ArticleDigestive diseases and sciences2026
Burden and Predictors of Repeat Diagnostic Upper Endoscopy for Abdominal Pain, Heartburn, and Dysphagia in General Gastroenterology.
Article in Digestive diseases and sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEndoscopy access is limited nationwide.
aimsWe aimed to characterize the burden of repeated upper endoscopies for indications of abdominal pain, heartburn, and dysphagia.
methodsWe reviewed all patients undergoing diagnostic endoscopy in a large health system between 2000 and 2023 who did not have medical conditions requiring repeat endoscopy. A Cox model was developed to predict the hazard of repeating a diagnostic endoscopy within three years as a primary outcome, represented using hazard ratios (HR) with 95% confidence intervals (CI).
resultsOver a 23 year period, three-fifths of all diagnostic upper endoscopies performed were for abdominal pain (n = 5176), heartburn (n = 1535), or dysphagia (n = 3266). 90% of these procedures were ordered by gastroenterologists. The endoscopy was repeated within three years in 4.4% of patients with abdominal pain, 4.3% of patients with heartburn, and 5.6% of patients with dysphagia, usually for the same indication as the original procedure and without any intervention performed. In a multivariable model, the risk of repeating an endoscopy was either not influenced or only weakly influenced by age, sex, and mortality risk (measured using the Charlson Comorbidity Index). Findings were similar regardless of the dominant gastrointestinal symptom complaint. Gastroenterologists were no less likely to order a repeat endoscopy than primary care. Most repeat endoscopies occurred within one year of the index endoscopy.
conclusionAn average gastroenterologist performs a repeat diagnostic upper endoscopy almost every day.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.