Evidence map›Paper›PMID 27446841›Full record

ArticleCanadian journal of gastroenterology & hepatology2016

Assessment of a Colonoscopy Triage Sheet for Use in a Province-Wide Population-Based Colorectal Screening Program.

Nour Sharara, Sabrina Nolan, Maida Sewitch, Myriam Martel, Maria Dias, Alan N Barkun

Abstract readEvaluation Study
In one paragraph

Article in Canadian journal of gastroenterology & hepatology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. 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

6 authors.

Nour ShararaDivision of Gastroenterology, McGill University Health Centre, McGill University, 1650 Cedar Avenue, Room D7-346, Montreal, QC, Canada H3G 1A4.
Sabrina NolanDivision of Gastroenterology, McGill University Health Centre, McGill University, 1650 Cedar Avenue, Room D7-346, Montreal, QC, Canada H3G 1A4.
Maida SewitchDivision of Gastroenterology, McGill University Health Centre, McGill University, 1650 Cedar Avenue, Room D7-346, Montreal, QC, Canada H3G 1A4; Division of Clinical Epidemiology, Research Institute, McGill University Health Centre, McGill University, 1650 Cedar Avenue, Room D7-346, Montreal, QC, Canada H3G 1A4.
Myriam MartelDivision of Gastroenterology, McGill University Health Centre, McGill University, 1650 Cedar Avenue, Room D7-346, Montreal, QC, Canada H3G 1A4.
Maria DiasDepartment of Nursing, McGill University Health Centre, McGill University, 1650 Cedar Avenue, Room D7-346, Montreal, QC, Canada H3G 1A4.
Alan N BarkunDivision of Gastroenterology, McGill University Health Centre, McGill University, 1650 Cedar Avenue, Room D7-346, Montreal, QC, Canada H3G 1A4.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims. A colonoscopy triage sheet (CTS) integrating 6 hierarchical scheduling priorities based on indications for screening, surveillance, or symptoms was designed for colonoscopy referral. We compared CTS priority ratings by referring physicians and endoscopists, assessing yields. Methods. Retrospective study of consecutive patients. Data were collected on demographics, CTS and endoscopist priority ratings, and endoscopic findings. Weighted kappa values measured interrater agreement on priority assignment. Predictors of agreement and lesions were identified using multivariable analysis. Results. Among 1230 patients (60.3 years, 52.5% female), clinically significant lesions included tumors (1.1%), polyps per patient ≥ 10 mm (7.6%), and ileocolitis (4.6%). Moderate agreement was found between referring physician and endoscopist on all 6 priorities (weighted kappa 0.55 (0.51; 0.59)). P4 and P5 ratings predicted increased agreement (range of OR for P4: 2.47-4.57; P5: 1.58-2.93). Predictors of clinically significant findings were male gender (OR 1.44, 1.03-2.03) and P1/P2 priorities that were significantly superior to P3 (OR = 2.14; 1.04-4.43), P4 (OR = 2.90; 1.35-6.23), and P5 (OR = 4.30; 2.08-8.88). Conclusion. Priority-assignment agreement is moderate and highest for less urgent ratings. Predictors of clinically significant findings validate the hierarchal priority scheme. Broader validation and physician education are needed.

Indexed as

Referral and ConsultationAgedColonic PolypsColonoscopyColorectal NeoplasmsEarly Detection of CancerFemaleHumansMaleMass ScreeningMiddle AgedMultivariate AnalysisQuebecReproducibility of ResultsRetrospective StudiesTriage

Identifiers

PMID27446841
PMCPMC4947491

What OpenQuestion holds

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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.