Evidence map›Paper›PMID 29250580›Full record

ArticleEndoscopy international open2017

A prospective comparison of cold snare polypectomy using traditional or dedicated cold snares for the resection of small sessile colorectal polyps.

Jeremy P Dwyer, Jonathan Y C Tan, Paul Urquhart, Robyn Secomb, Catherine Bunn, John Reynolds, Richard La Nauze, William Kemp, Stuart Roberts, Gregor Brown

Registry-linked trialAbstract 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. It is linked to trial NCT02239536 (Hot Snare Polypectomy Vs. Hot Snare Polypectomy After Saline Injection for the Complete Resection of Neoplastic Colorectal Polyps), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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.

NCT02239536 nacompletednot on this map

Hot Snare Polypectomy Vs. Hot Snare Polypectomy After Saline Injection for the Complete Resection of Neoplastic Colorectal Polyps: Prospective, Randomized Controlled Trial

TypeinterventionalSponsorBo-In LeeRan2014 to 2018Enrolled362ConditionsPolyp of Large IntestineArmshot snare polypectomy, hot snare polypectomy after saline injection
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Risk factors for incomplete polyp resection after cold snare polypectomy.International journal of colorectal disease · 2019
    Article
  11. 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

10 authors.

Jeremy P DwyerDepartment of Gastroenterology, Alfred Hospital, Monash University, Melbourne, Victoria, Australia 3004.
Jonathan Y C TanDepartment of Gastroenterology, Alfred Hospital, Monash University, Melbourne, Victoria, Australia 3004.
Paul UrquhartDepartment of Gastroenterology, Alfred Hospital, Monash University, Melbourne, Victoria, Australia 3004.
Robyn SecombDepartment of Gastroenterology, Alfred Hospital, Monash University, Melbourne, Victoria, Australia 3004.
Catherine BunnDepartment of Gastroenterology, Alfred Hospital, Monash University, Melbourne, Victoria, Australia 3004.
John ReynoldsBiostatistics, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia 3004.
Richard La NauzeDepartment of Gastroenterology, Alfred Hospital, Monash University, Melbourne, Victoria, Australia 3004.
William KempDepartment of Gastroenterology, Alfred Hospital, Monash University, Melbourne, Victoria, Australia 3004.
Stuart RobertsDepartment of Gastroenterology, Alfred Hospital, Monash University, Melbourne, Victoria, Australia 3004.
Gregor BrownDepartment of Gastroenterology, Alfred Hospital, Monash University, Melbourne, Victoria, Australia 3004.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND STUDY

aimsThe evidence for efficacy and safety of cold snare polypectomy is limited. The aim of this study was to assess the completeness of resection and safety of cold snare polypectomy, using either traditional or dedicated cold snares. PATIENTS AND

methodsThis was a prospective, non-randomized study performed at a single tertiary hospital. Adult patients with at least one colorectal polyp (size ≤ 10 mm) removed by cold snare were included. In the first phase, all patients had polyps removed by traditional snare without diathermy. In the second phase, all patients had polyps removed by dedicated cold snare. Complete endoscopic resection was determined from histological examination of quadrantic polypectomy margin biopsies. Immediate or delayed bleeding within 2 weeks was recorded.

resultsIn total, 181 patients with 299 eligible polyps (n = 93 (173 polyps) traditional snare group, n = 88 (126 polyps) dedicated cold snare group) were included. Patient demographics and procedure indications were similar between groups. Mean polyp size was 6 mm in both groups (

conclusionsCold snare polypectomy is effective and safe for the complete endoscopic resection of small (≤ 10 mm) colorectal polyps with either traditional or dedicated cold snares.

Identifiers

PMID29250580
PMCPMC5659868

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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.