Evidence map›Paper›PMID 26171435›Full record

ArticleEndoscopy international open2015

Detection and miss rates of autofluorescence imaging of adenomatous and polypoid lesions during colonoscopy: a systematic review and meta-analysis.

Zi-Ye Zhao, Yu-Gen Guan, Bai-Rong Li, Yong-Qi Shan, Fei-Hu Yan, Yong-Jun-Yi Gao, Hao Wang, Zheng Lou, Chuang-Gang Fu, En-Da Yu

Open access · goldAbstract read
In one paragraph

Article in Endoscopy international open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

13 citing papers in PubMed, 26 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Image enhanced colonoscopy: updates and prospects-a review.Translational gastroenterology and hepatology · 2023
    Review
  5. Review
  6. Enhancing polyp detection: technological advances in colonoscopy imaging.Translational gastroenterology and hepatology · 2021
    Review
  7. Review
  8. Gastrointestinal diagnosis using non-white light imaging capsule endoscopy.Nature reviews. Gastroenterology & hepatology · 2019
    Review
  9. Review
  10. Can technology increase adenoma detection rate?Therapeutic advances in gastroenterology · 2018
    Review
  11. Strategies to Increase Adenoma Detection Rates.Current treatment options in gastroenterology · 2017
    Review
  12. Flexible Gastro-intestinal Endoscopy - Clinical Challenges and Technical Achievements.Computational and structural biotechnology journal · 2017
    Review
  13. 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

10 authors at 4 institutions in 1 country.

Zi-Ye ZhaoDepartment of Colorectal Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China ; Department of Surgery, No. 273 Hospital of People's Liberation Army, Korla, Xinjiang Autonomous Region, China.
Yu-Gen GuanMedical Team, Unit 66013 of People's Liberation Army, Shijiazhuang, Hebei Province, China.
Bai-Rong LiDepartment of Gastroenterology, Air Force General Hospital of People's Liberation Army, Beijing, China.
Yong-Qi ShanDepartment of General Surgery, Shengyang General Hospital of People's Liberation Army, Shenyang, Liaoning Province, China.
Fei-Hu YanDepartment of Colorectal Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China.
Yong-Jun-Yi GaoDepartment of Colorectal Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China.
Hao WangDepartment of Colorectal Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China.
Zheng LouDepartment of Colorectal Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China.
Chuang-Gang FuDepartment of Colorectal Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China.
En-Da YuDepartment of Colorectal Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China ; Center of Digestive Endoscopy, Changhai Hospital, Second Military Medical University, Shanghai, China.
Second Military Medical University · CNAir Force General Hospital PLA · CNHebei Medical University · CNHospital 463 People's Liberation Army · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND STUDY

aimsAutofluorescence imaging (AFI) is an endoscopic imaging technique used to increase the detection of premalignant gastrointestinal lesions, and it has gradually become popular in recent years. This meta-analysis was performed to examine whether AFI provides greater efficacy in the detection of adenomatous and polypoid lesions and can even prevent the failure to detect a single adenoma or polyp. The aim of the study was to systematically review the efficacy of AFI in increasing detection rates and decreasing miss rates.

methodsPertinent articles were identified through a search of databases up to December 2013 that included patients who had undergone two same-day colonoscopies (AFI and white light endoscopy [WLE]), followed by polypectomy. Fixed and random effects models were used to detect significant differences between AFI and WLE in regard to adenoma detection rate (ADR), polyp detection rate (PDR), adenoma miss rate (AMR), polyp miss rate (PMR), and procedural time.

resultsA total of 1199 patients from six eligible studies met the inclusion criteria. No significant differences were found in ADR (odds ratio [OR] 1.01; 95 % confidence interval [95 %CI] 0.74 - 1.37), PDR (OR 0.86; 95 %CI 0.57 - 1.30), or advanced ADR (OR 1.22; 95 %CI 0.69 - 2.17). The AMR (OR 0.62; 95 %CI 0.44 - 0.86) and PMR (OR 0.64; 95 %CI 0.48 - 0.85) by AFI were significantly lower than those by WLE. The procedural time of AFI was significantly longer than that of WLE (mean 8.00 minutes; 95 %CI 1.59 - 14.41). Subgroup meta-analysis for the other characteristics was not performed because of insufficiency of the primary data.

conclusionsAFI decreases AMR and PMR significantly compared with WLE but does not improve ADR or PDR. AMR and PMR may be decreased by using AFI in flat and small lesions or when less experienced endoscopists perform the procedure.

Identifiers

PMID26171435
PMCPMC4486028
OpenAlexW1770254749

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.