Evidence map›Paper›PMID 39097693›Full record

ArticleBMC gastroenterology2024

Patient-reported symptoms and burden of eosinophilic esophagitis: evidence from real-world clinical practice.

Xiao Xu, Justin Kwiatek, James Siddall, Eduardo Genofre, Heide Stirnadel-Farrant, Rohit Katial

Abstract read
In one paragraph

Article in BMC gastroenterology, 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.

  1. Article
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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

6 authors.

Xiao XuBioPharmaceuticals Market Access and Pricing, AstraZeneca, 200 Orchard Ridge Dr, Gaithersburg, MD, 20878, USA. Xiao.Xu1@astrazeneca.com.
Justin KwiatekBioPharmaceuticals Medical, AstraZeneca, 200 Orchard Ridge Dr, Gaithersburg, MD, 20878, USA.
James SiddallAdelphi Real World, Bollington, Cheshire, UK.
Eduardo GenofreBioPharmaceuticals Medical, AstraZeneca, Wilmington, DE, USA.
Heide Stirnadel-FarrantBioPharmaceuticals Medical, AstraZeneca, Cambridge, UK.
Rohit KatialBioPharmaceuticals Medical, AstraZeneca, 200 Orchard Ridge Dr, Gaithersburg, MD, 20878, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEosinophilic esophagitis is a chronic inflammatory disorder of the esophagus. This real-world study used patient and physician surveys to describe the clinical characteristics and disease burden of eosinophilic esophagitis-overall and in a subgroup of patients with dysphagia despite treatment.

methodsData analyzed in this study were collected in 2020 from US and EU patients with eosinophilic esophagitis. Eligible patients were aged ≥ 12 years with a diagnosis of eosinophilic esophagitis, had an esophageal count of ≥ 15 eosinophils/high-power field at diagnosis, and were currently prescribed treatment for eosinophilic esophagitis.

resultsOverall, 1001 patients were included, of whom 356 (36%) had dysphagia despite treatment. Demographics and clinical characteristics were similar in both populations. The severity of eosinophilic esophagitis was mild in more patients overall (69%) versus those with dysphagia despite treatment (48%). Patient disease history was similar in both populations, with some exceptions: common patient-reported symptoms were dysphagia (70% and 86%) and heartburn/acid reflux (55% and 49%), and common physician-reported symptoms were dysphagia (75% and 91%) and food impaction (46% and 52%). Treatment history was similar in both populations; overall, the most common treatments were proton pump inhibitors (83%) and topical corticosteroids (51%). Patients reported slightly more days with symptoms, higher impacts on activities of daily living, and slightly higher anxiety or depression in the dysphagia-despite-treatment population versus the overall population.

conclusionsEosinophilic esophagitis presents severe symptoms and comorbidities that substantially impact patients' well-being and quality of life. Greater awareness of and novel treatments for eosinophilic esophagitis are needed.

Indexed as

Cost of IllnessDeglutition DisordersEosinophilic EsophagitisPatient Reported Outcome MeasuresProton Pump InhibitorsAdolescentAdrenal Cortex HormonesAdultAgedFemaleGastroesophageal RefluxHeartburnHumansMaleMiddle AgedQuality of LifeAdrenal Cortex HormonesProton Pump InhibitorsDisease burdenEosinophilic esophagitisHealth-related quality of lifeInflammatory diseaseReal-world evidence

Identifiers

PMID39097693
PMCPMC11297626

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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.