Evidence map›Paper›PMID 33139269›Full record

ArticleGut2020

Randomised comparison of postpolypectomy surveillance intervals following a two-round baseline colonoscopy: the Japan Polyp Study Workgroup.

Takahisa Matsuda, Takahiro Fujii, Yasushi Sano, Shin-Ei Kudo, Yasushi Oda, Kinichi Hotta, Tadakazu Shimoda, Yutaka Saito, Nozomu Kobayashi, Masau Sekiguchi and 16 more

Open access · hybridAbstract read
In one paragraph

Article in Gut, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.4field-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.

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

14 citing papers in PubMed, 58 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. Management of Colorectal Sessile Serrated Lesions in Elderly Patients.Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society · 2026
    Review
  6. Article
  7. Combating Post-colonoscopy Colorectal Cancer: Insight from the Trials and Cohort Studies.The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2025
    Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Challenges in artificial intelligence for polyp detection.Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society · 2022
    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

26 authors at 18 institutions in 3 countries.

Takahisa MatsudaCancer Screening Center, National Cancer Center Hospital, Tokyo, Japan tamatsud@ncc.go.jp.ORCID http://orcid.org/0000-0002-9244-2820
Takahiro FujiiTF Clinic, Tokyo, Japan.ORCID http://orcid.org/0000-0001-8190-8907
Yasushi SanoGastrointestinal Center and Institute of Minimally Invasive Endoscopic Care (iMEC), Sano Hospital, Kobe, Hyogo, Japan.ORCID http://orcid.org/0000-0002-3352-5757
Shin-Ei KudoDigestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Kanagawa, Japan.ORCID http://orcid.org/0000-0002-4268-1217
Yasushi OdaOda GI Endoscopy and Gastroenterology Clinic, Kumamoto, Japan.
Kinichi HottaDivision of Endoscopy, Shizuoka Cancer Center, Sunto-gun, Shizuoka, Japan.ORCID http://orcid.org/0000-0001-5608-0968
Tadakazu ShimodaDivision of Pathology, Shizuoka Cancer Center, Sunto-gun, Shizuoka, Japan.
Yutaka SaitoEndoscopy Division, National Cancer Center Hospital, Tokyo, Japan.ORCID http://orcid.org/0000-0003-2296-8373
Nozomu KobayashiDepartment of Gastroenterology, Tochigi Cancer Center, Utsunomiya, Tochigi, Japan.
Masau SekiguchiCancer Screening Center, National Cancer Center Hospital, Tokyo, Japan.ORCID http://orcid.org/0000-0001-6253-6896
Kazuo KonishiDivision of Gastroenterology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0002-2390-274X
Hiroaki IkematsuDepartment of Gastroenterology and Endoscopy, National Cancer Center Hospital East, Kashiwa, Chiba, Japan.ORCID http://orcid.org/0000-0001-9840-4588
Hiroyasu IishiDepartment of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan.ORCID http://orcid.org/0000-0002-8850-0274
Yoji TakeuchiDepartment of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan.ORCID http://orcid.org/0000-0003-3814-298X
Masahiro IgarashiDepartment of Gastroenterology, The Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo, Japan.ORCID http://orcid.org/0000-0002-1392-0389
Kiyonori KobayashiDepartment of Gastroenterology, Kitasato University East Hospital, Sagamihara, Kanagawa, Japan.ORCID http://orcid.org/0000-0003-4399-0940
Miwa SadaDepartment of Gastroenterology, Kitasato University East Hospital, Sagamihara, Kanagawa, Japan.ORCID http://orcid.org/0000-0003-3057-8762
Yuichiro YamaguchiDivision of Endoscopy, Shizuoka Cancer Center, Sunto-gun, Shizuoka, Japan.
Kiwamu HasudaHattori GI Endoscopy and Gastroenterology Clinic, Kumamoto, Japan.
Tomoaki ShinoharaDepartment of Gastroenterology, Saku Central Hospital Advanced Care Center, Saku, Nagano, Japan.ORCID http://orcid.org/0000-0003-4592-9895
Hideki IshikawaDepartment of Molecular-Targeting Cancer Prevention, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.ORCID http://orcid.org/0000-0001-5980-698X
Yoshitaka MurakamiDepartment of Medical Statistics, Toho University, Tokyo, Japan.ORCID http://orcid.org/0000-0002-8134-0327
Hirokazu TaniguchiPathology and Clinical Laboratory Division, JR Tokyo General Hospital, Tokyo, Japan.ORCID http://orcid.org/0000-0003-4212-4776
Takahiro FujimoriDepartment of Pathology, Shinko Hospital, Kobe, Hyogo, Japan.
Yoichi AjiokaDivision of Molecular and Diagnostic Pathology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.ORCID http://orcid.org/0000-0002-7532-5454
Shigeaki YoshidaAomori Prefectural Central Hospital, Aomori, Japan.
American Society for Gastrointestinal Endoscopy · USShizuoka Cancer Center · JPKitasato University Hospital · JPKumamoto Orthopedic Surgery Hospital · JPOsaka International Cancer Institute · JPAomori Prefectural Central Hospital · JPJR Tokyo General Hospital · JPNational Cancer Center Hospital East · JPNiigata University · JPSaku Central Hospital · JPSanno Medical Center · JPShinko Hospital · JPShowa University · JPShowa University Northern Yokohama Hospital · JPTarget (United States) · USThe Cancer Institute Hospital · JPTochigi Cancer Center · JPToho University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess whether follow-up colonoscopy after polypectomy at 3 years only, or at 1 and 3 years would effectively detect advanced neoplasia (AN), including nonpolypoid colorectal neoplasms (NP-CRNs).

designA prospective multicentre randomised controlled trial was conducted in 11 Japanese institutions. The enrolled participants underwent a two-round baseline colonoscopy (interval: 1 year) to remove all neoplastic lesions. Subsequently, they were randomly assigned to undergo follow-up colonoscopy at 1 and 3 years (2-examination group) or at 3 years only (1-examination group). The incidence of AN, defined as lesions with low-grade dysplasia ≥10 mm, high-grade dysplasia or invasive cancer, at follow-up colonoscopy was evaluated.

resultsA total of 3926 patients were enrolled in this study. The mean age was 57.3 (range: 40-69) years, and 2440 (62%) were male. Of these, 2166 patients were assigned to two groups (2-examination: 1087, 1-examination: 1079). Overall, we detected 29 AN in 28 patients at follow-up colonoscopy in both groups. On per-protocol analysis (701 in 2-examination vs 763 in 1-examination group), the incidence of AN was similar between the two groups (1.7% vs 2.1%, p=0.599). The results of the non-inferiority test were significant (p=0.017 in per-protocol, p=0.001 in intention-to-treat analysis). NP-CRNs composed of dominantly of the detected AN (62%, 18/29), and most of them were classified into laterally spreading tumour non-granular type (83%, 15/18).

conclusionAfter a two-round baseline colonoscopy, follow-up colonoscopy at 3 years detected AN, including NP-CRNs, as effectively as follow-up colonoscopies performed after 1 and 3 years.

Indexed as

colonoscopycolorectal adenomascolorectal cancerendoscopic polypectomysurveillance

Identifiers

PMID33139269
PMCPMC8292600
OpenAlexW3096724084

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.