Evidence map›Paper›PMID 32418002›Full record

ArticleDigestive diseases and sciences2021

Gastric Emptying Scans: Poor Adherence to National Guidelines.

Journey L Wise, Maria I Vazquez-Roque, Caleb J McKinney, Michael A Zickella, Michael D Crowell, Brian E Lacy

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Digestive diseases and sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04812301 (Abbott Vital® as an Alternative Meal to the Gold-standard Egg-white Sandwich for Gastric Emptying Scintigraphy), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.7field-weighted citation impact, top 9% 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.

NCT04812301 completednot on this map

Abbott Vital® as an Alternative Meal to the Gold-standard Egg-white Sandwich for Gastric Emptying Scintigraphy (GES) Among Healthy Volunteers

TypeobservationalSponsorUniversiti Sains MalaysiaRan2021 to 2021Enrolled30ConditionsHealthyArmsEgg-white sandwich, Abbott Vital®
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 30 citations in OpenAlex.

  1. BMC gastroenterology · 2020
    Trial
  2. Article
  3. Review
  4. Approach to Meal-Related Nausea and Vomiting.Gastroenterology & hepatology · 2025
    Article
  5. Article
  6. Invited Commentary: Gastrointestinal Transit Scintigraphy: Adherence to Current Imaging Standards and Future Directions.Radiographics : a review publication of the Radiological Society of North America, Inc · 2024
    Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Reconsideration of the Gastroparetic Syndrome.Current gastroenterology reports · 2023
    Review
  12. Gastroparesis: Myths, Misconceptions, and Management.Clinical and experimental gastroenterology · 2023
    Review
  13. Article
  14. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Journey L WiseDivision of Gastroenterology and Hepatology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL, 32224, USA.
Maria I Vazquez-RoqueDivision of Gastroenterology and Hepatology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL, 32224, USA.
Caleb J McKinneyDivision of Gastroenterology and Hepatology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL, 32224, USA.
Michael A ZickellaDivision of Gastroenterology and Hepatology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL, 32224, USA.
Michael D CrowellDivision of Gastroenterology and Hepatology, Mayo Clinic, Scottsdale, AZ, USA.
Brian E LacyDivision of Gastroenterology and Hepatology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL, 32224, USA. lacy.brian@mayo.edu.ORCID http://orcid.org/0000-0002-2778-0786
Jacksonville College · USMayo Clinic in Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccurately diagnosing gastroparesis relies upon gastric emptying scintigraphy (GES) being performed correctly. Jointly published protocol guidelines have long been available; however, the extent to which practitioners adhere to these guidelines is unknown.

aimsThis study aimed to assess national compliance with established GES protocol guidelines.

methodsWe developed a questionnaire addressing the key protocol measures outlined in the Consensus Recommendations for Gastric Emptying Scintigraphy. Survey questions addressed patient information collection (15), patient preparation and procedure protocol (16), meal content and preparation (7), imaging (3), interpretation (4), reporting (7), and institutional demographic data (7). The anonymous questionnaire was distributed electronically to members of the Society of Nuclear Medicine and Medical Imaging (SNMMI) and non-member recipients of the SNMMI daily email newsletter. One response per medical institution was permitted.

resultsA total of 121 out of 872 potential medical institutions (MI) responded (13.9%); 49 (40.4%) were academic/teaching medical centers. The annual number (mean) of GES procedures was 199.9 (range 5-2000 GES/year). On average, MI performed 33.5/52 (64%) of protocol measures according to guidelines while academic medical centers performed 31.5/52 (61%) of protocol measures according to guidelines. Only 4 out of 88 MI (4.5%) performed GES while adhering to three critical measures: validated study duration; controlled blood glucose levels; and proper restriction of medications.

conclusionsLow compliance with GES protocol guidelines, even among academic medical centers, raises the likely possibility of misdiagnosis and improper management of upper gastrointestinal symptoms. These results highlight a need for increased awareness of protocol guidelines for gastric scintigraphy.

Indexed as

Gastric EmptyingGastroparesisPractice Guidelines as TopicClinical ProtocolsDiagnostic ErrorsGuideline AdherenceHealth Services Needs and DemandHumansProcedures and Techniques UtilizationQuality Assurance, Health CareRadionuclide ImagingStomachSurveys and QuestionnairesUnited StatesAbdominal painGastric emptyingGastroparesisNauseaOpioidsVomiting

Identifiers

PMID32418002
OpenAlexW3025696672

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.