Evidence map›Paper›PMID 20465593›Full record

Trial reportNeurogastroenterology and motility2010

Wireless pH-motility capsule for colonic transit: prospective comparison with radiopaque markers in chronic constipation.

M Camilleri, N K Thorne, Y Ringel, W L Hasler, B Kuo, T Esfandyari, A Gupta, S M Scott, R W McCallum, H P Parkman and 4 more

Open access · greenAbstract readClinical TrialComparative StudyMulticenter Study
In one paragraph

Trial report in Neurogastroenterology and motility, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 1 pooled it
11.0field-weighted citation impact, top 1% of its field
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

65 citing papers in PubMed, 1 synthesis or guideline pooled it, 208 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Colonic transit study in patients with chronic constipation using Japanese-made radiopaque markers.Journal of smooth muscle research = Nihon Heikatsukin Gakkai kikanshi · 2026
    Article
  11. Article
  12. Review
  13. Review
  14. Potential Value of Biomarker-Based Approaches for Evaluation and Management of Costly Functional Gastrointestinal Diseases.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2023
    Review
  15. Article
  16. Article
  17. Review
  18. Diagnostic Strategy and Tools for Identifying Defecatory Disorders.Gastroenterology clinics of North America · 2022
    Review
  19. Article
  20. Review

5 more citing papers are in PubMed but not listed here.

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

14 authors at 13 institutions in 2 countries.

M CamilleriCollege of Medicine, Mayo Clinic, Rochester, MN, USA. camilleri.michael@mayo.edu
N K Thorne
Y Ringel
W L Hasler
B Kuo
T Esfandyari
A Gupta
S M Scott
R W McCallum
H P Parkman
E Soffer
G E Wilding
J R Semler
S S C Rao
Buffalo State University · USCedars-Sinai Medical Center · USHarvard University Press · USMayo Clinic · USQueen Mary University of London · GBTemple University · USTexas Tech University · USUniversity at Buffalo, State University of New York · USUniversity Medical Center · USUniversity of Iowa · USUniversity of Kansas · USUniversity of Michigan–Ann Arbor · USUniversity of North Carolina at Chapel Hill · US

Funding

ALPHA 2 ADRENERGIC CONTROL OF COLONIC FUNCTION IN IBSR01DK054681 · NIDDK · MAYO CLINIC ROCHESTER · PI CAMILLERI, MICHAEL L · 1999 to 2007
$1.5M
NIDDK NIH HHS R01 DK054681NIDDK NIH HHS R01-DK-54681
6 · The paper itself

Abstract

backgroundColon transit (CT) measurements are used in the management of significant constipation. The radiopaque marker (ROM) method provides limited information.

methodsWe proposed to validate wireless motility capsule (WMC), that measures pH, pressure and temperature, to ROM measurement of CT in patients with symptomatic constipation evaluated at multiple centers. Of 208 patients recruited, 158 eligible patients underwent simultaneous measurement of colonic transit time (CTT) using ROM (Metcalf method, cut off for delay >67 h), and WMC (cutoff for delay >59 h). The study was designed to demonstrate substantial equivalence, defined as diagnostic agreement >65% for patients who had normal or delayed ROM transit. KEY

resultsFifty-nine of 157 patients had delayed ROM CT. Transit results by the two methods differed: ROM median 55.0 h [IQR 31.0-85.0] and WMC (43.5 h [21.7-70.3], P < 0.001. The positive percent agreement between WMC and ROM for delayed transit was approximately 80%; positive agreement in 47 by WMC/59 by ROM or 0.796 (95% CI = 0.67-0.98); agreement vs null hypothesis (65%) P = 0.01. The negative percent agreement (normal transit) was approximately 91%: 89 by WMC/98 by ROM or 0.908 (95% CI = 0.83-0.96); agreement vs null hypothesis (65%), P = 0.00001. Overall device agreement was 87%. There were significant correlations (P < 0.001) between ROM and WMC transit (CTT [r = 0.707] and between ROM and combined small and large bowel transit [r = 0.704]). There were no significant adverse events. CONCLUSIONS & INFERENCES: The 87% overall agreement (positive and negative) validates WMC relative to ROM in differentiating slow vs normal CT in a multicenter clinical study of constipation.

Indexed as

CapsulesConstipationAdultCapsule EndoscopyChronic DiseaseColonContrast MediaFemaleGastrointestinal TransitHumansHydrogen-Ion ConcentrationMaleMiddle AgedReproducibility of ResultsCapsulesContrast Media

Identifiers

PMID20465593
PMCPMC2911492
OpenAlexW2104056805

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.