Evidence map›Paper›PMID 26855536›Full record

ReviewWorld journal of gastroenterology2016

Seeing better--Evidence based recommendations on optimizing colonoscopy adenoma detection rate.

Javier Aranda-Hernández, Jason Hwang, Gabor Kandel

Open access · hybridAbstract readReview
In one paragraph

Review in World journal of gastroenterology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 8% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

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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

3 authors at 1 institution in 1 country.

Javier Aranda-HernándezJavier Aranda-Hernández, Jason Hwang, Gabor Kandel, Division of Gastroenterology, University of Toronto, Therapeutic Endoscopy and Endoscopic Oncology, St. Michael's Hospital, Toronto, Ontario M5B 1W8, Canada.
Jason HwangJavier Aranda-Hernández, Jason Hwang, Gabor Kandel, Division of Gastroenterology, University of Toronto, Therapeutic Endoscopy and Endoscopic Oncology, St. Michael's Hospital, Toronto, Ontario M5B 1W8, Canada.
Gabor KandelJavier Aranda-Hernández, Jason Hwang, Gabor Kandel, Division of Gastroenterology, University of Toronto, Therapeutic Endoscopy and Endoscopic Oncology, St. Michael's Hospital, Toronto, Ontario M5B 1W8, Canada.
University of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Colorectal cancer is one of the three most frequent causes of cancer deaths in men and women in Europe and North America. Diagnosis and resection of adenomas has convincingly demonstrated its utility in diminishing colorectal cancer incidence. Therefore, colonoscopy is now the gold standard for colorectal cancer screening. But it is also known that colonoscopy effectiveness varies among endoscopists. Among different quality indicators, the most used is the adenoma detection rate (ADR) which is the percentage of average-risk patients for colorectal cancer who are found to have at least one adenoma or adenocarcinoma during a screening colonoscopy. There is compelling evidence supporting an inverse correlation between ADR and interval colorectal cancer (cancer found after a screening colonoscopy). Many factors such as quality of precolonoscopy preparation, additional observers, manoeuvres with the endoscope (second view, retroflexion, water inflation rather than air), time spent during withdrawal, changes in patient position, fold-flattener devices, new imaging or endoscopic modalities and use of intravenous or through the scope sprayed drugs, have been studied and developed with the aim of increasing the ADR. This reviews discusses these factors, and the current evidence, to "see better" in the colon and optimize ADR.

Indexed as

Adenomatous PolypsClinical CompetenceColonColonic PolypsColonoscopyColorectal NeoplasmsEarly Detection of CancerEvidence-Based MedicineHumansObserver VariationPatient PositioningPractice Guidelines as TopicPredictive Value of TestsReproducibility of ResultsAdenomaCancerColonoscopyDetectionScreening

Identifiers

PMID26855536
PMCPMC4724608
OpenAlexW2417774362

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.