Evidence map›Paper›PMID 33251289›Full record

ArticleGE Portuguese journal of gastroenterology2020

Diagnostic Yield of Endoscopic Procedures in Children: Experience of a Portuguese Center.

Sónia Silva, Cláudia Silva, Maria do Céu Espinheira, Isabel Pinto Pais, Eunice Trindade, Jorge Amil Dias

Open access · diamondAbstract read
In one paragraph

Article in GE Portuguese journal of gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 38% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

6 authors at 1 institution in 1 country.

Sónia SilvaDepartment of Pediatrics, Centro Hospitalar Universitário de São João, Porto, Portugal.
Cláudia SilvaDepartment of Pediatrics, Centro Hospitalar Universitário de São João, Porto, Portugal.
Maria do Céu EspinheiraDepartment of Pediatrics, Centro Hospitalar Universitário de São João, Porto, Portugal.
Isabel Pinto PaisDepartment of Pediatrics, Centro Hospitalar Universitário de São João, Porto, Portugal.
Eunice TrindadeDepartment of Pediatrics, Centro Hospitalar Universitário de São João, Porto, Portugal.
Jorge Amil DiasDepartment of Pediatrics, Centro Hospitalar Universitário de São João, Porto, Portugal.
Hospital de São João · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOver the last decades, the use of gastrointestinal (GI) endoscopic procedures has been increased in children worldwide, allowing the early diagnosis and therapeutic intervention in multiple GI diseases. AIMS AND

methodsIn order to evaluate the appropriateness and the diagnostic yield of initial GI endoscopic techniques in children in a Portuguese tertiary hospital, we performed a retrospective cohort study during a 12-month period.

resultsA total of 308 procedures were performed in 276 patients; the median age was 11 years and 50.4% were males. Esophago-gastro-duodenoscopy (EGD) corresponded to 81.8% of the procedures and ileo-colonoscopy (IC) to the remaining; 11.6% of the patients underwent both EGD and IC. Overall, 51.3% of the exams showed abnormal macroscopic findings, and 69.6% showed histopathological signs of disease, with IC showing significantly more positive results than EGD ( DISCUSSION: Our results emphasize the importance of endoscopic procedures, especially IC, in the diagnosis of GI diseases in pediatric patients, as well as the careful choice of the endoscopic techniques in those with less specific symptoms, as chronic abdominal pain. In this particular situation, given the proportion of cases that may be due to functional disease, good characterization of the clinical context is needed, and endoscopy should be reserved for a second-line approach.

conclusionIt is important to monitor and examine the endoscopic techniques as an index of quality criteria for clinical practice.

Indexed as

Diagnostic yieldEndoscopic procedureEsophago-gastro-duodenoscopyIleo-colonoscopy

Identifiers

PMID33251289
PMCPMC7670335
OpenAlexW3023872753

What OpenQuestion holds

Textmetadata
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.