Evidence map›Paper›PMID 25605988›Full record

Observational studyWorld journal of gastroenterology2015

Performance of American Society for Gastrointestinal Endoscopy guidelines for dyspepsia in Saudi population: prospective observational study.

Nahla A Azzam, Majid A Almadi, Hessah Hamad Alamar, Lamis Atyah Almalki, Rehab Nawaf Alrashedi, Rawabi Saleh Alghamdi, Waleed Al-hamoudi

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in World journal of gastroenterology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 16% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Clinical and endoscopic study of dyspepsia in overweight and obese patients.Journal of family medicine and primary care · 2022
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. A comparison of propofol and midazolam/meperidine sedation in upper gastrointestinal endoscopy.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2016
    Article
  11. Upper gastrointestinal bleeding: Causes and patient outcomes.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
    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

7 authors at 1 institution in 1 country.

Nahla A AzzamNahla A Azzam, Majid A Almadi, Hessah Hamad Alamar, Lamis Atyah Almalki, Rehab Nawaf Alrashedi, Rawabi Saleh Alghamdi, Waleed Al-hamoudi, Division of Gastroenterology, King Khalid University Hospital, King Saud University, Riyadh 11461, Saudi Arabia.
Majid A AlmadiNahla A Azzam, Majid A Almadi, Hessah Hamad Alamar, Lamis Atyah Almalki, Rehab Nawaf Alrashedi, Rawabi Saleh Alghamdi, Waleed Al-hamoudi, Division of Gastroenterology, King Khalid University Hospital, King Saud University, Riyadh 11461, Saudi Arabia.
Hessah Hamad AlamarNahla A Azzam, Majid A Almadi, Hessah Hamad Alamar, Lamis Atyah Almalki, Rehab Nawaf Alrashedi, Rawabi Saleh Alghamdi, Waleed Al-hamoudi, Division of Gastroenterology, King Khalid University Hospital, King Saud University, Riyadh 11461, Saudi Arabia.
Lamis Atyah AlmalkiNahla A Azzam, Majid A Almadi, Hessah Hamad Alamar, Lamis Atyah Almalki, Rehab Nawaf Alrashedi, Rawabi Saleh Alghamdi, Waleed Al-hamoudi, Division of Gastroenterology, King Khalid University Hospital, King Saud University, Riyadh 11461, Saudi Arabia.
Rehab Nawaf AlrashediNahla A Azzam, Majid A Almadi, Hessah Hamad Alamar, Lamis Atyah Almalki, Rehab Nawaf Alrashedi, Rawabi Saleh Alghamdi, Waleed Al-hamoudi, Division of Gastroenterology, King Khalid University Hospital, King Saud University, Riyadh 11461, Saudi Arabia.
Rawabi Saleh AlghamdiNahla A Azzam, Majid A Almadi, Hessah Hamad Alamar, Lamis Atyah Almalki, Rehab Nawaf Alrashedi, Rawabi Saleh Alghamdi, Waleed Al-hamoudi, Division of Gastroenterology, King Khalid University Hospital, King Saud University, Riyadh 11461, Saudi Arabia.
Waleed Al-hamoudiNahla A Azzam, Majid A Almadi, Hessah Hamad Alamar, Lamis Atyah Almalki, Rehab Nawaf Alrashedi, Rawabi Saleh Alghamdi, Waleed Al-hamoudi, Division of Gastroenterology, King Khalid University Hospital, King Saud University, Riyadh 11461, Saudi Arabia.
King Khalid University · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate adherence of primary care physicians (PCPs) to international guidelines when referring patients for upper-gastrointestinal endoscopy (UGE), evaluate the importance of alarm symptoms and the performance of the American Society for Gastrointestinal Endoscopy (ASGE) guidelines in a Saudi population.

methodsA prospective, observational cross-sectional study on dyspeptic patients undergoing UGE who were referred by PCPs over a 4 mo period. Referrals were classified as appropriate or inappropriate according to adherence to ASGE guidelines.

resultsTotal of 221 dyspeptic patients was enrolled; 161 patients met our inclusion criteria. Mean age was 40.3 years (SD ± 18.1). Females comprised 70.1%. Alarm symptoms included low hemoglobin level (39%), weight loss (18%), vomiting (16%), loss of appetite (16%), difficulty swallowing (3%), and gastrointestinal bleeding (3%). Abnormal endoscopy findings included gastritis (52%), duodenitis (10%), hiatus hernia (7.8%), features suggestive of celiac disease (6.5%), ulcers (3.9%), malignancy (2.6%) and gastroesophageal reflux disease (GERD: 17%). Among patients who underwent UGE, 63% met ASGE guidelines, and 50% had abnormal endoscopic findings. Endoscopy was not indicated in remaining 37% of patients. Among the latter group, endoscopy was normal in 54% of patients. There was no difference in proportion of abnormal endoscopic findings between two groups (P = 0.639).

conclusionDyspeptic patients had a low prevalence of important endoscopic lesions, and none of the alarm symptoms could significantly predict abnormal endoscopic findings.

Indexed as

AdolescentAdultAgedAged, 80 and overCross-Sectional StudiesDyspepsiaEndoscopy, GastrointestinalFemaleGuideline AdherenceHelicobacter InfectionsHelicobacter pyloriHospitals, UniversityHumansLogistic ModelsMaleMiddle AgedAmerican Society for Gastrointestinal Endoscopy guidelineDyspepsiaPrimary care physicianSaudi populationUpper gastrointestinal endoscopy

Identifiers

PMID25605988
PMCPMC4296026
OpenAlexW2032653448

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.