Evidence map›Paper›PMID 39008134›Full record

ArticlePediatric surgery international2024

Predictors of medical adherence following a bowel management program for youth and young adults with Spina Bifida.

Tess Simpson, Samantha Scott, Jill Ketzer, Kristina Matkins, Lauren Schneider, Luis De La Torre, Andrea Bischoff, Vatche Melkonian, Laura Judd-Glossy

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Article in Pediatric surgery international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Tess SimpsonDepartment of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus, Aurora, CO, USA. tess.simpson@childrenscolorado.org.
Samantha ScottDepartment of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Jill KetzerInternational Center for Colorectal and Urogenital Care, Children's Hospital Colorado, Aurora, CO, USA.
Kristina MatkinsInternational Center for Colorectal and Urogenital Care, Children's Hospital Colorado, Aurora, CO, USA.
Lauren SchneiderInternational Center for Colorectal and Urogenital Care, Children's Hospital Colorado, Aurora, CO, USA.
Luis De La TorreInternational Center for Colorectal and Urogenital Care, Children's Hospital Colorado, Aurora, CO, USA.
Andrea BischoffInternational Center for Colorectal and Urogenital Care, Children's Hospital Colorado, Aurora, CO, USA.
Vatche MelkonianInternational Center for Colorectal and Urogenital Care, Children's Hospital Colorado, Aurora, CO, USA.
Laura Judd-GlossyDepartment of Psychiatry, Child and Adolescent Mental Health Division, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate individual and community sociodemographic factors that predict bowel regimen adherence in youth and young adults with Spina Bifida (SB) following participation in a bowel management program (BMP).

methodsParticipants were drawn from clinical cases seen through an International Center for Colorectal and Urogenital Care. Area deprivation index (ADI) scores were extracted from participant addresses and bowel regimen adherence data were collected from the electronic medical record (EMR).

resultsParticipants' mean age was 8.06 years old, 51.7% were male, 72.4% white, 37.9% Hispanic, 56.9% government insurance, 89.7% myelomeningocele, 15.5% non-adherent. Average neighborhood disadvantage was 5.19 (SD:2.83, range:1-10). After controlling for variables correlated with adherence (p < .20), every one decile higher neighborhood disadvantage score was associated with a 48% decrease in the odds of being adherent (OR = 0.52, p = .005, 95% CI: - 101.90, - 0.21).

conclusionOur results suggest that neighborhood disadvantage is a strong predictor of medical adherence following a BMP, more so than other sociodemographic and health-related variables. These results may assist with identifying which individuals may be at higher risk for poor health outcomes due to neighborhood socioeconomic disadvantage and help health care systems intervene proactively.

Indexed as

Spinal DysraphismAdolescentChildChild, PreschoolFemaleHumansMalePatient ComplianceRetrospective StudiesYoung AdultAdherenceArea deprivation index (ADI)Bowel management programFecal incontinenceNeighborhood disadvantageSpina Bifida

Identifiers

PMID39008134

What Socratic 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 Socratic graph.