Evidence map›Paper›PMID 33281938›Full record

ArticleTherapeutic advances in gastroenterology2020

Is a proton-pump inhibitor necessary after endoscopic submucosal dissection for superficial esophageal neoplasms? A propensity score analysis.

Hideaki Kanaoka, Taro Iwatsubo, Toshihisa Takeuchi, Yuichi Kojima, Yoshiaki Takahashi, Akitoshi Hakoda, Shinya Nishida, Shinpei Kawaguchi, Kazuhiro Ota, Masatsugu Shiba and 1 more

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 34% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

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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

11 authors at 2 institutions in 1 country.

Hideaki KanaokaSecond Department of Internal Medicine, Osaka Medical College, Takatsuki, Osaka, Japan.
Taro IwatsuboSecond Department of Internal Medicine, Osaka Medical College, Takatsuki, Osaka, Japan.ORCID https://orcid.org/0000-0001-7721-8292
Toshihisa TakeuchiEndoscopic Center, Osaka Medical College Hospital, 2-7, Daigakumachi Takatsuki, Osaka, 569-8686, Japan.
Yuichi KojimaSecond Department of Internal Medicine, Osaka Medical College, Takatsuki, Osaka, Japan.
Yoshiaki TakahashiSecond Department of Internal Medicine, Osaka Medical College, Takatsuki, Osaka, Japan.
Akitoshi HakodaSecond Department of Internal Medicine, Osaka Medical College, Takatsuki, Osaka, Japan.
Shinya NishidaSecond Department of Internal Medicine, Osaka Medical College, Takatsuki, Osaka, Japan.
Shinpei KawaguchiSecond Department of Internal Medicine, Osaka Medical College, Takatsuki, Osaka, Japan.
Kazuhiro OtaSecond Department of Internal Medicine, Osaka Medical College, Takatsuki, Osaka, Japan.
Masatsugu ShibaDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Kazuhide HiguchiSecond Department of Internal Medicine, Osaka Medical College, Takatsuki, Osaka, Japan.
Osaka Medical and Pharmaceutical University · JPOsaka City University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle is known about the efficacy of proton-pump inhibitor (PPI) therapy in the management of esophageal ulcers after endoscopic submucosal dissection (ESD). Therefore, the objective of this study was to investigate the efficacy of PPI in ulcer healing following ESD for superficial esophageal neoplasms, using a propensity score analytic approach.

methodsThis retrospective cohort study was conducted at a single referral center. Between April 2005 and August 2015, 199 consecutive patients with superficial esophageal cancer and esophageal dysplasia underwent ESD. For patients with PPI administration, intravenous PPI therapy was commenced immediately after ESD, and oral PPI was administered daily from post-operative day 3, until ulcer healing was identified. We compared the remnant-ulcer rate at 4 weeks after esophageal ESD between the PPI administration and non-PPI groups, using propensity scores and the inverse probability of treatment weighting (IPTW) method.

resultsAfter exclusions, a total of 88 patients were analyzed. The remnant-ulcer rate at 4 weeks after ESD was 25.5% (12/47) and 14.6% (6/41) in the PPI administration and non-PPI groups (

conclusionPPI administration does not promote ulcer healing after ESD for superficial esophageal squamous cell carcinoma.

Indexed as

endoscopic submucosal dissectionproton-pump inhibitorsuperficial esophageal squamous cell carcinoma

Identifiers

PMID33281938
PMCPMC7692345
OpenAlexW3107948030

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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.