Evidence map›Paper›PMID 30882676›Full record

ArticleMedicine2019

Impact of gastric endoscopic submucosal dissection in elderly patients: The latest single center large cohort study with a review of the literature.

Hayato Yamaguchi, Masakatsu Fukuzawa, Takashi Kawai, Taisuke Matsumoto, Maya Suguro, Kumiko Uchida, Yohei Koyama, Akira Madarame, Takashi Morise, Yuki Aoki and 6 more

Abstract read
In one paragraph

Article in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

16 authors.

Hayato YamaguchiDepartment of Gastroenterology and Hepatology.
Masakatsu FukuzawaDepartment of Gastroenterology and Hepatology.
Takashi KawaiEndoscopy Center, Tokyo Medical University Hospital, Tokyo, Japan.
Taisuke MatsumotoDepartment of Gastroenterology and Hepatology.
Maya SuguroDepartment of Gastroenterology and Hepatology.
Kumiko UchidaDepartment of Gastroenterology and Hepatology.
Yohei KoyamaDepartment of Gastroenterology and Hepatology.
Akira MadarameDepartment of Gastroenterology and Hepatology.
Takashi MoriseDepartment of Gastroenterology and Hepatology.
Yuki AokiDepartment of Gastroenterology and Hepatology.
Akihiko SugimotoEndoscopy Center, Tokyo Medical University Hospital, Tokyo, Japan.
Yoshiya YamauchiDepartment of Gastroenterology and Hepatology.
Shin KonoDepartment of Gastroenterology and Hepatology.
Yuichiro TsujiDepartment of Gastroenterology and Hepatology.
Kenji YagiDepartment of Gastroenterology and Hepatology.
Takao ItoiDepartment of Gastroenterology and Hepatology.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

With the increase in the elderly population, we are witnessing an increase in the rate of patients with underlying diseases and those under treatment with antithrombotic drugs.In this study, we compared the treatment outcomes of endoscopic submucosal dissection (ESD) and other parameters in the following 3 groups: super-elderly, elderly, and nonelderly.Compared with the other groups, the super-elderly group showed a significantly higher incidence of underlying diseases and the rate of antithrombotic treatment (P < .05). However, we observed no significant difference in the rate of curative resection or incidence of complications among the 3 groups. ESD is a relatively safe technique when performed on super-elderly patients. However, we have identified some cases in the super-elderly group, for which ESD was selected as a minimally invasive treatment for lesions that did not meet the inclusion criteria for open surgery as well as for which follow-up observations were selected rather than additional surgery for noncurative resections.Further investigations concerning ESD are required, focusing on aspects such as indications, additional surgery, and informed consent of the patient or family, particularly when ESD is performed for super-elderly patients.

Indexed as

Endoscopic Mucosal ResectionGastroscopyStomach NeoplasmsAgedAged, 80 and overAge FactorsCardiovascular DiseasesCohort StudiesComorbidityFemaleFibrinolytic AgentsGastric MucosaHumansJapanMaleRisk AdjustmentFibrinolytic Agents

Identifiers

PMID30882676
PMCPMC6426470

What OpenQuestion holds

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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.