Evidence map›Paper›PMID 30588324›Full record

ArticleBMJ open gastroenterology2018

Adenoma Detection before and after the age of 50: a retrospective analysis of Lebanese outpatients.

Mohammed Hussein Kamareddine, Youssef Ghosn, Karam Karam, Anwar Andrew Nader, Ahmad El-Mahmoud, Naseem Bou-Ayash, Mansour El-Khoury, Said Farhat

Open access · goldAbstract read
In one paragraph

Article in BMJ open gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Systematic Review of Prevalence, Risk Factors, and Risk for Metachronous Advanced Neoplasia in Patients With Young-Onset Colorectal Adenoma.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2021
    Pooled it
  2. Observational
  3. Article
  4. Colorectal Neoplasia in Vietnamese Patients Under 50 Years of Age: A Cross-Sectional Study.The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2025
    Article
  5. Characteristics of adenomatous colorectal polyps among a Saudi population.Journal of Taibah University Medical Sciences · 2023
    Article
  6. Unlocking quality in endoscopic mucosal resection.World journal of gastrointestinal endoscopy · 2023
    Review
  7. Article
  8. Risk factors and the utility of three different kinds of prediction models for postoperative fatigue after gastrointestinal tumor surgery.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  9. Review
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 2 institutions in 1 country.

Mohammed Hussein KamareddineDepartment of Medicine and Medical Sciences, University of Balamand, El-Koura, Lebanon.
Youssef GhosnDepartment of Medicine and Medical Sciences, University of Balamand, El-Koura, Lebanon.
Karam KaramDepartment of Medicine and Medical Sciences, University of Balamand, El-Koura, Lebanon.
Anwar Andrew NaderDepartment of Medicine and Medical Sciences, University of Balamand, El-Koura, Lebanon.
Ahmad El-MahmoudDepartment of Medicine and Medical Sciences, University of Balamand, El-Koura, Lebanon.
Naseem Bou-AyashDepartment of Medicine and Medical Sciences, University of Balamand, El-Koura, Lebanon.
Mansour El-KhouryDepartment of General Surgery, Saint George Hospital University Medical Center, Beirut, Lebanon.
Said FarhatDepartment of Gastroenterology, Saint George Hospital University Medical Center, Beirut, Lebanon.
University of Balamand · LBSaint George Hospital · LB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimColorectal cancer (CRC) has an increased impact on the Lebanese population's morbidity and mortality. This study evaluated the situation of adenoma detection in an outpatient clinic in Lebanon. PATIENTS AND

methods918 patients underwent colonoscopy over a period of 24 months by a qualified physician. Biopsy results were divided into normal versus abnormal colonic tissue, which was further subdivided into number of polyps and cancer.

resultsOut of 918 individuals included, 82 cases of Crohn's colitis (8.93%) and 22 cases of ulcerative colitis (2.39%) were identified. A total of 42 cases of CRC (4.58%) and 188 cases of adenomatous polyps (20.48%) were identified. The data show that age >50 years and male gender significantly correlate with increased incidence of precancerous and cancerous polyps. Further exploring the results by age groups and gender, detection of adenomatous polyps in women aged 40-49 (8.33%) was significantly different from their female counterparts aged ≥50 years old (25.26%) (p<0.01). However, no statistical difference between detection of adenomas was found between men aged 40-49 (33.33%) and their male counterparts aged ≥50 years old (37.5%) (p=0.6).

conclusionWithin the limitations of this study, the incidence of CRC and adenomatous polyps falls in the high range compared with international studies. Furthermore, symptomatic male patients aged 40-49 appear to exhibit detection rates of adenomas similar to their counterparts aged ≥50 years old. Subjects younger than 50 years underwent diagnostic rather than screening colonoscopy, which introduces some selection bias. Nevertheless, these findings can serve as a basis for further studies.

Indexed as

colon carcinogenesiscolonic adenomascolonic neoplasmscolonoscopy

Identifiers

PMID30588324
PMCPMC6280908
OpenAlexW2902060449

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.