TY - JOUR
T1 - Barriers to Timely Diagnosis of Eosinophilic Gastrointestinal Diseases
AU - Chehade, Mirna
AU - McGowan, Emily C.
AU - Wright, Benjamin L.
AU - Muir, Amanda B.
AU - Klion, Amy D.
AU - Furuta, Glenn T.
AU - Jensen, Elizabeth T.
AU - Bailey, Dominique D.
N1 - Publisher Copyright:
© 2023 American Academy of Allergy, Asthma & Immunology
PY - 2024/2
Y1 - 2024/2
N2 - Although eosinophilic gastrointestinal diseases, including eosinophilic esophagitis, have been described over the past 2 to 3 decades, barriers to diagnosis and treatment are common and compounded by issues related to social determinants of health, race, ethnicity, and access to care. These barriers contribute to delays in diagnosis, resulting in persistent inflammation in the gastrointestinal tract, which can have significant consequences, including fibrostenotic complications in adults, failure to thrive in children, and decreased quality of life in all affected patients. In this commentary, we summarize gaps in knowledge regarding the epidemiology of eosinophilic gastrointestinal diseases, highlight barriers to diagnosis, discuss potential approaches based on best practices in other atopic and chronic gastrointestinal diseases, and provide recommendations for reducing barriers to timely diagnosis of eosinophilic gastrointestinal diseases in underserved populations.
AB - Although eosinophilic gastrointestinal diseases, including eosinophilic esophagitis, have been described over the past 2 to 3 decades, barriers to diagnosis and treatment are common and compounded by issues related to social determinants of health, race, ethnicity, and access to care. These barriers contribute to delays in diagnosis, resulting in persistent inflammation in the gastrointestinal tract, which can have significant consequences, including fibrostenotic complications in adults, failure to thrive in children, and decreased quality of life in all affected patients. In this commentary, we summarize gaps in knowledge regarding the epidemiology of eosinophilic gastrointestinal diseases, highlight barriers to diagnosis, discuss potential approaches based on best practices in other atopic and chronic gastrointestinal diseases, and provide recommendations for reducing barriers to timely diagnosis of eosinophilic gastrointestinal diseases in underserved populations.
KW - Eosinophilic colitis
KW - Eosinophilic esophagitis
KW - Eosinophilic gastritis
KW - Eosinophilic gastroenteritis
KW - Eosinophilic gastrointestinal disease
KW - Race
KW - Sex
KW - Socioeconomic status
UR - http://www.scopus.com/inward/record.url?scp=85181078981&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85181078981&partnerID=8YFLogxK
U2 - 10.1016/j.jaip.2023.12.020
DO - 10.1016/j.jaip.2023.12.020
M3 - Article
C2 - 38110118
AN - SCOPUS:85181078981
SN - 2213-2198
VL - 12
SP - 302
EP - 308
JO - Journal of Allergy and Clinical Immunology: In Practice
JF - Journal of Allergy and Clinical Immunology: In Practice
IS - 2
ER -