Evidence map›Paper›PMID 31662867›Full record

ArticleUnited European gastroenterology journal2019

Endoscopic management of 345 small rectal neuroendocrine tumours: A national study from the French group of endocrine tumours (GTE).

Caroline Fine, Guillaume Roquin, Eric Terrebonne, Thierry Lecomte, Romain Coriat, Christine Do Cao, Louis de Mestier, Elise Coffin, Guillaume Cadiot, Patricia Nicolli and 10 more

Open access · bronzeAbstract readComparative StudyMulticenter Study
In one paragraph

Article in United European gastroenterology journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 6% 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

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. Guideline
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  12. Rectal neuroendocrine tumors: Can we predict their behavior?World journal of gastroenterology · 2025
    Article
  13. Review
  14. An Update on the Management of Rectal Neuroendocrine Neoplasms.Current treatment options in oncology · 2024
    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

20 authors at 18 institutions in 5 countries.

Caroline FineService de Gastroentérologie et d'Oncologie Médicale, Hôpital Edouard Herriot, Lyon, France.ORCID 0000-0002-6291-1323
Guillaume RoquinService de Gastro Entérologie et d'Oncologie Digestive, CHU Angers, Angers, France.
Eric TerrebonneService de Gastro Entérologie et d'Oncologie Digestive, CHU de Bordeaux, Bordeaux, France.
Thierry LecomteService d'Oncologie Digestive, CHRU Tours, Tours, France.
Romain CoriatService de Gastro-Entérologie, Oncologie Digestive, Hôpital Cochin, Paris, France.
Christine Do CaoService d'Endocrinologie, Hôpital Claude Huriez, Lille, France.
Louis de MestierService de Gastroentérologie et Pancréatologie, Hôpital Beaujon, Clichy, France.
Elise CoffinService de Gastro Entérologie et d'Oncologie Digestive, Hôpital Européen Georges Pompidou, Paris, France.
Guillaume CadiotService de Gastroentérologie et d'Oncologie Digestive, CHRU de Reims, Reims, France.
Patricia NicolliService d'Endocrinologie, Institut Paoli Calmette, Marseille, France.
Vincent LepiliezService de Gastroentérologie et d'Endoscopie, Hopital Privé Jean Mermoz, Lyon, France.
Vincent HautefeuilleService de Gastro-Entérologie, Oncologie Digestive, CHRU Amiens, Amiens, France.ORCID 0000-0003-2735-6448
Jeanne RamosService d'Anatomie et Cytologie Pathologiques, CHU - Hôpital Gui de Chauliac, Montpellier, France.
Paul GirotService de Gastroentérologie et d'Oncologie Digestive, CHU de Nantes, Nantes, France.
Sophie DominguezService d'Onco-Hématologie, Université Catholique de Lille, Lille, France.
Fritz-Line V CéphiseService d'Endocrinologie, CHU de Guadeloupe, Point-à-Pitre, France.
Julien ForestierService de Gastroentérologie et d'Oncologie Médicale, Hôpital Edouard Herriot, Lyon, France.
Valérie HervieuService Central d'Anatomie et Cytologie Pathologiques, Hôpital Edouard Herriot, Lyon, France.
Mathieu PiocheService de Gastroentérologie et d'Oncologie Médicale, Hôpital Edouard Herriot, Lyon, France.
Thomas WalterService de Gastroentérologie et d'Oncologie Médicale, Hôpital Edouard Herriot, Lyon, France.
Hôpital Edouard Herriot · FRUniversité Claude Bernard Lyon 1 · FRCentre Hospitalier Universitaire Amiens-Picardie · FRCentre Hospitalier Universitaire d'Angers · FRCentre Hospitalier Universitaire de Bordeaux · FRCentre Hospitalier Universitaire de Montpellier · FRCentre Hospitalier Universitaire de Nantes · FRCentre Hospitalier Universitaire de Reims · FRCentre Hospitalier Universitaire Pointe-à-Pitre · GPCentre National de la Recherche Scientifique · FRHôpital Beaujon · FRHôpital Claude Huriez · FRHôpital Cochin · FRInstitut Paoli-Calmettes · FRMécanismes de Tumorigenèse et Thérapies Ciblées · FRSociété Française d'Endoscopie Digestive · FRSorbonne Université · FRUniversité Catholique de Lille · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Small rectal neuroendocrine tumours are good candidates for endoscopic resection provided that complete pathological resection (R0) is obtained and their risk of metastatic progression is low. We conducted a large multicentre nationwide study to evaluate the outcomes of the management of non-metastatic rectal neuroendocrine tumours ≤2 cm diagnosed endoscopically. Patients and methods: The medical records, the endoscopic and pathological findings of patients with non-metastatic rectal neuroendocrine tumours ≤2 cm managed from January 2000-June 2018 in 16 French hospitals, were retrospectively analysed. The primary objective was to describe the proportion of R0 endoscopic resections. Results: A total of 329 patients with 345 rectal neuroendocrine tumours were included, 330 (96%) tumours were managed by local treatments: 287 by endoscopy only and 43 by endoscopy followed by transanal endoscopic microsurgery. The final endoscopic R0 rate was 134/345 (39%), which improved from the first endoscopy (54/225, 24%), to the second (60/100, 60%) and the third endoscopy (20/26, 77%). R0 was associated with endoscopic technique (90% for advanced techniques, 40% for mucosectomy and 17% for polypectomy), but not with tumour or patient characteristics. Twenty patients had metastatic disease, which was associated with tumour size ≥10 mm (odds ratio: 9.1, 95% confidence interval (3.5-23.5)), tumour grade G2-G3 (odds ratio: 4.2, (1.5-11.7)), the presence of muscular (odds ratio: ∞, (11.9-∞)) and lymphovascular invasion (odds ratio: 57.2, (5.6-578.9)). Conclusions: The resection of small rectal neuroendocrine tumours often requires multiple procedures. Training of endoscopists is necessary in order to better recognise these tumours and to perform the appropriate resection technique.

Indexed as

EndoscopyFemaleFollow-Up StudiesFranceHumansMaleMiddle AgedNeoplasm GradingNeoplasm InvasivenessNeoplasm Recurrence, LocalNeoplasm StagingNeuroendocrine TumorsProcedures and Techniques UtilizationRectal NeoplasmsReoperationRetrospective Studiesendoscopymanagementneuroendocrine tumoursRectal

Identifiers

PMID31662867
PMCPMC6794692
OpenAlexW2955858034

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.