Evidence map›Paper›PMID 31293342›Full record

ArticleWorld journal of gastroenterology2019

Clinical characteristics of young patients with early Barrett's neoplasia.

Yugo Iwaya, Yuto Shimamura, Kenichi Goda, Enrique Rodríguez de Santiago, John Gerard Coneys, Jeffrey D Mosko, Gabor Kandel, Paul Kortan, Gary May, Norman Marcon and 1 more

Abstract read
In one paragraph

Article in World journal of gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Article
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  7. Epidemiology and Outcomes of Young-Onset Esophageal Adenocarcinoma: An Analysis from a Population-Based Database.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2021
    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

11 authors.

Yugo IwayaAdvanced Therapeutic Endoscopy Centre, St Michael's Hospital, University of Toronto, Toronto M5B 1W8, Ontario, Canada. yiwaya@shinshu-u.ac.jp.
Yuto ShimamuraAdvanced Therapeutic Endoscopy Centre, St Michael's Hospital, University of Toronto, Toronto M5B 1W8, Ontario, Canada.
Kenichi GodaDepartment of Gastroenterology, Dokkyo Medical University, Tochigi 321-0293, Japan.
Enrique Rodríguez de SantiagoDepartment of Gastroenterology, Ramón y Cajal university hospital, Madrid 28034, Spain.
John Gerard ConeysAdvanced Therapeutic Endoscopy Centre, St Michael's Hospital, University of Toronto, Toronto M5B 1W8, Ontario, Canada.
Jeffrey D MoskoAdvanced Therapeutic Endoscopy Centre, St Michael's Hospital, University of Toronto, Toronto M5B 1W8, Ontario, Canada.
Gabor KandelAdvanced Therapeutic Endoscopy Centre, St Michael's Hospital, University of Toronto, Toronto M5B 1W8, Ontario, Canada.
Paul KortanAdvanced Therapeutic Endoscopy Centre, St Michael's Hospital, University of Toronto, Toronto M5B 1W8, Ontario, Canada.
Gary MayAdvanced Therapeutic Endoscopy Centre, St Michael's Hospital, University of Toronto, Toronto M5B 1W8, Ontario, Canada.
Norman MarconAdvanced Therapeutic Endoscopy Centre, St Michael's Hospital, University of Toronto, Toronto M5B 1W8, Ontario, Canada.
Christopher TeshimaAdvanced Therapeutic Endoscopy Centre, St Michael's Hospital, University of Toronto, Toronto M5B 1W8, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEsophageal adenocarcinoma (EAC) and high-grade dysplasia (HGD) may appear in young patients with Barrett's esophagus (BE). However, characteristics of Barrett's-related neoplasia in this younger population remain unknown.

aimTo identify clinical characteristics that differ between young and old patients with early-stage Barrett's-related neoplasia.

methodsWe conducted a retrospective analysis of a prospectively maintained database comprised of consecutive patients with early-stage EAC (pT1) and HGD at a tertiary-referral center between 2001 and 2017. Baseline characteristics, drug and risk factor exposures, clinicopathological staging of EAC/HGD and treatment outcomes [complete eradication of neoplasia (CE-N), complete eradication of intestinal metaplasia (CE-IM), recurrence of neoplasia and recurrence of intestinal metaplasia] were retrieved. Multivariate analyses were performed to identify factors that differed significantly between older and younger (≤ 50 years) patients.

resultsWe identified 450 patients with T1 EAC and HGD (74% and 26%, respectively); 45 (10%) were ≤ 50 years. Compared to the older group, young patients were more likely to present with ongoing gastroesophageal reflux disease (GERD) symptoms (55%

conclusionWhile guidelines recommend BE screening in patients > 50 years of age, younger patients should be considered for screening endoscopy if they suffer from obesity and GERD symptoms.

Indexed as

AdenocarcinomaAge FactorsBarrett EsophagusComorbidityEarly Detection of CancerEsophageal NeoplasmsEsophagoscopyEsophagusFemaleFollow-Up StudiesGastroesophageal RefluxHumansMaleMass ScreeningMiddle AgedNeoplasm StagingBarrett’s EsophagusEsophageal adenocarcinomaGastroesophageal reflux diseaseGuidelineHigh-grade dysplasiaObesityYoung patient

Identifiers

PMID31293342
PMCPMC6603815

What OpenQuestion holds

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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.