Evidence map›Paper›PMID 40991676›Full record

ArticleEuropean journal of gastroenterology & hepatology2026

Disease burden, diagnosis pathways and treatment patterns in patients with eosinophilic esophagitis: a real-world study.

Christopher Ma, Ulrike von Arm, Frank Zerbib, Tiffany Pela, Amr Radwan, Juby A Jacob-Nara, Rohan C Parikh, Kinga Borsos, Fareedat Bello, Ryan B Thomas and 1 more

Abstract readMulticenter Study
In one paragraph

Article in European journal of gastroenterology & hepatology, 2026. 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

11 authors.

Christopher MaDivision of Gastroenterology and Hepatology, Departments of Medicine and Community Health Sciences, University of Calgary, Calgary, AB, Canada.
Ulrike von ArmDepartment of Gastroenterology, Hepatology and Infectious Diseases, University Hospital, Magdeburg, Germany.
Frank ZerbibDepartment of Gastroenterology, CHU de Bordeaux, Centre Médico-Chirurgical Magellan, Hôpital Haut-Levêque, Université de Bordeaux, Bordeaux, France.
Tiffany PelaSanofi, Bridgewater, New Jersey.
Amr RadwanRegeneron Pharmaceuticals, Inc., Tarrytown, New York.
Juby A Jacob-NaraSanofi, Bridgewater, New Jersey.
Rohan C ParikhRTI Health Solutions, Research Triangle Park, North Carolina.
Kinga BorsosSanofi, Cambridge, Massachusetts, USA.
Fareedat BelloRTI Health Solutions, Research Triangle Park, North Carolina.
Ryan B ThomasRegeneron Pharmaceuticals, Inc., Tarrytown, New York.
Sarette T TiltonSanofi, Cambridge, Massachusetts, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite a rising prevalence of eosinophilic esophagitis (EoE), real-world data on current management challenges remain limited.

objectiveTo evaluate demographic and clinical characteristics, treatment patterns, and health outcomes in patients with EoE.

methodsPhysicians from Canada, France, Germany, Spain, and the UK retrospectively reviewed records of patients (aged ≥12 years) who were newly diagnosed with EoE between January 2009 and December 2019. EoE diagnosis was confirmed by esophageal biopsy demonstrating a peak eosinophil count ≥15 eosinophils/high-power field (eos/hpf) within 90 days before or after the documented diagnosis (index). Included patients had ≥1 follow-up endoscopy with biopsy and known eosinophil count within 24 months. Data on demographics, clinical characteristics, treatment, and health outcomes were collected 12-month preindex to the last record entry/death.

resultsOverall, 415 patients [mean age (SD): 31.8 (14.6) years] were included. The mean (SD) diagnostic delay from symptom onset was 3.4 (4.8) years [median (range): 1.7 (0.7-4.0)]. The average eosinophil count was 41.4 eos/hpf; 80.2% of patients had endoscopic abnormalities of the esophagus at diagnosis. Post-EoE diagnosis, 77.1% of patients received proton-pump inhibitors, 68.2% swallowed topical corticosteroids, 48.4% made dietary modifications, and 18.8% had esophageal dilation. At diagnosis, 74.5% of patients had dysphagia and 46.0% had heartburn. After diagnosis, 63.5%, 62.2%, and 57.6% did not achieve histologic remission (<15 eos/hpf) at the first, second, and third endoscopy, respectively.

conclusionPatients with EoE experience a substantial disease burden, with a significant delay in diagnosis. Achieving optimal disease control remains an unmet need with conventional nonbiologic therapies.

Indexed as

Cost of IllnessEosinophilic EsophagitisAdolescentAdultBiopsyDeglutition DisordersDelayed DiagnosisEsophagoscopyFemaleHumansLeukocyte CountMaleMiddle AgedProton Pump InhibitorsRetrospective StudiesTreatment OutcomeProton Pump Inhibitorsburden of illnessCanadachart revieweosinophilic esophagitisEuropean countries

Identifiers

PMID40991676
PMCPMC12736400

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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.