SynthesisWorld journal of gastroenterology2016
Efficacy and adverse events of cold vs hot polypectomy: A meta-analysis.
Synthesis 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 25 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Pooled it
- Effect of prophylactic clip placement following endoscopic mucosal resection of large colorectal lesions on delayed polypectomy bleeding: A meta-analysis.World journal of gastroenterology · 2019Pooled it
- Comparative efficacy of cold polypectomy techniques for diminutive colorectal polyps: a systematic review and network meta-analysis.Surgical endoscopy · 2018Pooled it
- A Comparative Study of Early Mucosal Healing Following Hot Polypectomy and Cold Polypectomy.Medical science monitor : international medical journal of experimental and clinical research · 2021Trial
- Trial
- Safety and efficacy of cold snare polypectomy for pedunculated (Ip) polyps measuring less than 10 mm in diameter.International journal of colorectal disease · 2020Trial
- The Safety of Cold Versus Hot Snare Polypectomy in Polyps 10-20 mm: A Systematic Review and Meta-Analysis.Cureus · 2024Review
- Feasibility and Safety of Endoscopic Control for Patients with Serrated Polyposis Syndrome.Digestive diseases (Basel, Switzerland) · 2024Article
- Resection depth for small colorectal polyps comparing cold snare polypectomy, hot snare polypectomy and underwater endoscopic mucosal resection.Endoscopy international open · 2022Article
- Efficacy of specimen pasting after cold snare polypectomy for pathological evaluation of horizontal margins.Endoscopy international open · 2022Article
- Management of Less Than 10-mm-Sized Pedunculated (Ip) Polyps with Thin Stalk: Hot Snare Polypectomy Versus Cold Snare Polypectomy.Digestive diseases and sciences · 2021Article
- Evidence-based clinical practice guidelines for management of colorectal polyps.Journal of gastroenterology · 2021Review
- Complications of coldJGH open : an open access journal of gastroenterology and hepatology · 2020Article
- Indications for Cold Polypectomy Stratified by the Colorectal Polyp Size: A Systematic Review and Meta-Analysis.Journal of the anus, rectum and colon · 2020Article
- Safety of Cold Snare Polypectomy in Patients Receiving Treatment with Antithrombotic Agents.Digestive diseases and sciences · 2019Article
- Risk factors for incomplete polyp resection after cold snare polypectomy.International journal of colorectal disease · 2019Article
- Hot snare vs. cold snare polypectomy for endoscopic removal of 4 - 10 mm colorectal polyps during colonoscopy: a systematic review and meta-analysis of randomized controlled studies.Endoscopy international open · 2019Article
- Risk of delayed bleeding before and after implementation of cold snare polypectomy in a screening colonoscopy setting.Endoscopy international open · 2019Article
- Article
- Sessile Serrated Adenomas: How to Detect, Characterize and Resect.Gut and liver · 2017Review
Corrections and comments
- Commented on by
Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo compare previously reported randomized controlled studies (RCTs) of cold and hot polypectomy, we systematically reviewed and clarify the utility of cold polypectomy over hot with respect to efficacy and adverse events.
methodsA meta-analysis was conducted to evaluate the predominance of cold and hot polypectomy for removing colon polyps. Published articles and abstracts from worldwide conferences were searched using the keywords "cold polypectomy". RCTs that compared either or both the effects or adverse events of cold polypectomy with those of hot polypectomy were collected. The patients' demographics, endoscopic procedures, No. of examined lesions, lesion size, macroscopic and histologic findings, rates of incomplete resection, bleeding amount, perforation, and length of procedure were extracted from each study. A forest plot analysis was used to verify the relative strength of the effects and adverse events of each procedure. A funnel plot was generated to assess the possibility of publication bias.
resultsUltimately, six RCTs were selected. No significant differences were noted in the average lesion size (less than 10 mm) between the cold and hot polypectomy groups in each study. Further, the rates of complete resection and adverse events, including delayed bleeding, did not differ markedly between cold and hot polypectomy. The average procedural time in the cold polypectomy group was significantly shorter than in the hot polypectomy group.
conclusionCold polypectomy is a time-saving procedure for removing small polyps with markedly similar curability and safety to hot polypectomy.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.