Evidence map›Paper›PMID 41695064›Full record

ArticleJPGN reports2026

Assessing attitudes, access, barriers, and facilitators to multidisciplinary care in pediatric inflammatory bowel disease.

Nicole Davidson, Jennie G David, Jennifer L Dotson, Brendan Boyle, Ross M Maltz, Hilary K Michel, ImproveCareNow Pediatric IBD Learning Health System

Abstract read
In one paragraph

Article in JPGN reports, 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

7 authors.

Nicole DavidsonNationwide Children's Hospital Columbus Ohio USA.ORCID https://orcid.org/0000-0003-3994-9259
Jennie G DavidNationwide Children's Hospital Columbus Ohio USA.
Jennifer L DotsonDepartment of Pediatrics, Section of Gastroenterology University of Arkansas for Medical Sciences and Arkansas Children's Hospital Little Rock Arkansas USA.
Brendan BoyleNationwide Children's Hospital Columbus Ohio USA.
Ross M MaltzNationwide Children's Hospital Columbus Ohio USA.
Hilary K MichelNationwide Children's Hospital Columbus Ohio USA.ORCID https://orcid.org/0000-0002-1742-936X
ImproveCareNow Pediatric IBD Learning Health System

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Multidisciplinary care is recommended for pediatric inflammatory bowel disease (IBD). This study aims to describe provider attitudes, barriers, and facilitators regarding multidisciplinary care in pediatric IBD, and explore associations between multidisciplinary care access and center-level factors. Methods: This is a cross-sectional survey of pediatric gastrointestinal (GI) providers at centers registered with the ImproveCareNow (ICN) Learning Health System in the United States. Participants completed the survey via REDCap. Respondents provided demographic information and answered questions regarding their center's access and approach to multidisciplinary IBD care. Data were analyzed using descriptive statistics, chi-squared, and Fisher's exact tests. Results: Sixty-nine providers across 55 ICN centers were included. All participants felt multidisciplinary care was beneficial and 80% felt patients/families desired this care. Participants endorsed barriers including lack of support from institutional leadership (39%), limited access to providers (39%), and inadequate numbers of providers (35%). The most common team members were nurses (94%), dietitians (92%), social workers (67%), and nurse practitioners/physician assistants (67%). Multidisciplinary teams commonly provided care via telehealth (94%), standardized educational materials (84%), multidisciplinary visits (69%), new diagnosis education (65%), and transition programs (61%). Access to nurse practitioners/physician assistants, quality improvement specialists, multidisciplinary visits, and support groups were associated with increasing center size ( Conclusion: Pediatric GI providers have positive attitudes regarding IBD multidisciplinary care and perceive this care as important and desired. Access and barriers are variable among US ICN centers. Future work should seek to further understand and address barriers and evaluate the benefits of multidisciplinary care in pediatric IBD.

Indexed as

Crohn's diseaseImproveCareNowpharmacistpsychologistulcerative colitis

Identifiers

PMID41695064
PMCPMC12894075

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.