Evidence map›Paper›PMID 29358883›Full record

ArticleWorld journal of gastroenterology2018

Safety and efficacy of metallic stent for unresectable distal malignant biliary obstruction in elderly patients.

Yuji Sakai, Tomohisa Iwai, Kenji Shimura, Katsushige Gon, Kazuya Koizumi, Masashi Ijima, Kazuro Chiba, Seigo Nakatani, Harutoshi Sugiyama, Toshio Tsuyuguchi and 3 more

Abstract readComparative StudyMulticenter Study
In one paragraph

Article in World journal of gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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

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

  1. Pooled it
  2. 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

13 authors.

Yuji SakaiDepartment of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University, Chiba 260-8670, Japan. sakai4754@yahoo.co.jp.
Tomohisa IwaiDepartment of Gastroenterology, Kitasato University School of Medicine, Kanagawa 252-0375, Japan.
Kenji ShimuraDepartment of Gastroenterology, Asahi Central Hospital, Chiba 289-2511, Japan.
Katsushige GonIruru Maetani, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Ohashi Medical Center, Tokyo 153-8515, Japan.
Kazuya KoizumiGastroenterology Medicine Center, Shonan Kamakura General Hospital, Kanagawa 247-8533, Japan.
Masashi IjimaDepartment of Gastroenterology, Subaru Health Insurance Society Ota Memorial Hospital, Gunma 373-8585, Japan.
Kazuro ChibaDepartment of Gastroenterology, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, Tokyo 113-8677, Japan.
Seigo NakataniDepartment of Gastroenterology, Kitasato University School of Medicine, Kanagawa 252-0375, Japan.
Harutoshi SugiyamaDepartment of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University, Chiba 260-8670, Japan.
Toshio TsuyuguchiDepartment of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University, Chiba 260-8670, Japan.
Terumi KamisawaDepartment of Gastroenterology, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, Tokyo 113-8677, Japan.
Iruru Maetani
Mitsuhiro KidaDepartment of Gastroenterology, Kitasato University School of Medicine, Kanagawa 252-0375, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo study the safety of insertion of metallic stents in elderly patients with unresectable distal malignant biliary obstruction.

methodsOf 272 patients with unresectable distal malignant biliary obstruction, 184 patients under the age of 80 were classified into Group A, and 88 subjects aged 80 years or more were classified into Group B. The safety of metallic stent insertion, metal stent patency period, and the obstruction rate were examined in each group.

resultsIn Group B, patients had a significantly worse performance status, high blood pressure, heart disease, cerebrovascular disease, and dementia; besides the rate of patients orally administered antiplatelet drugs or anticoagulants tended to be higher (

conclusionThese results suggested that metallic stents can be safely inserted to treat unresectable distal malignant biliary obstruction even in elderly patients aged 80 years or more.

Indexed as

MetalsStentsAgedAged, 80 and overAge FactorsCholangiopancreatography, Endoscopic RetrogradeCholestasisDigestive System NeoplasmsDrainageFemaleHumansJapanKaplan-Meier EstimateMaleMiddle AgedPalliative CareMetalsElderly patientsMalignant biliary obstructionMetallic stent

Identifiers

PMID29358883
PMCPMC5757127

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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.