Evidence map›Paper›PMID 20886398›Full record

Trial reportEndoscopy2010

Quality of life following radiofrequency ablation of dysplastic Barrett's esophagus.

N J Shaheen, A F Peery, R H Hawes, R I Rothstein, S J Spechler, J A Galanko, M Campbell, C Carr, B Fowler, J Walsh and 4 more

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Endoscopy, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 8% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

  1. How are we measuring health-related quality of life in patients with a Barrett Esophagus? A systematic review on patient-reported outcome measurements.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
    Pooled it
  2. Article
  3. Review
  4. Article
  5. The impact of endoscopic treatment on health-related quality of life in patients with Barrett's neoplasia: a scoping review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Dysplasia severity is associated with poor quality of life in patients with Barrett's esophagus referred for endoscopic eradication therapy.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2019
    Article
  12. Review
  13. Review
  14. Low grade dysplasia in Barrett's esophagus: Should we worry?World journal of gastrointestinal pathophysiology · 2014
    Review
  15. Review
  16. Diagnosis and management of Barrett's metaplasia: What's new.World journal of gastrointestinal endoscopy · 2012
    Article
  17. Ablative therapies for Barrett's esophagus.Current gastroenterology reports · 2011
    Review
  18. Cost-effectiveness analysis of colorectal cancer screening in a low incidence country: The case of Saudi Arabia.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 1 country.

N J ShaheenUniversity of North Carolina School of Medicine and School of Public Health, Chapel Hill, NC 27599, USA. nshaheen@med.unc.edu
A F Peery
R H Hawes
R I Rothstein
S J Spechler
J A Galanko
M Campbell
C Carr
B Fowler
J Walsh
A A Siddiqui
A Infantolino
H C Wolfsen
AIM Dysplasia Trial Investigators
University of North Carolina at Chapel Hill · USThe University of Texas Southwestern Medical Center · USDartmouth–Hitchcock Medical Center · USMayo Clinic in Florida · USMedical University of South Carolina · USThomas Jefferson University · US

Funding

DIGESTIVE DISEASES EPIDEMIOLOGY TRAINING PROGRAMT32DK007634 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROBERT S. SANDLER · 1990 to 2026
$7.4M
NIDDK NIH HHS T32 DK007634
6 · The paper itself

Abstract

BACKGROUND AND STUDY

aimsThe impact of the diagnosis and treatment of dysplastic Barrett's esophagus on quality of life (QoL) is poorly understood. This study assessed the influence of dysplastic Barrett's esophagus on QoL and evaluated whether endoscopic treatment of dysplastic Barrett's esophagus with radiofrequency ablation (RFA) improves QoL. PATIENTS AND

methodsWe analyzed changes in QoL in the AIM Dysplasia Trial, a multicenter study of patients with dysplastic Barrett's esophagus who were randomly allocated to RFA therapy or a sham intervention. We developed a 10-item questionnaire to assess the influence of dysplastic Barrett's esophagus on QoL. The questionnaire was completed by patients at baseline and 12 months.

results127 patients were randomized to RFA (n = 84) or sham (n = 43). At baseline, most patients reported worry about esophageal cancer (71 % RFA, 85 % sham) and esophagectomy (61 % RFA, 68 % sham). Patients also reported depression, impaired QoL, worry, stress, and dissatisfaction with the condition of their esophagus. Of those randomized, 117 patients completed the study to the 12-month end point. Compared with the sham group, patients treated with RFA had significantly less worry about esophageal cancer ( P=0.003) and esophagectomy ( P =0.009). They also had significantly reduced depression ( P=0.02), general worry about the condition of their esophagus ( P≤0.001), impact on daily QoL ( P=0.009), stress ( P=0.03), dissatisfaction with the condition of their esophagus ( P≤0.001), and impact on work and family life ( P=0.02).

conclusionsInclusion in the treatment group of this randomized, sham-controlled trial of RFA was associated with improvement in disease-specific health-related quality of life. This improvement appears secondary to a perceived decrease in the risk of cancer.

Indexed as

Catheter AblationAgedAnxietyBarrett EsophagusChi-Square DistributionEsophageal NeoplasmsFemaleHumansMaleMiddle AgedPrecancerous ConditionsQuality of LifeStatistics, NonparametricSurveys and Questionnaires

Identifiers

PMID20886398
PMCPMC3099136
OpenAlexW2100299584

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.