Evidence map›Paper›PMID 20358032›Full record

ReviewDeutsches Arzteblatt international2010

The differential diagnosis and surveillance of hereditary gastrointestinal polyposis syndromes.

Stefan Aretz

Abstract readReview
In one paragraph

Review in Deutsches Arzteblatt international, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–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

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Review
  3. Article
  4. Polyposis found on index colonoscopy in a 56-year-old female -World journal of gastrointestinal endoscopy · 2023
    Article
  5. [Surgical strategies for hereditary colorectal cancer].Chirurgie (Heidelberg, Germany) · 2023
    Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Identification a nonsense mutation ofExperimental and therapeutic medicine · 2017
    Article
  12. Article
  13. [Surgical aspects of indications and techniques for adenomatous polyposis variants].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2016
    Review
  14. Review
  15. Article
  16. Article
  17. Review
  18. Colorectal polyps and polyposis syndromes.Gastroenterology report · 2014
    Article
  19. Article
  20. 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

1 author.

Stefan AretzInstitut für Humangenetik, Biomedizinisches Zentrum (BMZ), Universitätsklinikum Bonn, Siegmund-Freud-Strasse 25, Bonn, Germany. Stefan.Aretz@uni-bonn.de

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHereditary gastrointestinal polyposis syndromes account for about 1% of all cases of colorectal cancer and are associated with a broad spectrum of extracolonic tumors. The early detection and accurate classification of these syndromes are essential, since effective methods for surveillance and treatment are available.

methodsThis review article is based on a selective literature search, the author's own work, and evidence-based guidelines and recommendations. RESULTS AND

conclusionsThe diagnosis is initially suspected on the basis of the endoscopic findings and polyp histology. Because different syndromes can resemble each other phenotypically, e.g., autosomal dominant familial adenomatous polyposis and autosomal recessive MUTYH-associated polyposis, molecular genetic studies are important for differential diagnosis and for assessing the risk of recurrence. Identification of the familial mutation in an affected patient is a prerequisite for predictive testing in asymptomatic persons at risk and sometimes enables prognostication. In recent years, the rate of detection of mutations has risen by 10% to 30%, and clinically relevant genotype-phenotype correlations have been described for juvenile polyposis syndrome. Except in cases of mild adenomatous polyposis, phenotypic overlap among the hamartomatous polyposes often causes difficulties in differential diagnosis. Thus, in unclear cases, a pathologist with special expertise in gastrointestinal disorders should be consulted for the evaluation of polyp tissue. Aside from the monogenic polyposes, there are many other types of polyposis that are non-hereditary or of unknown cause, including the hyperplastic and mixed polyposis syndromes. Risk-adapted surveillance programs have been established for the more frequently occurring polyposes.

Indexed as

Adenomatous Polyposis ColiChromosome AberrationsDiagnosis, DifferentialDNA Mutational AnalysisEarly DiagnosisEndoscopy, GastrointestinalEvidence-Based MedicineGenes, DominantGenes, RecessiveGenetic Carrier ScreeningGenetic TestingGenotypeHumansIntestinal MucosaMass ScreeningPhenotype

Identifiers

PMID20358032
PMCPMC2847323

What OpenQuestion 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 OpenQuestion graph.