Evidence map›Paper›PMID 30802159›Full record

ArticleJournal of global oncology2019

Early Detection for Colorectal Cancer: ASCO Resource-Stratified Guideline.

Gilberto Lopes, Mariana C Stern, Sarah Temin, Ala I Sharara, Andres Cervantes, Ainhoa Costas-Chavarri, Rena Engineer, Chisato Hamashima, Gwo Fuang Ho, Fidel David Huitzil and 8 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Journal of global oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 51 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 7 pooled it
4.2field-weighted citation impact, top 5% 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

51 citing papers in PubMed, 7 syntheses or guidelines pooled it, 90 citations in OpenAlex.

  1. Second-generation capsule endoscopy for the detection of colorectal polyps: An updated systematic review and comparative meta-analysis of prospective studies.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 15 institutions in 11 countries.

Gilberto LopesUniversity of Miami, Sylvester Comprehensive Cancer Center, Miami, FL.
Mariana C SternKeck School of Medicine of University of Southern California, Los Angeles, CA.
Sarah TeminAmerican Society of Clinical Oncology, Alexandria, VA.
Ala I ShararaAmerican University of Beirut, Beirut, Lebanon.
Andres CervantesHospital Clinico Universitario, Valencia, Spain.
Ainhoa Costas-ChavarriRwanda Military Hospital, Kigali, Rwanda.
Rena EngineerTata Memorial Centre, Mumbai, India.
Chisato HamashimaNational Cancer Center, Tokyo, Japan.
Gwo Fuang HoUniversity of Malaya, Kuala Lumpur, Malaysia.
Fidel David HuitzilInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Mona Malekzadeh MoghaniShahid Beheshti University, Tehran, Iran.
Govind NandakumarColumbia Asia Hospitals, Bangalore, India, and Weill Cornell Medical College, New York, NY.
Manish A ShahNew York-Presbyterian/Weill Cornell Medical Center, New York, NY.
Catherine TehMakati Medical Center, Makati, Philippines.
Sara E Vázquez ManjarrezInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Azmina VerjeeHomerton University Hospital Foundation Trust, Bowel Disease Research Foundation, London, United Kingdom.
Rhonda YantissNew York-Presbyterian/Weill Cornell Medical Center, New York, NY.
Marcia Cruz CorreaThe University of Puerto Rico, San Juan, Puerto Rico, and MD Anderson Cancer Center, Houston, TX.
Cornell University · USInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán · MXAmerican Society of Clinical Oncology · USAmerican University of Beirut · LBBowel Disease Research Foundation · GBHospital Clínico Universitario de Valencia · ESMakati Medical Center · PHPresbyterian Hospital · USRwanda Military Hospital · RWShahid Beheshti University · IRSylvester Comprehensive Cancer Center · USTata Memorial Hospital · INUniversity of Malaya · MYUniversity of Puerto Rico System · PRUniversity of Southern California · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo provide resource-stratified, evidence-based recommendations on the early detection of colorectal cancer in four tiers to clinicians, patients, and caregivers.

methodsAmerican Society of Clinical Oncology convened a multidisciplinary, multinational panel of medical oncology, surgical oncology, surgery, gastroenterology, health technology assessment, cancer epidemiology, pathology, radiology, radiation oncology, and patient advocacy experts. The Expert Panel reviewed existing guidelines and conducted a modified ADAPTE process and a formal consensus-based process with additional experts (Consensus Ratings Group) for two round(s) of formal ratings.

resultsExisting sets of guidelines from eight guideline developers were identified and reviewed; adapted recommendations form the evidence base. These guidelines, along with cost-effectiveness analyses, provided evidence to inform the formal consensus process, which resulted in agreement of 75% or more.

conclusionIn nonmaximal settings, for people who are asymptomatic, are ages 50 to 75 years, have no family history of colorectal cancer, are at average risk, and are in settings with high incidences of colorectal cancer, the following screening options are recommended: guaiac fecal occult blood test and fecal immunochemical testing (basic), flexible sigmoidoscopy (add option in limited), and colonoscopy (add option in enhanced). Optimal reflex testing strategy for persons with positive screens is as follows: endoscopy; if not available, barium enema (basic or limited). Management of polyps in enhanced is as follows: colonoscopy, polypectomy; if not suitable, then surgical resection. For workup and diagnosis of people with symptoms, physical exam with digital rectal examination, double contrast barium enema (only in basic and limited); colonoscopy; flexible sigmoidoscopy with biopsy (if contraindication to latter) or computed tomography colonography if contraindications to two endoscopies (enhanced only).

Indexed as

AgedAge FactorsColorectal NeoplasmsEarly Detection of CancerHealth ResourcesHumansInternational CooperationMiddle AgedPractice Guidelines as TopicRisk FactorsSocieties, Medical

Identifiers

PMID30802159
PMCPMC6426543
OpenAlexW2915961297

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.