Evidence map›Paper›PMID 30574323›Full record

ArticleUnited European gastroenterology journal2018

Detection of serrated lesions in proximal colon by simulated sigmoidoscopy vs faecal immunochemical testing in a multicentre, pragmatic, randomised controlled trial.

Laura Carot, Antoni Castells, Cristina Hernández, Cristina Alvarez-Urturi, Francesc Balaguer, Angel Lanas, Joaquín Cubiella, Jose D Tasende, Rodrigo Jover, Vicent Hernandez and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in United European gastroenterology journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
0.5field-weighted citation impact, top 31% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Observational
  5. Review
  6. 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

15 authors at 11 institutions in 1 country.

Laura CarotGastroenterology Department, Hospital del Mar, Barcelona, Spain.ORCID https://orcid.org/0000-0001-6507-9571
Antoni CastellsGastroenterology Department, Hospital Clínic de Barcelona, Universitat de Barcelona, Spain.
Cristina HernándezEpidemiology and Evaluation Department, Hospital del Mar, Barcelona, Spain.
Cristina Alvarez-UrturiGastroenterology Department, Hospital del Mar, Barcelona, Spain.
Francesc BalaguerGastroenterology Department, Hospital Clínic de Barcelona, Universitat de Barcelona, Spain.
Angel LanasGastroenterology Department, Hospital Clinico Universitario, Zaragoza, Spain.
Joaquín CubiellaGastroenterology Department, Instituto de Investigación Biomédica Galicia Sur, Orense, Spain.
Jose D TasendeGastroenterology Department, Hospital Universitario 12 de Octubre, Madrid, Spain.
Rodrigo JoverGastroenterology Department, Hospital General Universitario, Alicante, Spain.
Vicent HernandezGastroenterology Department, Complexo Hospitalario Universitario, Vigo, Spain.
Fernando CarballoUnidad de Gestión Clínica de Digestivo, Hospital Universitario Virgen de la Arrixaca, Murcia, Spain.
Luis BujandaGastroenterology Department, Donostia Hospital, San Sebastian, Spain.
Enrique QuinteroGastroenterology Department, Hospital Universitario La Laguna, Tenerife, Spain.
Montserrat AndreuGastroenterology Department, Hospital del Mar, Barcelona, Spain.
Xavier BessaGastroenterology Department, Hospital del Mar, Barcelona, Spain.
Hospital Del Mar · ESHospital Clínic de Barcelona · ESBiogipuzkoa Health Research Institute · ESGalicia Sur Biomedical Foundation · ESHospital Clínico Universitario Lozano Blesa · ESHospital General Universitario de Alicante Doctor Balmis · ESHospital Universitario 12 De Octubre · ESHospital Universitario Virgen de la Arrixaca · ESUniversidad de La Laguna · ESUniversitat Autònoma de Barcelona · ESUniversity Hospital Complex Of Vigo · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe diagnostic yield of the faecal immunochemical test and sigmoidoscopy in detecting proximal serrated polyps in a colorectal cancer screening programme has not been fully assessed.

aimWe determined the detection rate of proximal serrated polyps by simulated sigmoidoscopy and faecal immunochemical test compared with total colonoscopy in a population-based, multicentre, nationwide, randomised controlled trial (ColonPrev study).

methodsSigmoidoscopy yield was simulated based on the UK-Flexible Sigmoidoscopy Trial for total colonoscopy referral. Definitions were: proximal serrated polyp (proximal serrated polyp): sessile serrated polyp or hyperplastic polyp of any size and proximal at-risk serrated polyp (at-risk proximal serrated polyp): sessile serrated polyp of any size or hyperplastic polyp ≥ 10 mm, both located proximally to the splenic flexure.

resultsA total of 10,611 individuals underwent faecal immunochemical test and 5059 underwent total colonoscopy and were evaluated by simulated sigmoidoscopy. Sigmoidoscopy and faecal immunochemical test were less accurate in detecting proximal serrated polyps (odds ratio: 0.13; 95% confidence interval: 0.10-0.18 and 0.13; 0.09-0.18,

conclusionSigmoidoscopy and faecal immunochemical test are less accurate in detecting proximal serrated polyps than colonoscopy, particularly in women.

Indexed as

colorectal cancer screeningfaecal immunochemical testSerrated polypssigmoidoscopy

Identifiers

PMID30574323
PMCPMC6297927
OpenAlexW2892587620

What OpenQuestion holds

Textmetadata
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.