Evidence map›Paper›PMID 30099104›Full record

ArticleClinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association2019

Safety and Acceptability of Esophageal Cytosponge Cell Collection Device in a Pooled Analysis of Data From Individual Patients.

Wladyslaw Januszewicz, Wei Keith Tan, Katie Lehovsky, Irene Debiram-Beecham, Tara Nuckcheddy, Susan Moist, Sudarshan Kadri, Massimiliano di Pietro, Alex Boussioutas, Nicholas J Shaheen and 4 more

2 registry-linked trialsAbstract read
In one paragraph

Article in Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing 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.

NCT05342168 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Comparison of Histological Results Obtained From a Mesh Sponge (CytospongeTM) and Traditional Esophageal Mucosal Biopsies in Children and Adolescents With Eosinophilic Esophagitis

TypeinterventionalSponsorThe Hospital for Sick ChildrenRan2022 to 2023Enrolled30ConditionsEosinophilic EsophagitisArmsUsing a swallowed expanding sponge (Cytosponge TM) to obtain sampling of the esophageal musosa
NCT06501274 nacompletednot on this mapstarted 2023, after this paper: background citation

A Pragmatic Interventional Study to Assess the Clinical Value of Capsule Sponge in the Assessment of Response to Treatment of Non-stenotic Eosinophilic Oesophagitis in a Single District General Hospital

TypeinterventionalSponsorEast and North Hertfordshire NHS TrustRan2023 to 2025Enrolled143ConditionsEosinophilic EsophagitisArmscapsule sponge
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. Barriers and Enablers to Capsule Sponge Screening Among People With Heartburn: A Community-Based Qualitative Study in the UK.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  4. Article
  5. Review
  6. Diagnostic and Prognostic Biomarkers for Barrett's Esophagus.Gastroenterology clinics of North America · 2026
    Review
  7. Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Observational
  14. Algorithm Training and Testing for a Nonendoscopic Barrett's Esophagus Detection Test in Prospective Multicenter Cohorts.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2024
    Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Wladyslaw JanuszewiczMRC Cancer Unit, University of Cambridge, Cambridge, United Kingdom; Department of Gastroenterology, Hepatology and Clinical Oncology, Medical Centre for Postgraduate Education, Warsaw, Poland.
Wei Keith TanMRC Cancer Unit, University of Cambridge, Cambridge, United Kingdom; Department of Gastroenterology, Addenbrookes Hospital, Cambridge University NHS Foundation Trust, Cambridge, United Kingdom.
Katie LehovskySchool of Clinical Medicine, University of Cambridge, Cambridge, United Kingdom.
Irene Debiram-BeechamMRC Cancer Unit, University of Cambridge, Cambridge, United Kingdom.
Tara NuckcheddyMRC Cancer Unit, University of Cambridge, Cambridge, United Kingdom.
Susan MoistCenter for Esophageal Diseases and Swallowing, University of North Carolina School of Medicine, Chapel Hill, North Carolina.
Sudarshan KadriDepartment of Gastroenterology, University Hospital Leicester, Leicester, United Kingdom.
Massimiliano di PietroMRC Cancer Unit, University of Cambridge, Cambridge, United Kingdom.
Alex BoussioutasSir Peter MacCallum Department of Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria; Australia Department of Medicine, Royal Melbourne Hospital, University of Melbourne, Melbourne, Victoria, Australia.
Nicholas J ShaheenCenter for Esophageal Diseases and Swallowing, University of North Carolina School of Medicine, Chapel Hill, North Carolina.
David A KatzkaDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.
Evan S DellonCenter for Esophageal Diseases and Swallowing, University of North Carolina School of Medicine, Chapel Hill, North Carolina.
Rebecca C FitzgeraldMRC Cancer Unit, University of Cambridge, Cambridge, United Kingdom. Electronic address: rcf29@mrc-cu.cam.ac.uk.
BEST1 and BEST2 study investigators

Funding

Whole Exome Approaches for Esophageal Adenocarcinoma Susceptibility GenesU54CA163060 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI CHAK, AMITABH, GUDA, KISHORE · 2011 to 2022
$14.0M
Non-Endoscopic Surveillance for Barrett's Esophagus Following Ablative TherapyK24DK100548 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SHAHEEN, NICHOLAS J · 2013 to 2017
$896k
Cancer Research UK 12088Cancer Research UK A12088Medical Research Council MC_UU_12022/2NCI NIH HHS U54 CA163060NIDDK NIH HHS K24 DK100548
6 · The paper itself

Abstract

BACKGROUND &

aimsDiagnosis and surveillance of Barrett's esophagus (BE) and eosinophilic esophagitis (EoE) have become emerging public health issues. Cytosponge is a novel, minimally invasive esophageal cell collection device. We aimed to assess the data on safety and acceptability of this device.

methodsWe performed a patient-level review of 5 prospective trials assessing Cytosponge performance in patients with reflux disease, BE and EoE in primary and secondary care. Acceptability of Cytosponge and subsequent endoscopy were recorded with visual analogue scale (VAS), wherein 0 and 10 denoted lowest and highest acceptability. Median VAS scores were compared using a Mann-Whitney test. The number of attempts, failures in swallowing the device and occurrence of adverse events were analyzed. Risk factors for failure in swallowing were analyzed using a multivariate regression model.

resultsIn total, 2672 Cytosponge procedures were performed, in 2418 individuals from 2008 through 2017. There were 2 adverse events related to the device: a minor pharyngeal bleed and a case of detachment (<1:2000). The median acceptability score for the Cytosponge was 6.0 (interquartile range [IQR], 5.0-8.0), which was higher than the score for endoscopy without sedation (median 5.0; IQR, 3.0-7.0; P < .001) and lower than the score for endoscopy with sedation (median 8.0; IQR, 5.0-9.0; P < .001). Nearly all patients (91.1%) successfully swallowed the Cytosponge, most on the first attempt (90.1%). Failure to swallow the device was more likely to occur in secondary care (odds ratio, 5.13; 95% CI, 1.48-17.79; P < .01).

conclusionsThe Cytosponge test is a safe procedure with good acceptability ratings in a variety of health care settings.

Indexed as

Equipment and SuppliesAgedBarrett EsophagusCytological TechniquesEosinophilic EsophagitisFemaleHumansMaleMass ScreeningMiddle AgedPatient Acceptance of Health CarePatient SafetyProspective StudiesRetrospective StudiesRisk FactorsSpecimen HandlingAcceptability of HealthcareMedical DeviceSafety

Identifiers

PMID30099104
PMCPMC6370042

What OpenQuestion holds

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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.