Evidence map›Paper›PMID 33057909›Full record

ArticleIndian journal of gastroenterology : official journal of the Indian Society of Gastroenterology2020

The efficacy and safety of colonoscopy in nonagenarians: A multicenter study.

Yoshikazu Inagaki, Naohisa Yoshida, Daisuke Hasegawa, Kyoichi Kassai, Ritsu Yasuda, Ken Inoue, Ryohei Hirose, Osamu Dohi, Takashi Okuda, Yutaka Inada and 6 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology, 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
–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

1 citing paper in PubMed.

  1. Editorial commentary on the Indian Journal of Gastroenterology November-December 2020.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2020
    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

16 authors.

Yoshikazu InagakiDepartment of Gastroenterology, Nishijin Hospital, Kyoto, Japan.
Naohisa YoshidaDepartment of Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto, 602-8566, Japan. naohisa@koto.kpu-m.ac.jp.ORCID http://orcid.org/0000-0001-6167-9705
Daisuke HasegawaDepartment of Gastroenterology, Ayabe City Hospital, Kyoto, Japan.
Kyoichi KassaiDepartment of Gastroenterology, Nishijin Hospital, Kyoto, Japan.
Ritsu YasudaDepartment of Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto, 602-8566, Japan.
Ken InoueDepartment of Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto, 602-8566, Japan.
Ryohei HiroseDepartment of Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto, 602-8566, Japan.
Osamu DohiDepartment of Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto, 602-8566, Japan.
Takashi OkudaDepartment of Gastroenterology, Fukuchiyama City Hospital, Kyoto, Japan.
Yutaka InadaDepartment of Gastroenterology, Fukuchiyama City Hospital, Kyoto, Japan.
Kotaro OkudaDepartment of Gastroenterology, Kyoto Kujyo Hospital, Kyoto, Japan.
Kiyoshi OgisoDepartment of Gastroenterology, Osaka General Hospital of West Japan Railway Company, Osaka, Japan.
Akira TomieDepartment of Gastroenterology, Saiseikai Kyoto Hospital, Kyoto, Japan.
Koichi SogaDepartment of Gastroenterology, Omihachiman Community Medical Center, Omihachiman, Shiga, Japan.
Takaaki MurakamiDepartment of Gastroenterology, Japan Community Health Care Organization, Kyoto Kuramaguchi Medical Center, Kyoto, Japan.
Yoshito ItohDepartment of Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto, 602-8566, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe number of colonoscopy (CS) for the elderly is increasing. There are only a few reports focusing on CS among the very elderly aged ≥ 90-y. We aimed to analyze the efficacy of CS and of colorectal cancer (CRC) for patients aged ≥ 90-y.

methodsWe retrospectively analyzed consecutive patients aged ≥ 90-y receiving CS at eight institutions from October 2016 to September 2017. Bowel preparation, complications, and endoscopic diagnosis were analyzed. The non-elderly group aged between 50-y and 64-y and elderly group aged between 65-y and 79-y were compared to very-elderly group aged ≥ 90-y. Through propensity score matching of sex and CS indications (symptomatic or asymptomatic), the number of CRC and the treatment in each group were analyzed.

resultsWe analyzed 125 patients receiving 154 colonoscopies (0.9%) in the very-elderly group from among 16,968 cases. Among 92 cases who received bowel-cleansing solution, good preparations were achieved in 94.5%. The rate of CS-related complications was 1.3% (2/154). The rate of CRC in the very-elderly group was 27.2% (34/125), higher than the non-elderly group (7.2%, 9/125, p < 0.01) and elderly group (8.8%, 11/125, p < 0.01). Therapeutic interventions for CRC in the very-elderly group were performed in 73.5% (24/34) patients. The mean survival of 12 patients with CRC resection was 788 days.

conclusionsCS could be performed safely for the very elderly aged ≥ 90-y with careful considerations. CRC was confirmed to be more frequent in this group with over 70% of patients receiving appropriate therapeutic intervention.

Indexed as

AgedAged, 80 and overAge FactorsColonoscopyColorectal NeoplasmsFemaleHumansMaleMiddle AgedPropensity ScoreRetrospective StudiesSafetySurvival RateTreatment OutcomeBowel preparationCecal intubationColonic polypColonoscopyColonoscopy complicationColorectal cancerComorbidityElderlyPolypectomyScreening colonoscopySurveillance

Identifiers

PMID33057909

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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.