Evidence map›Paper›PMID 33430020›Full record

ArticleJournal of clinical medicine2021

Unilateral versus Bilateral Endoscopic Nasobiliary Drainage and Subsequent Metal Stent Placement for Unresectable Malignant Hilar Obstruction: A Multicenter Randomized Controlled Trial.

Ryunosuke Hakuta, Hirofumi Kogure, Yousuke Nakai, Hiroshi Kawakami, Hiroyuki Maguchi, Tsuyoshi Mukai, Takuji Iwashita, Tomotaka Saito, Osamu Togawa, Saburo Matsubara and 7 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06106750 (The Efficacy and Safety of Endoscopic Scissors Cutting Nasobiliary Ducts in the Treatment of Malignant Hilar Biliary Tract Stenosis), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.6field-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.

NCT06106750 naunknown statusnot on this mapstarted 2022, after this paper: background citation

The Efficacy and Safety of Endoscopic Scissors Cutting Nasobiliary Ducts in the Treatment of Malignant Hilar Biliary Tract Stenosis

TypeinterventionalSponsorFirst People's Hospital of HangzhouRan2022 to 2026Enrolled122ConditionsCholangiocarcinoma, Hilar, Biliary Stricture, Hilar Cholangiocarcinoma, Klatskin TumorArmsEndoscopic nasobiliary duct cutting, Bilateral plastic stent
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 22 citations in OpenAlex.

  1. Review
  2. Observational
  3. Review
  4. Article
  5. Practice guidelines for managing extrahepatic biliary tract cancers.Annals of hepato-biliary-pancreatic surgery · 2024
    Article
  6. Article
  7. Review
  8. Article
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  11. Article
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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

17 authors at 15 institutions in 1 country.

Ryunosuke HakutaDepartment of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.ORCID 0000-0001-7653-7689
Hirofumi KogureDepartment of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
Yousuke NakaiDepartment of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.ORCID 0000-0001-7411-1385
Hiroshi KawakamiDepartment of Gastroenterology and Hepatology, Hokkaido University Graduate School of Medicine, Sapporo 060-8648, Japan.
Hiroyuki MaguchiCenter for Gastroenterology, Teine-Keijinkai Hospital, Sapporo 006-8555, Japan.
Tsuyoshi MukaiDepartment of Gastroenterology, Gifu Municipal Hospital, Gifu 500-8513, Japan.ORCID 0000-0002-5198-9475
Takuji IwashitaFirst Department of Internal Medicine, Gifu University Hospital, Gifu 501-1194, Japan.
Tomotaka SaitoDepartment of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
Osamu TogawaDepartment of Gastroenterology, Kanto Central Hospital, Tokyo 158-8531, Japan.
Saburo MatsubaraDepartment of Gastroenterology, Tokyo Metropolitan Police Hospital, Tokyo 164-8541, Japan.ORCID 0000-0001-8182-3524
Tsuyoshi HayashiCenter for Gastroenterology, Teine-Keijinkai Hospital, Sapporo 006-8555, Japan.
Iruru MaetaniDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Ohashi Medical Center, Tokyo 153-8515, Japan.ORCID 0000-0002-9072-3805
Yukiko ItoDepartment of Gastroenterology, Japanese Red Cross Medical Center, Tokyo 150-8935, Japan.
Osamu HasebeDepartment of Gastroenterology, Nagano Municipal Hospital, Nagano 381-8551, Japan.
Takao ItoiDepartment of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo 160-0023, Japan.
Keiji HanadaDepartment of Gastroenterology, Onomichi General Hospital, Hiroshima 722-0018, Japan.
Hiroyuki IsayamaDepartment of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
The University of Tokyo · JPGifu Municipal Hospital · JPGifu University Hospital · JPJapanese Red Cross Medical Center · JPJR Tokyo General Hospital · JPJuntendo University · JPKanto Central Hospital · JPNagano Municipal Hospital · JPOnomichi General Hospital · JPSapporo Medical University · JPSocial Insurance Saitama Chuo Hospital · JPTeine Keijinkai Hospital · JPToho University · JPTokyo Medical University · JPUniversity of Miyazaki · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

(1) Background: Endoscopic management of hilar biliary obstruction is still challenging. Compared with unilateral drainage, bilateral drainage could preserve larger functional liver volume and potentially improve clinical outcomes. To evaluate the effectiveness of bilateral drainage, we conducted this multicenter randomized controlled study. (2) Methods: Patients with unresectable malignant hilar biliary obstruction were assigned to unilateral or bilateral group. At first, patients underwent endoscopic nasobiliary drainage (ENBD), and subsequently underwent self-expandable metallic stent (SEMS) deployment. Primary outcomes were the functional success rate of ENBD and time to recurrent biliary obstruction (TRBO) after SEMS deployment. (3) Results: During the study period, 38 and 39 patients were enrolled in the unilateral and bilateral groups. The functional success rate was similar in the uni- and bi-ENBD group (57% vs. 56%;

Indexed as

cholestasisendoscopic retrograde cholangiopancreatographyendoscopyjaundicestents

Identifiers

PMID33430020
PMCPMC7827318
OpenAlexW3119149673

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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.