Evidence map›Paper›PMID 26499925›Full record

ArticleClinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association2016

Identification of Quality Measures for Performance of and Interpretation of Data From Esophageal Manometry.

Rena Yadlapati, Andrew J Gawron, Rajesh N Keswani, Karl Bilimoria, Donald O Castell, Kerry B Dunbar, Chandra P Gyawali, Blair A Jobe, Philip O Katz, David A Katzka and 8 more

Open access · greenAbstract readValidation Study
In one paragraph

Article in Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.1field-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

19 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Lessons learned from physician-performed high-resolution esophageal manometries.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2025
    Article
  3. Article
  4. Behavioral Therapy for Functional Heartburn: Recommendation Statements.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2024
    Article
  5. Article
  6. Hard to Swallow Results.Dysphagia · 2022
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Tips for the Budding Esophagologist.Current gastroenterology reports · 2019
    Review
  12. New Developments in Esophageal Motility Testing.Current treatment options in gastroenterology · 2019
    Review
  13. A System to Assess the Competency for Interpretation of Esophageal Manometry Identifies Variation in Learning Curves.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2017
    Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. 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

18 authors at 14 institutions in 1 country.

Rena YadlapatiDivision of Gastroenterology and Hepatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois. Electronic address: rena.yadlapati@northwestern.edu.
Andrew J GawronDivision of Gastroenterology, University of Utah, Salt Lake City, Utah.
Rajesh N KeswaniDivision of Gastroenterology and Hepatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Karl BilimoriaSurgical Outcomes and Quality Improvement Center, Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Center for Healthcare Studies, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Donald O CastellDivision of Gastroenterology and Hepatology, Medical University of South Carolina, Charleston, South Carolina.
Kerry B DunbarDepartment of Internal Medicine, Division of Gastroenterology and Hepatology, University of Texas Southwestern Medical Center and the Dallas VA Medical Center, Dallas, Texas.
Chandra P GyawaliDivision of Gastroenterology, Washington University School of Medicine, Saint Louis, Missouri.
Blair A JobeEsophageal and Thoracic Institute, Allegheny Health Network, Pittsburgh, Pennsylvania.
Philip O KatzThomas Jefferson University, Philadelphia, Pennsylvania; Division of Gastroenterology, Albert Einstein Medical Center, Philadelphia, Pennsylvania.
David A KatzkaDivision of Gastroenterology, Mayo Clinic, Rochester, Minnesota.
Brian E LacyDivision of Gastroenterology, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire.
Benson T MasseyDivision of Gastroenterology, Medical College of Wisconsin, Milwaukee, Wisconsin.
Joel E RichterDivision of Digestive Diseases and Nutrition, Joy McCann Culverhouse Center for Swallowing Disorders, University of South Florida Morsani College of Medicine, Tampa, Florida.
Felice Schnoll-SussmanDivision of Gastroenterology and Hepatology, Weill Cornell Medical College, New York, New York.
Stuart J SpechlerDepartment of Internal Medicine, Division of Gastroenterology and Hepatology, University of Texas Southwestern Medical Center and the Dallas VA Medical Center, Dallas, Texas.
Roger TatumDepartment of Surgery, University of Washington, Seattle, Washington.
Marcelo F VelaDivision of Gastroenterology, Mayo Clinic Arizona, Scottsdale, Arizona.
John E PandolfinoDivision of Gastroenterology and Hepatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Northwestern University · USSouthwestern Medical Center · USAllegheny Health Network · USCornell University · USDartmouth–Hitchcock Medical Center · USMayo Clinic · USMayo Clinic in Arizona · USMedical College of Wisconsin · USMedical University of South Carolina · USThomas Jefferson University · USUniversity of South Florida · USUniversity of Utah · USUniversity of Washington · USWashington University in St. Louis · US

Funding

Tumor Environment and Metastasis (TEAM) Research ProgramP30CA060553 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Daniela E Matei · 1993 to 2026
$153.9M
Training Grant in Gastrointestinal Physiology and PsychologyT32DK101363 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI PANDOLFINO, JOHN E · 2014 to 2018
$1.2M
NCI NIH HHS P30 CA060553NIDDK NIH HHS T32 DK101363NIDDK NIH HHS T32 DK101363-02
6 · The paper itself

Abstract

BACKGROUND &

aimsEsophageal manometry is the standard for the diagnosis of esophageal motility disorders. Variations in the performance and interpretation of esophageal manometry result in discrepant diagnoses and unnecessary repeated procedures, and could have negative effects on patient outcomes. We need a method to benchmark the procedural quality of esophageal manometry; as such, our objective was to formally develop quality measures for the performance and interpretation of data from esophageal manometry.

methodsWe used the RAND University of California Los Angeles Appropriateness Method (RAM) to develop validated quality measures for performing and interpreting esophageal manometry. The research team identified potential quality measures through a literature search and interviews with experts. Fourteen experts in esophageal manometry ranked the proposed quality measures for appropriateness via a 2-round process on the basis of RAM.

resultsThe experts considered a total of 29 measures; 17 were ranked as appropriate and were as follows: related to competency (2), assessment before the esophageal manometry procedure (2), the esophageal manometry procedure itself (3), and interpretation of data (10). The data interpretation measures were integrated into a single composite measure. Eight measures therefore were found to be appropriate quality measures for esophageal manometry . Five other factors also were endorsed by the experts, although these were not ranked as appropriate quality measures.

conclusionsWe identified 8 formally validated quality measures for the performance and interpretation of data from esophageal manometry on the basis of RAM. These measures represent key aspects of a high-quality esophageal manometry study and should be adopted uniformly. These measures should be evaluated in clinical practice to determine how they affect patient outcomes.

Indexed as

Quality of Health CareAdultAgedEsophageal Motility DisordersFemaleHumansMaleManometryMiddle AgedEsophageal ManometryHigh-Resolution ManometryQuality MeasuresRAND/UCLA Appropriateness Methodology

Identifiers

PMID26499925
PMCPMC4993017
OpenAlexW1813222763

What OpenQuestion holds

Textmetadata
LicenceTDM
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.