Evidence map›Paper›PMID 32943059›Full record

Trial reportBMC medicine2020

Colon capsule endoscopy versus CT colonography in FIT-positive colorectal cancer screening subjects: a prospective randomised trial-the VICOCA study.

Begoña González-Suárez, Mario Pagés, Isis Karina Araujo, Cristina Romero, Cristina Rodríguez de Miguel, Juan Ramón Ayuso, Àngels Pozo, Maria Vila-Casadesús, Anna Serradesanferm, Àngels Ginès and 12 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02081742 (COMPARATIVE STUDY OF THE EFFICACY OF TWO NON-INVASIVE IMAGING TECHNIQUES IN POPULATION SCREENING FOR COLORECTAL CANCER), which is not on this map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 10% 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.

NCT02081742 completednot on this map

Comparative study of the efficacy of two non-invasive imaging techniques in population screening for colorectal cancer (crc): colon capsule and virtual colonoscopy

Typeobservational_patient_registrySponsorBegoña González SuárezRan2014 to 2016Enrolled349ConditionsColonic Polyps, Adenoma
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Second-generation capsule endoscopy for the detection of colorectal polyps: An updated systematic review and comparative meta-analysis of prospective studies.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026
    Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Clinical utility of colon capsule endoscopy: a moving target?Therapeutic advances in gastroenterology · 2023
    Review
  14. Advances in colon capsule endoscopy: a review of current applications and challenges.Frontiers in gastroenterology (Lausanne, Switzerland) · 2023
    Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. ScotCap - A large observational cohort study.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2022
    Observational
  20. Follow-up of small and diminutive colonic polyps-How to balance the risks in the COVID-19 era.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 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

22 authors at 5 institutions in 1 country.

Begoña González-SuárezGastroenterology Department, Hospital Clinic of Barcelona, Barcelona, Spain. bgonzals@clinic.cat.
Mario PagésRadiology Department, Hospital Clinic of Barcelona, Barcelona, Spain.
Isis Karina AraujoGastroenterology Department, Hospital Clinic of Barcelona, Barcelona, Spain.
Cristina RomeroGastroenterology Department, Hospital Clinic of Barcelona, Barcelona, Spain.
Cristina Rodríguez de MiguelGastroenterology Department, Hospital Clinic of Barcelona, Barcelona, Spain.
Juan Ramón AyusoRadiology Department, Hospital Clinic of Barcelona, Barcelona, Spain.
Àngels PozoDepartment of Preventive Medicine and Epidemiology, Hospital Clinic of Barcelona, Barcelona, Spain.
Maria Vila-CasadesúsCentro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Madrid, Spain.
Anna SerradesanfermCentro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Madrid, Spain.
Àngels GinèsGastroenterology Department, Hospital Clinic of Barcelona, Barcelona, Spain.
Glòria Fernández-EsparrachGastroenterology Department, Hospital Clinic of Barcelona, Barcelona, Spain.
Maria PelliséGastroenterology Department, Hospital Clinic of Barcelona, Barcelona, Spain.
María López-CerónGastroenterology Department, Hospital Clinic of Barcelona, Barcelona, Spain.
David FloresRadiology Department, Hospital Clinic of Barcelona, Barcelona, Spain.
Henry CórdovaGastroenterology Department, Hospital Clinic of Barcelona, Barcelona, Spain.
Oriol SendinoGastroenterology Department, Hospital Clinic of Barcelona, Barcelona, Spain.
Jaume GrauDepartment of Preventive Medicine and Epidemiology, Hospital Clinic of Barcelona, Barcelona, Spain.
Josep LlachGastroenterology Department, Hospital Clinic of Barcelona, Barcelona, Spain.
Miquel Serra-BurrielCenter for Research in Health and Economic, Pompeu Fabra University, Barcelona, Spain.
Andrés CárdenasGastroenterology Department, Hospital Clinic of Barcelona, Barcelona, Spain.
Francesc BalaguerGastroenterology Department, Hospital Clinic of Barcelona, Barcelona, Spain.
Antoni CastellsGastroenterology Department, Hospital Clinic of Barcelona, Barcelona, Spain.
Hospital Clínic de Barcelona · ESCentro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas · ESConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESUniversitat de Barcelona · ESPompeu Fabra University · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundColon capsule endoscopy (CCE) and CT colonography (CTC) are minimally invasive techniques for colorectal cancer (CRC) screening. Our objective is to compare CCE and CTC for the identification of patients with colorectal neoplasia among participants in a CRC screening programme with positive faecal immunochemical test (FIT). Primary outcome was to compare the performance of CCE and CTC in detecting patients with neoplastic lesions.

methodsThe VICOCA study is a prospective, single-centre, randomised trial conducted from March 2014 to May 2016; 662 individuals were invited and 349 were randomised to CCE or CTC before colonoscopy. Endoscopists were blinded to the results of CCE and CTC.

resultsThree hundred forty-nine individuals were included: 173 in the CCE group and 176 in the CTC group. Two hundred ninety individuals agreed to participate: 147 in the CCE group and 143 in the CTC group. In the intention-to-screen analysis, sensitivity, specificity and positive and negative predictive values for the identification of individuals with colorectal neoplasia were 98.1%, 76.6%, 93.7% and 92.0% in the CCE group and 64.9%, 95.7%, 96.8% and 57.7% in the CTC group. In terms of detecting significant neoplastic lesions, the sensitivity of CCE and CTC was 96.1% and 79.3%, respectively. Detection rate for advanced colorectal neoplasm was higher in the CCE group than in the CTC group (100% and 93.1%, respectively; RR = 1.07; p = 0.08). Both CCE and CTC identified all patients with cancer. CCE detected more patients with any lesion than CTC (98.6% and 81.0%, respectively; RR = 1.22; p = 0.002).

conclusionAlthough both techniques seem to be similar in detecting patients with advanced colorectal neoplasms, CCE is more sensitive for the detection of any neoplastic lesion.

trial registrationClinicalTrials.gov Identifier: NCT02081742 . Registered: September 16, 2013.

Indexed as

Capsule EndoscopyColonography, Computed TomographicColorectal NeoplasmsEarly Detection of CancerFemaleHumansMaleMass ScreeningMiddle AgedProspective StudiesColon capsule endoscopyColorectal cancer screeningCT colonography

Identifiers

PMID32943059
PMCPMC7500543
OpenAlexW3086010357

What OpenQuestion holds

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LicenceCC BY
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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.