Evidence map›Paper›PMID 42131282›Full record

ArticleGastroenterology research and practice2026

Trends and Disparities in

Mohamed H Eldesouki, Abdul-Rahman Abusalim, Mohammad Kloub, Muhammed Umer, Mohamed Ahmed Ali, Ahmed Yasser Shaban, Ahmed Salem, Anas Almoghrabi, Jihad Slim, Yatinder Bains and 1 more

Abstract read
In one paragraph

Article in Gastroenterology research and practice, 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. Trends and Disparities inGastroenterology research and practice · 2026
    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.

Mohamed H EldesoukiDepartment of Internal Medicine, New York Medical College at Saint Michael's Medical Center, Newark, New Jersey, USA.ORCID https://orcid.org/0009-0009-6662-5883
Abdul-Rahman AbusalimDepartment of Internal Medicine, Division of Hospital Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA, uwm.edu.
Mohammad KloubDepartment of Internal Medicine, New York Medical College at Saint Michael's Medical Center, Newark, New Jersey, USA.ORCID https://orcid.org/0000-0001-7115-7353
Muhammed UmerDepartment of Internal Medicine, New York Medical College at Saint Michael's Medical Center, Newark, New Jersey, USA.
Mohamed Ahmed AliQena Faculty of Medicine, Qena University, Qena, Egypt.ORCID https://orcid.org/0000-0001-8142-8073
Ahmed Yasser ShabanDepartment of Internal Medicine, Faculty of Medicine, Kafrelsheikh University, Kafrelsheikh, Egypt, kfs.edu.eg.ORCID https://orcid.org/0009-0003-2695-5665
Ahmed SalemDepartment of Internal Medicine, Maimonides Medical Center, Brooklyn, New York, USA, maimonidesmed.org.
Anas AlmoghrabiDepartment of Internal Medicine, John H. Stroger Jr. Hospital of Cook County, Chicago, Illinois, USA, cookcountyhhs.org.
Jihad SlimDivision of Infectious disease, New York Medical College at Saint Michael's Medical Center, Newark, New Jersey, USA.
Yatinder BainsDivision of Gastroenterology and Hepatology, New York Medical College at Saint Michael's Medical Center, Newark, New Jersey, USA.
Theodore DacostaDivision of Gastroenterology and Hepatology, New York Medical College at Saint Michael's Medical Center, Newark, New Jersey, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Methods: We used CDC WONDER (Wide-ranging Online Data for Epidemiologic Research) to analyze CDI-related deaths among adults aged ≥ 35 years. Age-adjusted mortality rates (AAMRs) per 100,000 individuals, along with annual percent change (APC) and average annual percent change (AAPC), were calculated and stratified by year, sex, race, and region. Statistical significance was assessed using Joinpoint regression analysis. Results: During the study period, 191,653 CDI-related deaths were reported. The AAMR for CDI-related mortality increased from 1.1 in 1999 to 7.3 in 2011 (AAPC: 33.60). However, from 2011 to 2020, there was a notable decline in CDI mortality (AAPC: -10.48; 95% CI: -13.31 to -7.52). Mortality increased significantly with age, and females had a higher total number of deaths, while males maintained a higher AAMR throughout the study period. Among different racial groups, non-Hispanic White individuals recorded the highest AAMR (6.1) in 2011, while Asian individuals had the lowest AAMR (2.3). Geographically, the Northeastern census region reported the highest AAMR (4.8) in 2008, while the Southern census region had the lowest AAMR (3.1). The majority of CDI-related deaths (78%) occurred in hospitals, with nursing homes accounting for 17.7% of fatalities. Conclusions: The sharp decline in CDI mortality starting in 2010 aligns with the implementation of strict guidelines and collaborative efforts between professional societies (IDSA/SHEA), the ACG, and government agencies (CDC). This underscores the success of coordinated public health initiatives in reducing healthcare-associated infections and improving patient outcomes. However, disparities in mortality rates persist across different age, sex, ethnic, and geographic groups, emphasizing the need to further study disease trends and explore strategies to address these disparities in high-risk populations.

Indexed as

CDC WONDERClostridioides difficile infectiondisparitiesMortalitynationwide perspective

Identifiers

PMID42131282
PMCPMC13162000

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.