Evidence map›Paper›PMID 32011448›Full record

ArticleMedicine2020

Fully covered self-expandable metal stent with an anti-migration system vs plastic stent for distal biliary obstruction caused by borderline resectable pancreatic cancer: A protocol for systematic review.

Takashi Tamura, Hiroki Yamaue, Masahiro Itonaga, Yuki Kawaji, Junya Nuta, Keiichi Hatamaru, Yasunobu Yamashita, Yuji Kitahata, Motoki Miyazawa, Seiko Hirono and 4 more

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 45% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. International journal of general medicine · 2021
    Article
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 1 institution in 1 country.

Takashi TamuraSecond Department of Internal Medicine.
Hiroki YamaueSecond Department of Surgery.
Masahiro ItonagaSecond Department of Internal Medicine.
Yuki KawajiSecond Department of Internal Medicine.
Junya NutaSecond Department of Internal Medicine.
Keiichi HatamaruSecond Department of Internal Medicine.
Yasunobu YamashitaSecond Department of Internal Medicine.
Yuji KitahataSecond Department of Surgery.
Motoki MiyazawaSecond Department of Surgery.
Seiko HironoSecond Department of Surgery.
Ken-Ichi OkadaSecond Department of Surgery.
Manabu KawaiSecond Department of Surgery.
Toshio ShimokawaClinical Study Support Center, Wakayama Medical University, Wakayama, Japan.
Masayuki KitanoSecond Department of Internal Medicine.
Wakayama Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimBiliary obstruction can impair the effectiveness of neo-adjuvant chemotherapy. This study was designed to compare biliary stenting with covered self-expandable metal stents (FCSEMS) and plastic stents (PS) in patients with biliary obstruction caused by borderline resectable pancreatic cancer (BRPC) who were undergoing neo-adjuvant chemotherapy during preoperative biliary drainage.

methodsThis single-center, comparative, randomized, superiority study was designed to compare FCSEMS with PS for drainage of biliary obstruction of BRPC. Twenty two eligible patients providing informed consent will be randomized 1:1 by computer to either FCSEMS or PS for endoscopic retrograde biliary drainage (ERBD). All subsequent clinical interventions, including crossover to alternative procedures, will be at the discretion of the treating physician based on standard clinical care. The primary outcomes will be the rates and causes of stent dysfunction during preoperative biliary drainage. Other outcomes include time required for ERBD, adverse events related to ERBD, period from ERBD to surgery, percentage of patients able to undergo surgery, operation time, intraoperative bleeding volume, postoperative adverse events, and postoperative hospitalization. Subjects, treating clinicians, and outcome assessors will not be blinded to assignment. DISCUSSION: This study is intended to determine whether FCSEMS or PS is the better biliary stent for ERBD for management of patients with biliary obstruction of BRPC, a common clinical dilemma that has not yet been investigated in randomized trials. TRIALS REGISTRATION: UMIN-CTR, Identifier: UMIN000030473. Registered July 10, 2017, Wakayama Medical University Hospital.

Indexed as

CholestasisPancreatic NeoplasmsStentsBiliary Tract Surgical ProceduresChemotherapy, AdjuvantEquivalence Trials as TopicHumansPlasticsPreoperative CareProspective StudiesRandomized Controlled Trials as TopicResearch DesignSelf Expandable Metallic StentsSingle-Blind MethodPlastics

Identifiers

PMID32011448
PMCPMC7220317
OpenAlexW2999764812

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.