Evidence map›Paper›PMID 21538157›Full record

ArticleInternal and emergency medicine2013

Upper GI endoscopy in elderly patients: predictive factors of relevant endoscopic findings.

Luigi Buri, Angelo Zullo, Cesare Hassan, Gianluca Bersani, Marcello Anti, Maria A Bianco, Livio Cipolletta, Emilio Di Giulio, Giovanni Di Matteo, Luigi Familiari and 10 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Internal and emergency medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

8 citing papers in PubMed, 20 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Evaluation of Esophageal Dysphagia in Elderly Patients.Current gastroenterology reports · 2023
    Review
  6. Article
  7. Article
  8. [Duodenal ulcers, gastric ulcers and Helicobacter pylori].Zeitschrift fur Gerontologie und Geriatrie · 2017
    Review
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

20 authors at 11 institutions in 3 countries.

Luigi BuriGastroenterology and Digestive Endoscopy Unit, Cattinara Hospital, Trieste, Italy.
Angelo Zullo
Cesare Hassan
Gianluca Bersani
Marcello Anti
Maria A Bianco
Livio Cipolletta
Emilio Di Giulio
Giovanni Di Matteo
Luigi Familiari
Leonardo Ficano
Piero Loriga
Sergio Morini
Vincenzo Pietropaolo
Alessandro Zambelli
Enzo Grossi
Francesco Tessari
Marco Intraligi
Massimo Buscema
SIED Appropriateness Working Group
Semeion Centro Ricerche di Scienze della Comunicazione · ITAzienda Ospedaliera Sant'Andrea · ITAzienda Ospedaliera Universitaria Policlinico "G. Martino" · ITOspedale di Belcolle · ITOspedale di Cattinara · ITOspedale Regina Margherita · ITSantissima Trinità · ITAmerican Society for Gastrointestinal Endoscopy · USBracco (Italy) · ITInstitute for Development and Economic Analysis · IDPoliclinico Umberto I · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Elderly patients are at increased risk for peptic ulcer and cancer. Predictive factors of relevant endoscopic findings at upper endoscopy in the elderly are unknown. This was a post hoc analysis of a nationwide, endoscopic study. A total of 3,147 elderly patients were selected. Demographic, clinical, and endoscopic data were systematically collected. Relevant findings and new diagnoses of peptic ulcer and malignancy were computed. Both univariate and multivariate analyses were performed. A total of 1,559 (49.5%), 213 (6.8%), 93 (3%) relevant findings, peptic ulcers, and malignancies were detected. Peptic ulcers and malignancies were more frequent in >85-year-old patients (OR 3.1, 95% CI = 2.0-4.7, p = 0.001). The presence of dysphagia (OR = 5.15), weight loss (OR = 4.77), persistent vomiting (OR = 3.68), anaemia (OR = 1.83), and male gender (OR = 1.9) were significantly associated with a malignancy, whilst overt bleeding (OR = 6.66), NSAIDs use (OR = 2.23), and epigastric pain (OR = 1.90) were associated with the presence of peptic ulcer. Peptic ulcer or malignancies were detected in 10% of elderly patients, supporting the use of endoscopy in this age group. Very elderly patients appear to be at higher risk of such lesions.

Indexed as

Endoscopy, GastrointestinalAgedAged, 80 and overCross-Sectional StudiesFemaleGastrointestinal NeoplasmsHumansItalyMalePeptic UlcerProspective Studies

Identifiers

PMID21538157
OpenAlexW2012535794

What OpenQuestion holds

Textmetadata
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.