Evidence map›Paper›PMID 23874822›Full record

ArticlePloS one2013

Factors associated with adenoma detection rate and diagnosis of polyps and colorectal cancer during colonoscopy in France: results of a prospective, nationwide survey.

Maximilien Barret, Christian Boustiere, Jean-Marc Canard, Jean-Pierre Arpurt, David Bernardini, Philippe Bulois, Stanislas Chaussade, Denis Heresbach, Isabelle Joly, Jean Lapuelle and 12 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 9% 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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Observational
  4. Review
  5. Article
  6. Sessile Serrated Lesions: Searching for the True Prevalence and Risk Factors in China.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2024
    Article
  7. Article
  8. Article
  9. Review
  10. Article
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  13. Article
  14. Melanosis Coli: A Helpful Contrast Effect or a Harmful Pigmentation?Clinical medicine insights. Gastroenterology · 2018
    Article
  15. Article
  16. Quality in Colonoscopy: Beyond the Adenoma Detection Rate Fever.GE Portuguese journal of gastroenterology · 2017
    Article
  17. Article
  18. Article
  19. Review
  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

22 authors at 15 institutions in 1 country.

Maximilien BarretDepartment of Gastroenterology and Digestive Endoscopy, George Pompidou European Hospital and Faculté Paris Descartes, Paris, France.
Christian Boustiere
Jean-Marc Canard
Jean-Pierre Arpurt
David Bernardini
Philippe Bulois
Stanislas Chaussade
Denis Heresbach
Isabelle Joly
Jean Lapuelle
René Laugier
Gilles Lesur
Patrice Pienkowski
Thierry Ponchon
Bertrand Pujol
Bruno Richard-Molard
Michel Robaszkiewicz
Rémi Systchenko
Fatima Abbas
Anne-Marie Schott-Pethelaz
Christophe Cellier
Société Française d'Endoscopie Digestive
Hôpital Européen Georges-Pompidou · FRUniversité Claude Bernard Lyon 1 · FRCentre Hospitalier de Cannes · FRCentre Hospitalier de Saint-Brieuc · FRClinique du Pont Saint-Vaast · FRClinique Saint Jean Languedoc · FRHenri Gastaut Hospital · FRHôpital Ambroise-Paré · FRHôpital Claude Huriez · FRHôpital Cochin · FRHôpital de la Timone · FRHôpital Edouard Herriot · FRHôpital Maison Blanche · FRHôpital Privé Jean Mermo · FRHôpital Saint Joseph · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionColonoscopy can prevent deaths due to colorectal cancer (CRC) through early diagnosis or resection of colonic adenomas. We conducted a prospective, nationwide study on colonoscopy practice in France.

methodsAn online questionnaire was administered to 2,600 French gastroenterologists. Data from all consecutive colonoscopies performed during one week were collected. A statistical extrapolation of the results to a whole year was performed, and factors potentially associated with the adenoma detection rate (ADR) or the diagnosis of polyps or cancer were assessed.

resultsA total of 342 gastroenterologists, representative of the overall population of French gastroenterologists, provided data on 3,266 colonoscopies, corresponding to 1,200,529 (95% CI: 1,125,936-1,275,122) procedures for the year 2011. The indication for colonoscopy was CRC screening and digestive symptoms in 49.6% and 38.9% of cases, respectively. Polypectomy was performed in 35.5% of cases. The ADR and prevalence of CRC were 17.7% and 2.9%, respectively. The main factors associated with a high ADR were male gender (p=0.0001), age over 50 (p=0.0001), personal or family history of CRC or colorectal polyps (p<0.0001 and p<0.0001, respectively), and positive fecal occult blood test (p=0.0005). The prevalence of CRC was three times higher in patients with their first colonoscopy (4.2% vs. 1.4%; p<0.0001).

conclusionsFor the first time in France, we report nationwide prospective data on colonoscopy practice, including histological results. We found an average ADR of 17.7%, and observed reduced CRC incidence in patients with previous colonoscopy.

Indexed as

AdenomaAgedAge FactorsColonoscopyColorectal NeoplasmsFemaleFranceGastroenterologyHumansMaleMiddle AgedPhysiciansPolypsPrevalenceProspective StudiesSex Factors

Identifiers

PMID23874822
PMCPMC3715530
OpenAlexW2054132774

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.