Evidence map›Paper›PMID 31648420›Full record

ArticleClinical endoscopy2020

Bleeding after Endoscopic Resection in Patients with End-Stage Renal Disease on Dialysis: A Multicenter Propensity Score-Matched Analysis.

In Kyung Yoo, Chan Gyoo Kim, Young Ju Suh, Younkyung Oh, Gwang Ho Baik, Sun Moon Kim, Young Dae Kim, Chul-Hyun Lim, Jung Won Jeon, Su Jin Hong and 3 more

Open access · goldAbstract read
In one paragraph

Article in Clinical endoscopy, 2020. 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
0.2field-weighted citation impact, top 40% 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, 8 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

13 authors at 11 institutions in 1 country.

In Kyung YooDepartment of Gastroenterology, Cha Bundang Medical Center, Cha University College of Medicine, Seougnam, Korea.
Chan Gyoo KimCenter for Gastric Cancer, National Cancer Center, Goyang, Korea.
Young Ju SuhDepartment of Biomedical Sciences, College of Medicine, Inha University, Incheon, Korea.
Younkyung OhDepartment of Biomedical Sciences, College of Medicine, Inha University, Incheon, Korea.
Gwang Ho BaikDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon Sacred Heart Hospital, Chuncheon, Korea.
Sun Moon KimDepartment of Internal Medicine, Konyang University Hospital, Seoul, Korea.
Young Dae KimDepartment of Internal Medicine, Chosun University School of Medicine, Gwangju, Korea.
Chul-Hyun LimDepartment of Internal Medicine, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Korea.
Jung Won JeonDepartment of Internal Medicine, Kyung Hee University Hospital at Gandong, College of Medicine, Seoul, Korea.
Su Jin HongDepartment of Internal Medicine, Soonchunhyang University School of Medicine, Bucheon, Seoul, Korea.
Byoung Wook BangDepartment of Internal Medicine, Inha University College of Medicine, Incheon, Korea.
Joon Sung KimDepartment of Internal Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Jun-Won ChungDepartment of Internal Medicine, Gachon University, Gil Medical Center, Incheon, Korea.
Inha University · KRCHA University Bundang Medical Center · KRChosun University · KRGachon University Gil Medical Center · KRHallym University · KRKonyang University Hospital · KRKyung Hee University Hospital at Gangdong · KRNational Cancer Center · KRSoonchunhyang University · KRThe Catholic University of Korea Incheon St. Mary's Hospital · KRThe Catholic University of Korea Seoul St. Mary's Hospital · KR

Funding

Korean Gastrointestinal Endoscopy Research Foundation
6 · The paper itself

Abstract

BACKGROUND/

aimsFrequent bleeding after endoscopic resection (ER) has been reported in patients with end-stage renal disease (ESRD). We aimed to evaluate the association and clinical significance of bleeding with ER in ESRD patients on dialysis.

methodsBetween February 2008 and December 2018, 7,571 patients, including 47 ESRD patients on dialysis who underwent ER for gastric neoplasia, were enrolled. A total of 47 ESRDpatients on dialysis were propensity score-matched 1:10 to 470 non-ESRD patients, to adjust for between-group differences in variables such as age, sex, comorbidities, anticoagulation use, tumor characteristics, and ER method. Matching was performed using an optimal matching algorithm. For the matched data, clustered comparisons were performed using the generalized estimating equation method. Medical records were retrospectively reviewed. Frequency and outcomes of post-ER bleeding were evaluated.

resultsBleeding was more frequent in the ESRD with dialysis group than in the non-ESRD group. ESRD with dialysis conferred a significant risk of post-ER bleeding (odds ratio, 6.1; 95% confidence interval, 2.7-13.6; p<0.0001). All post-ER bleeding events were controlled using endoscopic hemostasis except in 1 non-ESRD case that needed surgery.

conclusionESRD with dialysis confers a bleeding risk after ER. However, all bleeding events could be managed endoscopically without sequelae. Concern about bleeding should not stop endoscopists from performing ER in ESRD patients on dialysis.

Indexed as

BleedingDialysisEndoscopic resectionEnd-stage renal disease

Identifiers

PMID31648420
PMCPMC7403008
OpenAlexW2981553735

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.