Evidence map›Paper›PMID 28691046›Full record

ArticleEndoscopy international open2017

A randomized trial comparing winged versus conventional plastic stents for malignant bile duct strictures.

Lachlan Ayres, Danny Cheriyan, Ryan Scott, Edward Kim, Terry Lee, Joel Singer, Fergal Donnellan, Michael Byrne, Alan Weiss, Robert Enns and 3 more

Open access · goldAbstract read
In one paragraph

Article in Endoscopy international open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 28% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. 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

13 authors at 4 institutions in 3 countries.

Lachlan AyresSt. Paul's Hospital - Gastroenterology, Vancouver, Canada.
Danny CheriyanSt. Paul's Hospital - Gastroenterology, Vancouver, Canada.
Ryan ScottBelfast City Hospital - Gastroenterology, Belfast, United Kingdom of Great Britain and Northern Ireland.
Edward KimSt. Paul's Hospital - Gastroenterology, Vancouver, Canada.
Terry LeeSt Paul's Hospital - Medical Statistics, Vancouver, Canada.
Joel SingerSt Paul's Hospital - Medical Statistics, Vancouver, Canada.
Fergal DonnellanVancouver General Hospital - Gastroenterology, Vancouver, Canada.
Michael ByrneVancouver General Hospital - Gastroenterology, Vancouver, Canada.
Alan WeissVancouver General Hospital - Gastroenterology, Vancouver, Canada.
Robert EnnsSt. Paul's Hospital - Gastroenterology, Vancouver, Canada.
Jack AmarSt. Paul's Hospital - Gastroenterology, Vancouver, Canada.
Eric LamSt. Paul's Hospital - Gastroenterology, Vancouver, Canada.
Jennifer TelfordSt. Paul's Hospital - Gastroenterology, Vancouver, Canada.
St. Paul's Hospital · CAVancouver General Hospital · CABeaumont Hospital · IEUniversity of Ulster · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND STUDY

aimsStent insertion at endoscopic retrograde cholangiopancreatography (ERCP) is an established therapy for managing malignant biliary obstruction. Conventional plastic stents with a tubular design are most commonly used despite limited patency. Plastic stents with a winged design may theoretically increase the duration of stent patency. The aim of this study was to compare stent patency of the winged versus conventional plastic stents in patients with malignant biliary obstruction. PATIENTS AND

methodsA prospective, randomized subject-blinded trial was conducted. Patients with malignant biliary obstruction were randomized (1:1) to either a 10 French winged stent or 7 or 10 French conventional plastic stent. Strictures greater than 1 cm distal to the hilum were included. Patients were followed clinically to determine the frequency of stent failure until surgery, death or study closure.

resultsFifty-eight patients were enrolled. Following 9 exclusions, 49 patients were randomized to a winged (n = 23) or conventional stent (n = 26). Median time to stent failure was 89 (95 % CI 26-NA) vs 143 (95 % CI 33 - 266) days (

conclusionsImprovement in stent patency was not seen with the winged stent when compared to the conventional plastic stent.

Identifiers

PMID28691046
PMCPMC5500122
OpenAlexW2726785783

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.