicine, Dalhousie University, Halifax, NS, Canada.
Sanjay K MurthyOttawa Hospital Research Institute, Ottawa, ON, Canada.
Charles N BernsteinUniversity of Manitoba IBD Clinical and Research Centre, University of Manitoba, Winnipeg, MB, Canada.
Lisa M LixDepartment of Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
Juan Nicolás Peña-SánchezDepartment of Community Health and Epidemiology, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
Trevor J B DummerSchool of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.
Sarah SpruinICES, Toronto, ON, Canada.
Stephen G FungCHEO Inflammatory Bowel Disease Centre, Division of Gastroenterology, Hepatology and Nutrition, CHEO, Ottawa, ON, Canada.
Zoann NugentUniversity of Manitoba IBD Clinical and Research Centre, University of Manitoba, Winnipeg, MB, Canada.
Stephanie CowardDepartments of Medicine and Community Health Sciences, University of Calgary, Calgary, AB, Canada.ORCID 0000-0003-0675-7226
Yunsong CuiDepartment of Medicine, Dalhousie University, Halifax, NS, Canada.
Janie CoulombeDepartment of Mathematics and Statistics, Université de Montréal, Montréal, QC, Canada.
Christopher FilliterLady Davis Institute of Medical Research, Jewish General Hospital, Montreal, QC, Canada.
Eric I BenchimolSickKids Inflammatory Bowel Disease Centre, Division of Gastroenterology, Hepatology and Nutrition, The Hospital for Sick Children, Toronto, ON, Canada.ORCID 0000-0001-8855-3598
Dalhousie University · CAUniversity of Manitoba · CAUniversity of Toronto · CAMount Sinai Hospital · CAUniversity of British Columbia · CAUniversity of Calgary · CAUniversity of Ottawa · CACancerCare Manitoba · CAIDEO (United States) · USJewish General Hospital · CAManitoba Health · CAMcGill University Health Centre · CAOttawa Hospital · CASaskatchewan Health Authority · CASickKids Foundation · CAUniversité de Montréal · CAUniversity of Alberta · CA

Funding

CIHR PJT-162393Crohn's and Colitis Canada, a Foundation Grant from the Canadian Institutes of Health Research 201409FDN-333131-FDN-CECC-164898
6 · The paper itself

Abstract

backgroundPatterns of health services utilization among children with inflammatory bowel disease (IBD) are important to understand as the number of children with IBD continues to increase. We compared health services utilization and surgery among children diagnosed <10 years of age (Paris classification: A1a) and between 10 and <16 years of age (A1b).

methodsIncident cases of IBD diagnosed <16 years of age were identified using validated algorithms from deterministically linked health administrative data in 5 Canadian provinces (Alberta, Manitoba, Nova Scotia, Ontario, Quebec) to conduct a retrospective cohort study. We compared the frequency of IBD-specific outpatient visits, emergency department visits, and hospitalizations across age groups (A1a vs A1b [reference]) using negative binomial regression. The risk of surgery was compared across age groups using Cox proportional hazards models. Models were adjusted for sex, rural/urban residence location, and mean neighborhood income quintile. Province-specific estimates were pooled using random-effects meta-analysis.

resultsAmong the 1165 (65.7% Crohn's) children with IBD included in our study, there were no age differences in the frequency of hospitalizations (rate ratio [RR], 0.88; 95% confidence interval [CI], 0.74-1.06) or outpatient visits (RR, 0.95; 95% CI, 0.78-1.16). A1a children had fewer emergency department visits (RR, 0.70; 95% CI, 0.50-0.97) and were less likely to require a Crohn's-related surgery (hazard ratio, 0.49; 95% CI, 0.26-0.92). The risk of colectomy was similar among children with ulcerative colitis in both age groups (hazard ratio, 0.71; 95% CI, 0.49-1.01).

conclusionsPatterns of health services utilization are generally similar when comparing children diagnosed across age groups.

Indexed as

HospitalizationPatient Acceptance of Health CareAdolescentCanadaChildChild, PreschoolColitis, UlcerativeCrohn DiseaseEmergency Service, HospitalFemaleHumansInfantInflammatory Bowel DiseasesMaleProportional Hazards ModelsRetrospective StudiesCrohn’s diseasedistributed network analysisgastroenterologist carehealth administrative dataulcerative colitis

Identifiers

PMID38366807
PMCPMC11630251
OpenAlexW4391898899

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.