Evidence map›Paper›PMID 28522914›Full record

ArticleWorld journal of gastroenterology2017

One year experience with computer-assisted propofol sedation for colonoscopy.

Otto S Lin, Danielle La Selva, Richard A Kozarek, Deborah Tombs, Wade Weigel, Ryan Beecher, Johannes Koch, Susan McCormick, Michael Chiorean, Fred Drennan and 4 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in World journal of gastroenterology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

3 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

14 authors at 1 institution in 1 country.

Otto S LinOtto S Lin, Danielle La Selva, Richard A Kozarek, Deborah Tombs, Johannes Koch, Susan McCormick, Michael Chiorean, Fred Drennan, Michael Gluck, Nanda Venu, Michael Larsen, Andrew Ross, Digestive Disease Institute, Virginia Mason Medical Center, Seattle, WA 98101, United States.
Danielle La SelvaOtto S Lin, Danielle La Selva, Richard A Kozarek, Deborah Tombs, Johannes Koch, Susan McCormick, Michael Chiorean, Fred Drennan, Michael Gluck, Nanda Venu, Michael Larsen, Andrew Ross, Digestive Disease Institute, Virginia Mason Medical Center, Seattle, WA 98101, United States.
Richard A KozarekOtto S Lin, Danielle La Selva, Richard A Kozarek, Deborah Tombs, Johannes Koch, Susan McCormick, Michael Chiorean, Fred Drennan, Michael Gluck, Nanda Venu, Michael Larsen, Andrew Ross, Digestive Disease Institute, Virginia Mason Medical Center, Seattle, WA 98101, United States.
Deborah TombsOtto S Lin, Danielle La Selva, Richard A Kozarek, Deborah Tombs, Johannes Koch, Susan McCormick, Michael Chiorean, Fred Drennan, Michael Gluck, Nanda Venu, Michael Larsen, Andrew Ross, Digestive Disease Institute, Virginia Mason Medical Center, Seattle, WA 98101, United States.
Wade WeigelOtto S Lin, Danielle La Selva, Richard A Kozarek, Deborah Tombs, Johannes Koch, Susan McCormick, Michael Chiorean, Fred Drennan, Michael Gluck, Nanda Venu, Michael Larsen, Andrew Ross, Digestive Disease Institute, Virginia Mason Medical Center, Seattle, WA 98101, United States.
Ryan BeecherOtto S Lin, Danielle La Selva, Richard A Kozarek, Deborah Tombs, Johannes Koch, Susan McCormick, Michael Chiorean, Fred Drennan, Michael Gluck, Nanda Venu, Michael Larsen, Andrew Ross, Digestive Disease Institute, Virginia Mason Medical Center, Seattle, WA 98101, United States.
Johannes KochOtto S Lin, Danielle La Selva, Richard A Kozarek, Deborah Tombs, Johannes Koch, Susan McCormick, Michael Chiorean, Fred Drennan, Michael Gluck, Nanda Venu, Michael Larsen, Andrew Ross, Digestive Disease Institute, Virginia Mason Medical Center, Seattle, WA 98101, United States.
Susan McCormickOtto S Lin, Danielle La Selva, Richard A Kozarek, Deborah Tombs, Johannes Koch, Susan McCormick, Michael Chiorean, Fred Drennan, Michael Gluck, Nanda Venu, Michael Larsen, Andrew Ross, Digestive Disease Institute, Virginia Mason Medical Center, Seattle, WA 98101, United States.
Michael ChioreanOtto S Lin, Danielle La Selva, Richard A Kozarek, Deborah Tombs, Johannes Koch, Susan McCormick, Michael Chiorean, Fred Drennan, Michael Gluck, Nanda Venu, Michael Larsen, Andrew Ross, Digestive Disease Institute, Virginia Mason Medical Center, Seattle, WA 98101, United States.
Fred DrennanOtto S Lin, Danielle La Selva, Richard A Kozarek, Deborah Tombs, Johannes Koch, Susan McCormick, Michael Chiorean, Fred Drennan, Michael Gluck, Nanda Venu, Michael Larsen, Andrew Ross, Digestive Disease Institute, Virginia Mason Medical Center, Seattle, WA 98101, United States.
Michael GluckOtto S Lin, Danielle La Selva, Richard A Kozarek, Deborah Tombs, Johannes Koch, Susan McCormick, Michael Chiorean, Fred Drennan, Michael Gluck, Nanda Venu, Michael Larsen, Andrew Ross, Digestive Disease Institute, Virginia Mason Medical Center, Seattle, WA 98101, United States.
Nanda VenuOtto S Lin, Danielle La Selva, Richard A Kozarek, Deborah Tombs, Johannes Koch, Susan McCormick, Michael Chiorean, Fred Drennan, Michael Gluck, Nanda Venu, Michael Larsen, Andrew Ross, Digestive Disease Institute, Virginia Mason Medical Center, Seattle, WA 98101, United States.
Michael LarsenOtto S Lin, Danielle La Selva, Richard A Kozarek, Deborah Tombs, Johannes Koch, Susan McCormick, Michael Chiorean, Fred Drennan, Michael Gluck, Nanda Venu, Michael Larsen, Andrew Ross, Digestive Disease Institute, Virginia Mason Medical Center, Seattle, WA 98101, United States.
Andrew RossOtto S Lin, Danielle La Selva, Richard A Kozarek, Deborah Tombs, Johannes Koch, Susan McCormick, Michael Chiorean, Fred Drennan, Michael Gluck, Nanda Venu, Michael Larsen, Andrew Ross, Digestive Disease Institute, Virginia Mason Medical Center, Seattle, WA 98101, United States.
Virginia Mason Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo report our one-year experience with computer assisted propofol sedation (CAPS) for colonoscopy as the first United States Medical Center to adopt CAPS technology for routine clinical use.

methodsBetween September 2014 and August 2015, 2677 patients underwent elective outpatient colonoscopy with CAPS at our center. All colonoscopies were performed by 1 of 17 gastroenterologists certified in the use of the CAPS system, with the assistance of a specially trained nurse. Procedural success rates, polyp detection rates, procedure times and recovery times were recorded and compared against corresponding historical measures from 2286 colonoscopies done with midazolam and fentanyl from September 2013 to August 2014. Adverse events in the CAPS group were recorded.

resultsThe mean age of the CAPS cohort was 59.9 years (48.7% male); 31.3% were ASA I, 67.3% ASA II and 1.4% ASA III. 45.1% of the colonoscopies were for screening, 31.5% for surveillance, and 23.4% for symptoms. The mean propofol dose administered was 250.7 mg (range 16-1470 mg), with a mean fentanyl dose of 34.1 mcg (0-100 mcg). The colonoscopy completion and polyp detection rates were similar to that of historical measures. Recovery times were markedly shorter (31 min

conclusionCAPS appears to be a safe, effective and efficient means of providing moderate sedation for colonoscopy in relatively healthy patients. Recovery times were much shorter than historical measures. There were few adverse events, and no serious adverse events, related to CAPS.

Indexed as

ColonoscopyAgedAnesthesia Recovery PeriodAnesthetics, IntravenousColonic PolypsDrug Therapy, Computer-AssistedFemaleHumansHypnotics and SedativesMaleMiddle AgedProcedural SedationPropofolRetrospective StudiesTime FactorsTreatment OutcomeAnesthetics, IntravenousHypnotics and SedativesPropofolAnesthesiaColon cancer screeningColonoscopyPropofolSedation

Identifiers

PMID28522914
PMCPMC5413791
OpenAlexW2609828078

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.