Evidence map›Paper›PMID 31700230›Full record

ReviewAnnals of gastroenterology

Paradigm shift: the Copernican revolution in diverticular disease.

Angelo Zullo, Luigi Gatta, Roberto Vassallo, Vincenzo De Francesco, Raffaele Manta, Fabio Monica, Giulia Fiorini, Dino Vaira

Abstract readReview
In one paragraph

Review in Annals of gastroenterology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
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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.

Angelo ZulloGastroenterology and Digestive Endoscopy, Nuovo Regina Margherita Hospital, Rome (Angelo Zullo).
Luigi GattaGastroenterology and Endoscopy Unit, Versilia Hospital, Lido di Camaiore (Luigi Gatta).
Roberto VassalloGastroenterology and Digestive Endoscopy; "Buccheri la Ferla, Fatebenefratelli", Hospital, Palermo (Roberto Vassallo).
Vincenzo De FrancescoSection of Gastroenterology, Department of Medical Sciences, University of Foggia (Vincenzo De Francesco).
Raffaele MantaGastroenterology and Digestive Endoscopy, "Generale" Hospital, Perugia (Raffaele Manta).
Fabio MonicaGastroenterology and Digestive Endoscopy, Academic Hospital Cattinara, Trieste (Fabio Monica).
Giulia FioriniDepartment of Medical and Surgical Sciences, S. Orsola Hospital, University of Bologna, Bologna (Giulia Fiorini, Dino Vaira), Italy.
Dino VairaDepartment of Medical and Surgical Sciences, S. Orsola Hospital, University of Bologna, Bologna (Giulia Fiorini, Dino Vaira), Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diverticular disease (DD) is an umbrella definition that includes different clinical conditions ranging from diverticulosis to severe and potentially life-threatening complications. In the last decade, new concepts regarding pathogenetic alterations have been developed, while the diagnostic, clinical and therapeutic approaches to the management of DD patients have changed. The protective role of dietary factors (i.e., fiber) has been questioned, whilst some drugs widely used in clinical practice have been found to have a deleterious effect. The use of antibiotics in all patients with acute uncomplicated diverticulitis was reconsidered, as well as the need for a surgical approach in these patients. Conflicting recommendations in different guidelines were proposed for the treatment of symptomatic uncomplicated DD. An endoscopic classification of DD was introduced, and a "curative" endoscopic approach has been pioneered. Based on these observations, which together amount to a kind of "Copernican revolution" in the management of DD patients, we performed a comprehensive and critical reappraisal of the proposed modifications, aiming to discriminate between certainties and doubts on this issue.

Indexed as

complicationsdiagnosisDiverticular diseasepathogenesis

Identifiers

PMID31700230
PMCPMC6826076

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.