Evidence map›Paper›PMID 31565052›Full record

ArticleGastroenterology research and practice2019

Accuracy of Colon Capsule Endoscopy for Colorectal Neoplasia Detection in Individuals Referred for a Screening Colonoscopy.

Michal Voska, Miroslav Zavoral, Tomas Grega, Ondrej Majek, Jan Martinek, Ilja Tacheci, Marek Benes, Gabriela Vojtechova, Pavel Drastich, Jan Bures and 4 more

Open access · goldAbstract read
In one paragraph

Article in Gastroenterology research and practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 5 pooled it
2.4field-weighted citation impact, top 9% 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

19 citing papers in PubMed, 5 syntheses or guidelines pooled it, 37 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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  9. Advances in colon capsule endoscopy: a review of current applications and challenges.Frontiers in gastroenterology (Lausanne, Switzerland) · 2023
    Review
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  11. Current and future colorectal cancer screening strategies.Nature reviews. Gastroenterology & hepatology · 2022
    Review
  12. Screening for Colorectal Cancer.Hematology/oncology clinics of North America · 2022
    Review
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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

14 authors at 4 institutions in 1 country.

Michal VoskaDepartment of Medicine, First Faculty of Medicine, Charles University, Military University Hospital, Prague, CZ 169 02, Czech Republic.ORCID https://orcid.org/0000-0002-5502-0768
Miroslav ZavoralDepartment of Medicine, First Faculty of Medicine, Charles University, Military University Hospital, Prague, CZ 169 02, Czech Republic.
Tomas GregaDepartment of Medicine, First Faculty of Medicine, Charles University, Military University Hospital, Prague, CZ 169 02, Czech Republic.
Ondrej MajekInstitute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, CZ 625 00, Czech Republic.
Jan MartinekDepartment of Medicine, First Faculty of Medicine, Charles University, Military University Hospital, Prague, CZ 169 02, Czech Republic.
Ilja Tacheci2nd Department of Internal Medicine-Gastroenterology, University Hospital Hradec Kralove, Charles University, Faculty of Medicine in Hradec Kralove, Hradec Kralove, CZ 500 05, Czech Republic.ORCID https://orcid.org/0000-0003-3583-2651
Marek BenesDepartment of Hepatogastroenterology, Institute for Clinical and Experimental Medicine, Prague, CZ 140 21, Czech Republic.
Gabriela VojtechovaDepartment of Medicine, First Faculty of Medicine, Charles University, Military University Hospital, Prague, CZ 169 02, Czech Republic.ORCID https://orcid.org/0000-0002-7911-470X
Pavel DrastichDepartment of Hepatogastroenterology, Institute for Clinical and Experimental Medicine, Prague, CZ 140 21, Czech Republic.
Jan Bures2nd Department of Internal Medicine-Gastroenterology, University Hospital Hradec Kralove, Charles University, Faculty of Medicine in Hradec Kralove, Hradec Kralove, CZ 500 05, Czech Republic.ORCID https://orcid.org/0000-0003-0326-117X
Julius SpicakDepartment of Hepatogastroenterology, Institute for Clinical and Experimental Medicine, Prague, CZ 140 21, Czech Republic.
Barbora BuckovaInstitute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, CZ 625 00, Czech Republic.
Ondrej NgoInstitute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, CZ 625 00, Czech Republic.
Stepan SuchanekDepartment of Medicine, First Faculty of Medicine, Charles University, Military University Hospital, Prague, CZ 169 02, Czech Republic.ORCID https://orcid.org/0000-0003-3659-0252
Charles University · CZInstitute of Clinical and Experimental Medicine · CZMasaryk University · CZUniversity of Ostrava · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backroundCapsule colonoscopy might present an alternative to colonoscopy for colorectal neoplasia screening.

aimTo assess the accuracy of second-generation capsule colonoscopy (CCE2) for colorectal neoplasia detection compared with conventional colonoscopy (CC).

methodsFrom 2011-2015, we performed a multicenter, prospective, cross-over study evaluating the use of CCE2 as a possible colorectal cancer (CRC) screening test based on the assessment of the method's characteristics (accuracy) and safety and patient acceptance of the routine. Enrolled participants fulfilled the CRC screening population criteria if they were asymptomatic, were older than 50, and had no personal or familial history of colorectal neoplasia. The primary outcome was accuracy for the detection of polyps ≥ 6 mm. Secondary outcomes were accuracy for all polyps, polyps ≥ 10 mm, adenomas ≥ 10 mm, and cancers, the quality of bowel cleansing, safety, and CCE2 acceptability by the screening population.

resultsA total of 236 individuals were examined; 11 patients (5%) were excluded. Therefore, 225 subjects (95%) were considered in the intention-to-screen (ITS) group. A total of 201 patients (89%) completed both examinations successfully (per protocol group). In the ITS group, polyps were diagnosed during CC in 114 subjects (51%); polyps ≥ 6 mm, polyps ≥ 10 mm, and adenomas ≥ 10 mm were diagnosed in 34 (15%), 16 (7%), and 11 (5%) patients, respectively. The sensitivity of CCE2 for polyps ≥ 6 mm, polyps ≥ 10 mm, and adenomas ≥ 10 mm was 79% (95% confidence interval (CI): 62-91%), 88% (95% CI: 62-98%), and 100% (95% CI: 72-100%), respectively.

conclusionSecond-generation capsule colonoscopy is a safe, noninvasive, and sensitive method for colorectal neoplasia detection although CC remains the preferred method for considerable proportion of subjects. CCE2 may therefore be accepted as the primary screening test for colorectal cancer screening.

Identifiers

PMID31565052
PMCPMC6745144
OpenAlexW2971594391

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.