Evidence map›Paper›PMID 31996171›Full record

ArticleBMC cancer2020

Superiority of NBI endoscopy to PET/CT scan in detecting esophageal cancer among head and neck cancer patients: a retrospective cohort analysis.

Hsuan-An Su, Shun-Wen Hsiao, Yu-Chun Hsu, Lien-Yen Wang, Hsu-Heng Yen

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
4.9field-weighted citation impact, top 4% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  14. Screening for synchronous esophageal second primary tumors in patients with head and neck cancer.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2021
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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

5 authors at 2 institutions in 1 country.

Hsuan-An SuDepartment of Medical Education, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan.
Shun-Wen HsiaoEndoscopy Center, Changhua Christian Hospital, 135 Nanhsiao Street, Changhua, Taiwan.
Yu-Chun HsuEndoscopy Center, Changhua Christian Hospital, 135 Nanhsiao Street, Changhua, Taiwan.
Lien-Yen WangDepartment of Nuclear Medicine, Changhua Christian Hospital, Changhua, Taiwan.
Hsu-Heng YenEndoscopy Center, Changhua Christian Hospital, 135 Nanhsiao Street, Changhua, Taiwan. 91646@cch.org.tw.ORCID http://orcid.org/0000-0002-3494-2245
Changhua Christian Hospital · TWKaohsiung Chang Gung Memorial Hospital · TW

Funding

Changhua Christian Hospital 105-IRP-CCH-009Changhua Christian Hospital 106-CCHIRP-030Changhua Christian Hospital 108-CCH-IRP-018
6 · The paper itself

Abstract

backgroundSecond primary cancer of the esophagus is frequent in head and neck patients, especially in high-risk populations, and has a great impact on the prognosis. Although Positron emission tomography (PET)/computed tomography (CT) scan is commonly conducted in head and neck patients, its ability to detect early esophageal cancer is limited. Narrow-band imaging endoscopy is an accurate and convenient technique for esophageal examination. We aimed to compare PET/CT scan and narrow-band imaging endoscopy for the detection of esophageal cancer in head and neck cancer patients.

methodsFrom November 2015 to November 2018, all head and neck cancer patients who underwent both PET/CT scan and narrow-band imaging endoscopy at Changhua Christian Hospital were retrospectively enrolled. Descriptive statistics, receiver operating characteristic curve analysis, logistic regression analysis, independent Student's t-test, and Kaplan-Meier survival analysis were conducted with MedCalc Statistical Software.

resultsA total of 147 subjects were included in the analysis; suspicious esophageal lesions were identified by PET/CT scan in 8 (5.44%) and by narrow-band imaging in 35 (23.81%). The final pathologic diagnoses were esophageal squamous cell carcinoma in 10 and high-grade dysplasia in 5. The respective sensitivity, specificity, and area under the curve for detecting suspicious esophageal lesions were 33.33, 97.73%, and 0.655 for PET/CT scan, and 100.0, 84.85%, and 0.924 for narrow-band imaging endoscopy. Hypopharyngeal or laryngeal location of the primary head and neck cancer was the only risk factor for developing second primary esophageal cancer.

conclusionsPET/CT scan was inferior to narrow-band imaging endoscopy in detecting second primary esophageal cancer in head and neck cancer patients. In addition to PET/CT scan, narrow-band imaging endoscopy should be considered in head and neck patients at high risk for developing second primary esophageal cancer.

Indexed as

Endoscopy, Digestive SystemNarrow Band ImagingPositron Emission Tomography Computed TomographyAdultAgedAged, 80 and overDisease ManagementEsophageal Squamous Cell CarcinomaFemaleFluorodeoxyglucose F18HumansMaleMiddle AgedPrognosisRetrospective StudiesROC CurveFluorodeoxyglucose F18EndoscopyEsophageal cancerHead and neck cancerNarrow-band imagingPET/CT scanScreeningSecond primary cancerSquamous cell carcinoma

Identifiers

PMID31996171
PMCPMC6988258
OpenAlexW3003182381

What OpenQuestion holds

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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.