Evidence map›Paper›PMID 31367621›Full record

ArticleWorld journal of clinical cases2019

Development and validation of a model to determine risk of refractory benign esophageal strictures.

Qing Lu, Tian-Tian Lei, Yi-Lan Wang, Hai-Lin Yan, Bo Lin, Lin-Lin Zhu, Hong-Sheng Ma, Jin-Lin Yang

Open access · diamondAbstract read
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Article in World journal of clinical cases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

5 citing papers in PubMed, 10 citations in OpenAlex.

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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.

Qing LuDepartment of Gastroenterology, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
Tian-Tian LeiDepartment of Day Surgery, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
Yi-Lan WangDepartment of Gastroenterology, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
Hai-Lin YanDepartment of Gastroenterology, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
Bo LinDepartment of Gastroenterology, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
Lin-Lin ZhuDepartment of Gastroenterology, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
Hong-Sheng MaDepartment of Day Surgery, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
Jin-Lin YangDepartment of Gastroenterology, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China. mouse-577@163.com.
Sichuan University · CNWest China Hospital of Sichuan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrent research has identified several risk factors for refractory benign esophageal strictures (RBES), but research is scarce on the prediction of RBES in benign esophageal strictures patients. Meanwhile, the long-term outcomes of RBES remain unclear. The aim of this study was to develop and validate a model to determine the progression of RBES in patients with benign esophageal strictures. And we also explored the long-term outcomes and safety in patients with RBES.

aimTo develop and validate a model to determine the progression of RBES in patients with benign esophageal strictures, based on the demographic data and endoscopic findings.

methodsA total of 507 benign esophageal stricture patients treated by dilation alone or in combination with stenting were retrospectively enrolled between January 2009 and February 2018. The primary outcome was to establish a risk-scoring model predicting RBES in benign esophageal strictures. The secondary outcome was to explore the clinical effectiveness and adverse events in patients with RBES.

resultsIn the study, age, etiology, and number and length of strictures were the independent risk factors for the refractory performance of benign esophageal strictures. According to risk factors of benign esophageal strictures, a risk-scoring model for predicting RBES in benign esophageal strictures was established: The risk score ranged from 0 to 8 points, and the risk scores were divided into low risk (0-2 points), intermediate risk (3-5 points), and high risk (6-8 points). The proportions of RBES in the corresponding risk categories were 1.0%, 12.2%, and 76.0%, respectively. Among 507 patients, 57 had RBES (39 males; median age, 60 years). The success rate of dilation treatment (51.2%, 21/41) was higher than that of stent placement (37.5%, 6/16).

conclusionIn this study, 11.3% (57/507) patients had RBES at our hospital. The risk-scoring model predicting RBES in benign esophageal strictures could predict the long-term outcome of patients with strictures ahead.

Indexed as

Esophageal dilationEsophageal stentsLong-term outcomesRefractory benign esophageal stricturesRetrospective analysis

Identifiers

PMID31367621
PMCPMC6658380
OpenAlexW2956159542

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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.