Evidence map›Paper›PMID 22538693›Full record

Trial reportSurgical endoscopy2012

The cap-assisted technique enhances colonoscopy training: prospective randomized study of six trainees.

Sang Man Park, Soon Hak Lee, Keun Young Shin, Jun Heo, Sang Hun Sung, Soon Hong Park, So Young Choi, Dong Wook Lee, Hyun Gu Park, Hyun Seok Lee and 3 more

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Surgical endoscopy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02472730 (Cap Assisted Colonoscopy Enhances Quality Based Competency in Colonoscopy Among Trainees), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

NCT02472730 nacompletednot on this mapstarted 2015, after this paper: background citation

Cap Assisted Colonoscopy Enhances Quality Based Competency in Colonoscopy Among Trainees

TypeinterventionalSponsorBaylor College of MedicineRan2015 to 2015Enrolled219ConditionsEndoscopy, GastrointestinalArmsDistal Attachment Cap
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Cap-assisted endoscopy: Do we have enough evidence?Endoscopy international open · 2018
    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

13 authors.

Sang Man ParkDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Kyungpook National University Hospital, 50, Samduk-Dong 2 Ga, Junggu, Daegu, 700-721, South Korea.
Soon Hak Lee
Keun Young Shin
Jun Heo
Sang Hun Sung
Soon Hong Park
So Young Choi
Dong Wook Lee
Hyun Gu Park
Hyun Seok Lee
Seong Woo Jeon
Sung Kook Kim
Min Kyu Jung

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundColonoscopy and polypectomy procedures have effectively reduced the incidence of colorectal cancer. Currently, competence in colonoscopy is an essential part of the education program for gastrointestinal (GI) trainees. However, considerable training is required for the optimal performance of a colonoscopy.

methodsThis study involved six colonoscopy trainees, three of whom used the cap whereas the others did not. Each trainee managed 100 cases of screening colonoscopy from beginning to end. The cecal intubation success rate, cecal intubation time, polyp detection rate, adenoma detection rate, advanced adenoma detection rate, and adenocarcinoma detection rate were checked. The rate of successful cecal intubation and the cecal intubation time were reviewed every 10 cases.

resultsThe cecal intubation rate was 80.7 % (242/300) in the cap group and 63.3 % (190/300) in the non-cap group. The average cecal intubation time was 13.7 min in the cap group and 18.7 min in the non-cap group. The statistical analysis of these results suggested that the cap group had a significantly higher success rate (p < 0.001) and a shorter cecal intubation time (p < 0.001) than the non-cap group. However, the two groups did not differ significantly in the detection rate for polyps (45.3 vs 43 %; p = 0.565), adenomas (26.3 vs 25 %; p = 0.709), advanced adenomas (2.6 vs 0.6 %; p = 0.056), or adenocarcinomas (5.3 vs 3 %; p = 0.153).

conclusionCap-assisted colonoscopies might help to increase the rate of cecal intubation success and shorten the cecal intubation time for GI trainees.

Indexed as

CecumColonoscopyEducation, Medical, ContinuingFemaleGastroenterologyHumansIntubation, GastrointestinalMaleMiddle AgedRepublic of Korea

Identifiers

What OpenQuestion holds

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Registered trials

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.