Evidence map›Paper›PMID 30235675›Full record

Observational studyMedicine2018

Adenoma miss rate determined by very shortly repeated colonoscopy: Retrospective analysis of data from a single tertiary medical center in China.

Cheng-Long Wang, Zhi-Ping Huang, Kai Chen, Fei-Hu Yan, Liang-Liang Zhu, Yong-Qi Shan, Yong-Jun-Yi Gao, Bai-Rong Li, Hao Wang, En-Da Yu and 1 more

Abstract readObservational Study
In one paragraph

Observational study in Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Article
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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

11 authors.

Cheng-Long WangDepartment of Colorectal Surgery and GI Endoscopy Center, Changhai Hospital Department of General Surgery, Guangzhou General Hospital of PLA, Guangzhou Department of General Surgery, Shenyang General Hospital of PLA, Shenyang Department of Emergency Medicine, The 309th Hospital of PLA, Beijing Department of Gastroenterology, Changhai Hospital, Naval Medical University, Shanghai, China.
Zhi-Ping Huang
Kai Chen
Fei-Hu Yan
Liang-Liang Zhu
Yong-Qi Shan
Yong-Jun-Yi Gao
Bai-Rong Li
Hao Wang
En-Da Yu
Zi-Ye Zhao

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adenoma miss rate (AMR) has been calculated in several tandem colonoscopy studies, but it costs overmuch to carry out a clinical trial.We aimed to put forward AMR by taking advantage of retrospective data, and to judge the comparability between AMRs from prospective and retrospective data.Data of the patients accepting repeated colonoscopies during January to September 2016 was retrospectively collected and analyzed. Information was recorded, including bowel preparation quality of the first colonoscopy, size, location, histology and whether missed within the first colonoscopy of each single adenoma. AMR was compared by different risk factors through χ test and multivariable logistic regression.Around 267 adenomas were detected during 309 pairs of repeated colonoscopies, of which 66 were missed during the first colonoscopies. AMRs of the lesions small in size, nonadvanced in histology, in poor bowel preparation context and located in the proximal colon, were significantly higher than the opposite ones, and old age and male were related to adenoma missing (P < .05). In multivariable logistic regression analysis, adenoma-related factors (diminutive in size, poor bowel preparation and located in ascending colon, transverse colon or sigmoid colon), and patient-related factors (older than 60 years, male and poor bowel preparation) were found to be independently associated with missing adenomas (P < .05).AMR of retrospective data is comparable to that of tandem studies. Several risk factors influence AMR dramatically, which should be paid attention to.

Indexed as

AdenomaAdultAgedAged, 80 and overAge FactorsCatharticsChinaColonoscopyDiagnostic ErrorsFemaleHumansLogistic ModelsMaleMiddle AgedRetrospective StudiesSex FactorsCathartics

Identifiers

PMID30235675
PMCPMC6160154

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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.