Evidence map›Paper›PMID 33835838›Full record

ArticleThe British journal of radiology2021

Re-initiation of CT colonography services during the COVID-19 pandemic: Preliminary evaluation of safety.

David Peprah, Andrew Plumb, Alison Corr, Janice Muckian, Kathryn Smith, Antoni Sergot, Jia Ying Kuah, James Stephenson

Open access · hybridAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in The British journal of radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 32% 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, 9 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Observational
  5. 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

8 authors at 4 institutions in 1 country.

David PeprahUniversity College London Hospitals NHS Foundation Trust, London, UK.
Andrew PlumbUniversity College London Hospitals NHS Foundation Trust, London, UK.
Alison CorrSt Mark's Hospital NHS Trust, Harrow, United Kingdom.
Janice MuckianSt Mark's Hospital NHS Trust, Harrow, United Kingdom.
Kathryn SmithSt Mark's Hospital NHS Trust, Harrow, United Kingdom.
Antoni SergotImperial College Healthcare NHS Trust, London, United Kingdom.
Jia Ying KuahGastrointestinal Imaging Group, University Hospitals Leicester NHS Trust, Leicester, United Kingdom.
James StephensonGastrointestinal Imaging Group, University Hospitals Leicester NHS Trust, Leicester, United Kingdom.
St Mark's Hospital · GBUniversity College London · GBUniversity Hospitals of Leicester NHS Trust · GBImperial College Healthcare NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe COVID-19 pandemic has led to cancellation and deferral of many cancer investigations, including CT colonography (CTC). In May 2020, BSGAR and SCoR issued guidelines outlining steps for conduct of CTC in the early recovery phase. We evaluated the implementation of these in four English hospital trusts.

methodsEthical permission was not required for this multicentre service evaluation. We identified patients undergoing CTC over a 2-month period from May to July 2020 at four Trusts. We recorded demographics, scan indications, colonic findings, and incidental lung base changes compatible with COVID-19. A subset of patients were contacted via telephone to document new symptoms 2 weeks following their scan. Staff were contacted to determine if any acquired COVID-19 during the period.

results224 patients (118 male, 52.7%) were scanned during the period. In 55 patients (24.6%), CTC showed a ≥6 mm polyp. 33 of 224 (14.7%) scans showed incidental lung base changes felt unrelated to COVID-19, and only one patient had changes indeterminate for COVID-19; no classic COVID-19 pulmonary changes were found. Of 169 patients with telephone follow-up, none reported any new symptoms of COVID-19 (cough, fever, anosmia, ageusia) within 14 days of CTC. None of the 86 staff contacted developed COVID-19.

conclusionWe found no cases of patients or staff acquiring COVID-19 infection following CTC; and no evidence of significant asymptomatic COVID-19 patients attending for CTC appointments based on lung base changes. ADVANCES IN KNOWLEDGE: Our findings suggest that current practice is unlikely to contribute significantly to spread of SARS-nCOV2. Cancer and significant polyp detection rates were high, underlining the importance of maintaining service provision.

Indexed as

Colonography, Computed TomographicPandemicsAdultAgedAged, 80 and overAsymptomatic InfectionsColonic NeoplasmsColonic PolypsCOVID-19FemaleGuideline AdherenceHumansInfectious Disease Transmission, Patient-to-ProfessionalLungMaleMiddle Aged

Identifiers

PMID33835838
PMCPMC8506191
OpenAlexW3148590029

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.