Evidence map›Paper›PMID 39920892›Full record

ArticleGastroenterology2025

Burden and Cost of Gastrointestinal, Liver, and Pancreatic Diseases in the United States: Update 2024.

Anne F Peery, Caitlin C Murphy, Chelsea Anderson, Elizabeth T Jensen, Sasha Deutsch-Link, Matthew D Egberg, Jennifer L Lund, Disha Subramaniam, Evan S Dellon, Ami D Sperber and 6 more

Abstract read
In one paragraph

Article in Gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 1 pooled it
–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

62 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. Natural Language Processing Algorithm Accurately Classifies Diverticulitis-Related Complications and Predicts Long-Term Outcomes.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2026
    Article
  6. Article
  7. Irritable bowel syndrome.Nature reviews. Disease primers · 2026
    Review
  8. Review
  9. Genetic and pharmacologic modulations elucidate NRF2 protective role in acute pancreatitis.American journal of physiology. Gastrointestinal and liver physiology · 2026
    Article
  10. Article
  11. Optimizing Evaluation of Gastroesophageal Reflux With Atypical Symptoms: Cost-Effectiveness and Cost-Minimalization Analysis.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2026
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article

2 more citing papers are in PubMed but not listed here.

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

16 authors.

Anne F PeeryUniversity of North Carolina School of Medicine, Chapel Hill, North Carolina. Electronic address: Anne_Peery@med.unc.edu.
Caitlin C MurphyUniversity of Texas Health Science Center at Houston, Houston, Texas.
Chelsea AndersonUniversity of North Carolina School of Medicine, Chapel Hill, North Carolina.
Elizabeth T JensenWake Forest School of Medicine, Winston-Salem, North Carolina.
Sasha Deutsch-LinkUniversity of North Carolina School of Medicine, Chapel Hill, North Carolina.
Matthew D EgbergUniversity of North Carolina School of Medicine, Chapel Hill, North Carolina.
Jennifer L LundDepartment of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Disha SubramaniamDepartment of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Evan S DellonUniversity of North Carolina School of Medicine, Chapel Hill, North Carolina.
Ami D SperberFaculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Olafur S PalssonUniversity of North Carolina School of Medicine, Chapel Hill, North Carolina.
Virginia PateDepartment of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Todd H BaronUniversity of North Carolina School of Medicine, Chapel Hill, North Carolina.
Andrew M MoonUniversity of North Carolina School of Medicine, Chapel Hill, North Carolina.
Nicholas J ShaheenUniversity of North Carolina School of Medicine, Chapel Hill, North Carolina.
Robert S SandlerUniversity of North Carolina School of Medicine, Chapel Hill, North Carolina.

Funding

PILOT AND FEASIBILITY STUDIESP30DK034987 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROBERT S. SANDLER · 1985 to 2026
$30.5M
DIGESTIVE DISEASES EPIDEMIOLOGY TRAINING PROGRAMT32DK007634 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROBERT S. SANDLER · 1990 to 2026
$7.4M
CTSA K12 Program at UNCK12TR004416 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Michelle Hernandez, Jonathan J Juliano · 2023 to 2026
$6.5M
Risk Factors for Microscopic ColitisR01DK105114 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SANDLER, ROBERT S. · 2016 to 2025
$4.8M
A prospective cohort study to determine the role of obesity in diverticulitisR01DK132050 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI anne peery · 2022 to 2026
$2.8M
NCATS NIH HHS K12 TR004416NIDDK NIH HHS P30 DK034987NIDDK NIH HHS R01 DK105114NIDDK NIH HHS R01 DK132050NIDDK NIH HHS T32 DK007634
6 · The paper itself

Abstract

BACKGROUND &

aimsA contemporary report describing the burden and expenditures of gastrointestinal (GI) diseases can be helpful for policy makers, administrators, and researchers. Using the most recent data, we estimated the burden and costs associated with GI diseases in the United States.

methodsWe generated estimates using data from the Rome Foundation Global Epidemiology Study 2017-2018 (symptoms), National Ambulatory Medical Care Survey 2019 and National Hospital Ambulatory Medical Care Survey 2019 (ambulatory visits), Nationwide Emergency Department Sample 2021 (emergency department visits), National Inpatient Sample 2021 (admissions), Kids' Inpatient Database 2019 (admissions), National Program of Cancer Registries 2001-2021 (cancer incidence), National Center for Health Statistics 2001-2021 (cancer mortality), Centers for Disease Control Wide-ranging Online Data for Epidemiologic Research 2021 (non-cancer mortality), MarketScan Commercial Claims and Encounters data 2002-2021 (endoscopy), MarketScan Medicare Supplemental data 2002-2021 (endoscopy), United Network for Organ Sharing Registry 2023 (transplant), Medical Expenditure Panel Survey 2021 (expenditures), and National Institutes of Health (NIH) 2012-2025 (research).

resultsIn 2021, GI health care expenditures totaled $111.8 billion. A GI diagnosis or symptom led to 14.5 million emergency department visits and 2.9 million hospital admissions. There were 315,065 new GI cancers diagnosed. GI diseases caused 281,413 deaths. In 2022, an estimated 23.5 million GI endoscopies were performed. In 2023, the NIH supported $3.6 billion for GI research, which represents 7.4% of the NIH budget.

conclusionGI diseases are responsible for a considerable and growing burden of health care use and costs. Funding innovative GI science and supporting the practice of GI medicine are critical to meeting the burden of GI illness.

Indexed as

Cost of IllnessGastrointestinal DiseasesHealth Care CostsHealth ExpendituresLiver DiseasesPancreatic DiseasesAdolescentAdultAgedChildChild, PreschoolEmergency Service, HospitalFemaleHospitalizationHumansInfantDigestive System DiseasesEndoscopyHealth Care CostsNeoplasms

Identifiers

PMID39920892
PMCPMC12018144

What OpenQuestion holds

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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.