aDepartment of General Internal Medicine, University of Washington

bDivision of Gastroenterology, University of Washington School of Medicine, Harborview Medical Center

cDepartment of Statistics, University of Washington, Settle, Washington, USA

Received 13 October 2023 Accepted 31 December 2023.

Correspondence to Lisa L. Strate, MD, MPH, Division of Gastroenterology, University of Washington School of Medicine Harborview Medical Center, 325 9th Avenue, Box 359773, Seattle, WA 98104, USA Tel: 206 744 7058; fax: 206-744-8698; e-mail: [email protected]