Evidence map›Paper›PMID 40339064›Full record

ArticleInflammatory bowel diseases2025

Disparities in Access and Treatment for Rural Patients With Inflammatory Bowel Disease: A Survey of Inflammatory Bowel Disease Patients and Providers.

Timothy McAuliffe, Jessica K Salwen-Deremer, Corey A Siegel

Abstract read
In one paragraph

Article in Inflammatory bowel diseases, 2025. 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. 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

3 authors.

Timothy McAuliffeGeisel School of Medicine at Dartmouth College, Hanover, NH, USA.ORCID 0000-0001-7224-0618
Jessica K Salwen-DeremerGeisel School of Medicine at Dartmouth College, Hanover, NH, USA.
Corey A SiegelGeisel School of Medicine at Dartmouth College, Hanover, NH, USA.ORCID 0000-0002-2240-6605

Funding

A Fully Remote Pilot Randomized Controlled Trial to Investigate the Impact of Insomnia Treatment on Crohn’s diseaseK23DK134814 · NIDDK · DARTMOUTH-HITCHCOCK CLINIC · PI Jessica K Salwen-Deremer · 2023 to 2026
$753k
CCFNIDDK NIH HHS K23 DK134814NIDDK NIH HHS K23DK134814Student Research Fellowship
6 · The paper itself

Abstract

backgroundWith the increasing complexity of inflammatory bowel disease (IBD) care, the integration of IBD specialist gastroenterologists and multidisciplinary teams (MDTs) is becoming more important. However, access to these services is not widely available. This study sought to evaluate the needs of rural and urban IBD patients and providers in the setting of complex IBD care.

methodsQuestionnaires were administered to IBD patients, advanced practice providers (APPs), and gastroenterologists throughout the United States from September through November 2023 on topics including access to care, IBD specialists, and MDTs. Statistical analyses included t-tests, chi-square tests, analysis of variance tests, and regression.

resultsThe analysis included 100 rural and 100 urban patients, 20 rural and 50 urban APPs, and 35 rural and 50 urban gastroenterologists. Rural patients were more likely to be receiving no therapy for IBD and less likely to receive advanced therapies (P = .001, P < .001, respectively). Rural patients reported less use of IBD multidisciplinary care and providers identified reduced access to multidisciplinary providers for rural patients. All patients had high interest in maintaining relationships with their current IBD provider while receiving care through a consulting MDT. Providers expressed strong interest in MDTs, with rural gastroenterologists reporting greater interest than urban gastroenterologists (P = .004).

conclusionsThese results demonstrate disparities between rural and urban patients' treatments and access to specialty IBD care. Rural patients and providers are supportive of collaborating with IBD specialists and MDTs. These results can help guide the implementation of innovative IBD care models in the setting of an increasingly complex IBD landscape.

Indexed as

Healthcare DisparitiesHealth Services AccessibilityInflammatory Bowel DiseasesRural PopulationAdultFemaleGastroenterologistsHumansMaleMiddle AgedPatient Care TeamSurveys and QuestionnairesUnited StatesUrban Populationhealth disparitieshealth equityinflammatory bowel diseasemultidisciplinary carerural medicine

Identifiers

PMID40339064
PMCPMC12620645

What OpenQuestion holds

Textmetadata
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.