Evidence map›Paper›PMID 33545965›Full record

ArticleMedicine2021

Magnifying endoscopy in detecting early gastric cancer: A network meta-analysis of prospective studies.

Hao Le, Lianjun Wang, Lan Zhang, Pengfei Chen, Bin Xu, Dengfa Peng, Ming Yang, Yong Tan, Changsong Cai, Huqing Li and 1 more

Open access · goldAbstract readNetwork Meta-Analysis
In one paragraph

Article in Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Prevention of Gastric Cancer.Medicina (Kaunas, Lithuania) · 2026
    Review
  3. Gastric intestinal metaplasia: Management and surveillance strategies.World journal of gastrointestinal pathophysiology · 2026
    Review
  4. Article
  5. Review
  6. Shedding a new light on gastric cancer screening.United European gastroenterology journal · 2024
    Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Current Status of Photodynamic Diagnosis for Gastric Tumors.Diagnostics (Basel, Switzerland) · 2021
    Review
  13. Review
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.

Hao LeFirst Department of Surgery.
Lianjun WangFirst Department of Surgery.
Lan ZhangFirst Department of Surgery.
Pengfei ChenDepartment of Gastroenterology, The Central Hospital of Enshi Tujia And Miao Autonomous Prefecture, Enshi.
Bin XuFirst Department of Surgery.
Dengfa PengFirst Department of Surgery.
Ming YangFirst Department of Surgery.
Yong TanFirst Department of Surgery.
Changsong CaiFirst Department of Surgery.
Huqing LiFirst Department of Surgery.
Qiu ZhaoDepartment of Gastroenterology, Zhongnan Hospital of Wuhan University, Wuhan, China.
The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture · CNWuhan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConventional white-light imaging endoscopy (C-WLI) had a significant number of misdiagnosis in early gastric cancer (EGC), and magnifying endoscopy (ME) combined with different optical imaging was more accurate in the diagnosis of EGC. This study aimed to evaluate the accuracy of ME and compare the accuracy of ME with different optical imaging in detecting EGC.

methodsA comprehensive literature search was conducted to identify all relevant studies. Pair-wise meta-analysis was conducted to evaluate the accuracy of ME, and Bayesian network meta-analysis was performed to combine direct and indirect evidence and estimate the relative effects.

resultsEight prospective studies were identified with a total of 5948 patients and 3 optical imaging in ME (ME with WLI (M-WLI), ME with narrow-band imaging (M-NBI), and ME with blue laser imaging (M-BLI)). Pair-wise meta-analysis showed a higher accuracy of ME than C-WLI (OR: 2.97, 95% CI: 1.68∼5.25). In network meta-analysis, both M-NBI and M-BLI were more accurate than M-WLI (OR: 2.56, 95% CI: 2.13∼3.13; OR: 3.13, 95% CI: 1.85∼5.71). There was no significant difference between M-NBI and M-BLI.

conclusionME was effective in improving the detecting rate of EGC, especially with NBI or BLI.

Indexed as

Early Detection of CancerEndoscopyHumansOdds RatioProspective StudiesStomach Neoplasms

Identifiers

PMID33545965
PMCPMC7837915
OpenAlexW3123294925

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.