Evidence map›Paper›PMID 29967357›Full record

Observational studyScientific reports2018

Phenotypes of Jackhammer esophagus in patients with typical symptoms of gastroesophageal reflux disease responsive to proton pump inhibitors.

Ivan Kristo, Katrin Schwameis, Svenja Maschke, Alexander Kainz, Erwin Rieder, Matthias Paireder, Gerd Jomrich, Sebastian F Schoppmann

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03347903 (Prevalence and Clinical Characteristics of Patients With Jackhammer Esophagus and Symptoms of Gastroesophageal Reflux Disease), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% 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.

NCT03347903 completednot on this map

Prevalence and Clinical Characteristics of Patients With Jackhammer Esophagus and Symptoms of Gastroesophageal Reflux Disease

TypeobservationalSponsorMedical University of ViennaRan2014 to 2017Enrolled37ConditionsEsophageal Motility Disorders
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. The hypercontractile esophagus: Still a tough nut to crack.Neurogastroenterology and motility · 2020
    Review
  6. Article
  7. Minor esophageal functional disorders: are they relevant?Current treatment options in gastroenterology · 2020
    Review
  8. 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

8 authors at 1 institution in 1 country.

Ivan KristoDepartment of Surgery, Upper GI Research & Service, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-7999-1625
Katrin SchwameisDepartment of Surgery, Upper GI Research & Service, Medical University of Vienna, Vienna, Austria.
Svenja MaschkeDepartment of Surgery, Upper GI Research & Service, Medical University of Vienna, Vienna, Austria.
Alexander KainzDepartment of Internal Medicine III, Medical University of Vienna, Vienna, Austria.
Erwin RiederDepartment of Surgery, Upper GI Research & Service, Medical University of Vienna, Vienna, Austria.
Matthias PairederDepartment of Surgery, Upper GI Research & Service, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-7119-8454
Gerd JomrichDepartment of Surgery, Upper GI Research & Service, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-7294-4831
Sebastian F SchoppmannDepartment of Surgery, Upper GI Research & Service, Medical University of Vienna, Vienna, Austria. sebastian.schoppmann@meduniwien.ac.at.ORCID 0000-0002-1725-7086
Medical University of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This trial was designed to assess the prevalence and characteristics of Jackhammer esophagus (JE), a novel hypercontractile disorder associated with progression to achalasia and limited outcomes following anti-reflux surgery in patients with typical symptoms of GERD and responsiveness to proton pump inhibitor (PPI) therapy. Consecutive patients, who were referred for surgical therapy because of PPI responsive typical symptoms of GERD, were prospectively assessed between January 2014 and May 2017. Patients diagnosed with JE subsequently underwent rigorous clinical screening including esophagogastroduodenoscopy (EGD), ambulatory pH impedance monitoring off PPI and a PPI trial. Out of 2443 evaluated patients, 37 (1.5%) subjects with a median age of 56.3 (51.6; 65) years were diagnosed with JE and left for final analysis. Extensive testing resulted in 16 (43.2%) GERD positive patients and 5 (13.9%) participants were observed to have an acid hypersensitive esophagus. There were no clinical parameters that differentiated phenotypes of JE. The prevalence of JE in patients with typical symptoms of GERD and response to PPI therapy is low. True GERD was diagnosed in less than half of this selected cohort, indicating the need for objective testing to stratify phenotypes of JE. (NCT03347903).

Indexed as

AgedEndoscopy, Digestive SystemEsomeprazoleEsophageal Motility DisordersEsophageal pH MonitoringFemaleGastroesophageal RefluxHumansMaleManometryMiddle AgedPrevalenceProton Pump InhibitorsTreatment OutcomeEsomeprazoleProton Pump Inhibitors

Identifiers

PMID29967357
PMCPMC6028385
OpenAlexW2811088776

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.