Evidence map›Paper›PMID 30479321›Full record

ArticleSaudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association

Findings during screening colonoscopies in a Middle Eastern cohort.

Majid A Almadi, Abed Allehibi, Mohammad A Aljebreen, Othman R Alharbi, Nahla Azzam, Abdulrahman M Aljebreen

Open access · diamondAbstract readComparative StudyMulticenter Study
In one paragraph

Article in Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.4field-weighted citation impact, top 33% 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.

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

10 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. A chain is only as strong as its weakest link: Care pathways in colorectal cancer, from emergency interventions to preventive strategies.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2025
    Article
  3. Exploring intraprocedural performance in colonoscopy: Insights from a tertiary care center in Saudi Arabia.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Doing things right and doing the right things: Colorectal cancer screening in Saudi Arabia.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
    Article
  9. Histopathological and epidemiological findings of colonoscopy screening in a population with an average risk of colorectal cancer in Kuwait.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
    Article
  10. Colorectal cancer screening in middle eastern countries: Current status and future strategies to enhance screening.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Majid A AlmadiDivision of Gastroenterology, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia; Division of Gastroenterology, The McGill University Health Center, Montreal General Hospital, McGill University, Montreal, Canada.
Abed AllehibiDepartment of Gastroenterology, King Fahad Medical City, Riyadh, Saudi Arabia.
Mohammad A AljebreenDepartment of Medicine, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.
Othman R AlharbiDivision of Gastroenterology, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.
Nahla AzzamDivision of Gastroenterology, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.
Abdulrahman M AljebreenDivision of Gastroenterology, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.
King Khalid University Hospital · SAKing Saud University · SAKing Fahd Medical City · SAMontreal General Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsColorectal cancer is the most common cancer in males and the third most common cancer in females. We aim to determine the polyp and adenoma prevalence in a cohort of patients who underwent opportunistic screening colonoscopies. PATIENTS AND

methodsA retrospective cohort study was conducted using an endoscopic reporting database of individuals seen at three tertiary care hospitals (two public hospitals and one private) in Riyadh, Saudi Arabia. Consecutive patients who were 45 years of age and older and underwent opportunistic screening colonoscopies between November 2016 and October 2017 were included. We excluded those with a history of colon cancer or colonic resection for any reason, inflammatory bowel disease, gastrointestinal bleeding, or anemia.

resultsAround 1180 patients were included in the study with a mean age of 58.6 years (SD = 7.3), with males representing 53.6% and an overall cecal intubation rate of 92.4%. Masses were found in 1.6% of the study population (50% in the sigmoid or rectosigmoid, 37.5% in the rectum). The polyp detection rate in colonoscopies was 24.8% and the adenoma detection rate was 16.8%. The histology of removed polyps was tubular adenomas in 56.6%, hyperplastic polyps in 32.7%, tubulovillous adenomas in 8.2%, and villous adenomas in 2.5%. The majority of the polyps were in the sigmoid colon (28.3%) and rectum (22.0%), followed by the ascending colon (11.2%) and cecum (10.3%), then the transverse colon and descending colon (9.4% each), and multiple locations in the remainder.

conclusionThe prevalence of polyps and adenomas in this cohort is less than that reported in the Western populations.

Indexed as

AdenomaAgedCohort StudiesColonColonic NeoplasmsColonic PolypsColonoscopyColorectal NeoplasmsEarly Detection of CancerFemaleHumansMaleMass ScreeningMiddle AgedPrevalenceRectumAdenomacolon cancercolonoscopyearly detectionendoscopyepidemiologypolypprevalenceSaudi Arabiatumor

Identifiers

PMID30479321
PMCPMC6373218
OpenAlexW2903131019

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

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.