Evidence map›Paper›PMID 40520923›Full record

ArticleGastro hep advances2025

Adverse Childhood Experiences Are Associated With an Increased Risk of Dyspepsia in Patients Undergoing Upper Endoscopy.

Rachel Zuzul, Allison O Taylor, Caroline Labriola, Frances Wang, Grace Sekaya, Tomi Akinyemiju, Meira Epplein, Katherine S Garman

Abstract read
In one paragraph

Article in Gastro hep advances, 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

8 authors.

Rachel ZuzulDepartment of Medicine, Duke University Hospital, Durham, North Carolina.
Allison O TaylorDepartment of Medicine, Duke University Hospital, Durham, North Carolina.
Caroline LabriolaSchool of Medicine, Duke University, Durham, North Carolina.
Frances WangDepartment of Biostatistics & Bioinformatics, Duke University, Durham, North Carolina.
Grace SekayaFrederick P. Whiddon College of Medicine, University of South Alabama, Mobile, Alabama.
Tomi AkinyemijuCancer Risk, Detection, and Interception Program, Duke Cancer Institute, Durham, North Carolina.
Meira EppleinCancer Risk, Detection, and Interception Program, Duke Cancer Institute, Durham, North Carolina.
Katherine S GarmanCancer Risk, Detection, and Interception Program, Duke Cancer Institute, Durham, North Carolina.

Funding

IMAGINE: Intestinal Metaplasia And Gastritis INtErception StudyR01DK135169 · NIDDK · DUKE UNIVERSITY · PI Katherine Garman · 2024 to 2026
$2.0M
NIDDK NIH HHS R01 DK135169
6 · The paper itself

Abstract

Background and Aims: Stress is a risk factor for dyspepsia; however, neither the type nor timing of stress exposures across the lifespan in this syndrome are well understood. We aimed to understand the association between both adverse childhood experiences (ACEs) and experience of current life stress with dyspepsia by collecting and analyzing survey data from a racially diverse cohort of adult research patients presenting for upper endoscopy (esophagogastroduodenoscopy). Methods: The Gastric Immune Response and Cancer Interception study is a cohort study that enrolled adults scheduled for esophagogastroduodenoscopy at an academic center and administered a detailed survey, including questions on ACEs, current adult stress, and dyspepsia symptoms. Endoscopy and pathology results were abstracted from the medical record. Multivariable logistic regression was performed to determine the association between stress exposures and dyspepsia outcomes. Results: Among 187 participants who completed dyspepsia questions, exposure to 2 or more ACEs compared to none was associated with over a two-and-a-half-fold increase in the odds of self-reported dyspepsia (age-adjusted odds ratio = 2.56; 95% confidence interval: 1.24-5.25), with the strongest association with ACE measures of childhood abuse. ACEs were also associated with epigastric pain syndrome ( Conclusion: In patients undergoing endoscopy, exposure to multiple ACEs were associated with dyspepsia. These findings suggest that assessing ACEs in patients with dyspepsia could help provide additional insights into factors associated with dyspepsia symptoms beyond

Indexed as

Adverse Childhood ExperiencesDyspepsiaH. pyloriStress Exposures

Identifiers

PMID40520923
PMCPMC12163388

What OpenQuestion holds

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Registered trials

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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.