Evidence map›Paper›PMID 39738634›Full record

Observational studyPediatric surgery international2024

Impact of socioeconomic and geographical factors on clinical care of biliary atresia patients: a cross-sectional study.

Palak Singhai, Shailesh Solanki, Ravi P Kanojia, Nitin James Peters, Chimmani Sai Kiran, Pramod Kumar Gupta, Sadhna B Lal, Jai Kumar Mahajan

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Pediatric surgery international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Palak SinghaiDepartment of Pediatric Surgery, Advanced Pediatric Centre, PGIMER, Block 5D, Room No 5422, 5th Floor, Sector 12, Chandigarh, 160012, India.ORCID http://orcid.org/0000-0002-7976-1499
Shailesh SolankiDepartment of Pediatric Surgery, Advanced Pediatric Centre, PGIMER, Block 5D, Room No 5422, 5th Floor, Sector 12, Chandigarh, 160012, India. drshaileshpgi@gmail.com.ORCID http://orcid.org/0000-0002-0010-6193
Ravi P KanojiaDepartment of Pediatric Surgery, Advanced Pediatric Centre, PGIMER, Block 5D, Room No 5422, 5th Floor, Sector 12, Chandigarh, 160012, India.ORCID http://orcid.org/0000-0002-7521-9256
Nitin James PetersDepartment of Pediatric Surgery, Advanced Pediatric Centre, PGIMER, Block 5D, Room No 5422, 5th Floor, Sector 12, Chandigarh, 160012, India.ORCID http://orcid.org/0000-0002-4537-3383
Chimmani Sai KiranDepartment of Pediatric Surgery, Advanced Pediatric Centre, PGIMER, Block 5D, Room No 5422, 5th Floor, Sector 12, Chandigarh, 160012, India.ORCID http://orcid.org/0009-0000-4872-3804
Pramod Kumar GuptaDepartment of Biostatistics, PGIMER, Chandigarh, India.
Sadhna B LalDepartment of Gastroenterology, Pediatric Division, PGIMER, Chandigarh, India.
Jai Kumar MahajanDepartment of Pediatric Surgery, Advanced Pediatric Centre, PGIMER, Block 5D, Room No 5422, 5th Floor, Sector 12, Chandigarh, 160012, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeBiliary atresia (BA) is a critical pediatric condition requiring timely intervention through Kasai portoenterostomy (KPE), and up to two-thirds of patients need liver transplantation (LT). The outcomes for BA patients still need improvement in low- and middle-income countries. This study aims to assess the socioeconomic and geographical profile of BA patients in India, focusing on their compliance with follow-up care, treatment-seeking behaviour, and acceptability of LT in addition, it provides recommendations to overcome identified challenges.

methodsA retrospective observational study was conducted in a tertiary care centre in India, including 48 patients who underwent KPE between 2018 and 2022. SES was assessed using the modified Kuppuswamy scale, and geographical areas were classified as per the criteria of the Indian Census 2011. Compliance with follow-up, treatment-seeking behaviour, and LT acceptability were evaluated.

resultsThe majority of patients belonged to rural areas and lower middle SES. Compliance with follow-up decreased over time, with financial and geographical barriers being significant challenges. Only one patient underwent LT due to prohibitive costs and limited accessibility.

conclusionSocioeconomic and geographical factors significantly impact the clinical outcomes of BA patients in India. Improving education, healthcare infrastructure, and financial support is crucial for enhancing patient compliance and access to necessary treatments.

Indexed as

Biliary AtresiaSocioeconomic FactorsChild, PreschoolCross-Sectional StudiesFemaleHealth Services AccessibilityHumansIndiaInfantLiver TransplantationMalePatient Acceptance of Health CarePortoenterostomy, HepaticRetrospective StudiesBiliary atresiaGeographical factorsKasai portoenterostomyKuppuswamy scaleSocial barrierSocioeconomic status

Identifiers

PMID39738634

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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.