Evidence map›Paper›PMID 33901662›Full record

SynthesisClinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association2022

Magnitude and Time-Trend Analysis of Postendoscopy Esophageal Adenocarcinoma: A Systematic Review and Meta-analysis.

Tarek Sawas, Abdul Mounaem Majzoub, James Haddad, Thomas Tielleman, Tarek Nayfeh, Rena Yadlapati, Siddharth Singh, Jennifer Kolb, Ravy K Vajravelu, David A Katzka and 2 more

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
4.4field-weighted citation impact, top 5% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. AGA Clinical Practice Update on New Technology and Innovation for Surveillance and Screening in Barrett's Esophagus: Expert Review.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2022
    Guideline
  3. Advances in the Diagnosis of Barrett's Esophagus.Diagnostics (Basel, Switzerland) · 2026
    Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Carcinoma of Esophagus.Journal of gastroenterology and hepatology · 2025
    Review
  10. Article
  11. Article
  12. Review
  13. Quality indicators in Barrett's endoscopy: Best is yet to come.Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society · 2024
    Review
  14. Article
  15. New Techniques to Screen for Barrett Esophagus.Gastroenterology & hepatology · 2023
    Article
  16. Improving outcomes in patients with oesophageal cancer.Nature reviews. Clinical oncology · 2023
    Review
  17. Article
  18. Endoscopic Management of Barrett's Esophagus.Digestive diseases and sciences · 2022
    Review
  19. Article
  20. 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

12 authors at 6 institutions in 1 country.

Tarek SawasDivision of Digestive and Liver Diseases, University of Texas Southwestern Medical Center, Dallas, Texas.
Abdul Mounaem MajzoubEvidence Based Practice Center.
James HaddadDivision of Digestive and Liver Diseases, University of Texas Southwestern Medical Center, Dallas, Texas.
Thomas TiellemanDivision of Digestive and Liver Diseases, University of Texas Southwestern Medical Center, Dallas, Texas.
Tarek NayfehEvidence Based Practice Center.
Rena YadlapatiDivision of Gastroenterology and Hepatology, University of California San Diego, San Diego, California.
Siddharth SinghDivision of Gastroenterology and Hepatology, University of California San Diego, San Diego, California.
Jennifer KolbDivision of Gastroenterology and Hepatology, University of California Irvine, Irvine, California.
Ravy K VajraveluDivision of Gastroenterology and Hepatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
David A KatzkaDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.
Sachin WaniDivision of Gastroenterology and Hepatology, University of Colorado Anschutz Medical Campus, Aurora, Colorado. Electronic address: sachin.wani@cuanschutz.edu.
Post-Endoscopy Esophageal Adenocarcinoma Consensus Panel
The University of Texas Southwestern Medical Center · USUniversity of California, San Diego · USMayo Clinic · USUniversity of California, Irvine · USUniversity of Colorado Anschutz Medical Campus · USUniversity of Pennsylvania · US

Funding

GASTROINTESTINAL DISEASE TRAINING GRANTT32DK007038 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI COLGAN, SEAN P · 1986 to 2020
$3.5M
Mechanism Guided Therapy for Laryngopharyngeal RefluxK23DK125266 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI YADLAPATI, RENA HIREN · 2021 to 2025
$963k
Evaluation of multiple medication exposures concurrently using a novel algorithmK08DK119475 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI VAJRAVELU, RAVY KUPPALAPALLE · 2019 to 2023
$797k
A Multicenter Randomized Controlled Trial of Surveillance versus. Endoscopic Therapy for Barretts Esophagus with Low-grade Dysplasia: The SURVENT TrialU34DK124174 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI DURKALSKI, VALERIE L, SHAHEEN, NICHOLAS J · 2020 to 2020
$384k
NIDDK NIH HHS K08 DK119475NIDDK NIH HHS K23 DK125266NIDDK NIH HHS T32 DK007038NIDDK NIH HHS U34 DK124174
6 · The paper itself

Abstract

BACKGROUND &

aimsIdentification of postendoscopy esophageal adenocarcinoma (PEEC) among Barrett's esophagus (BE) patients presents an opportunity to improve survival of esophageal adenocarcinoma (EAC). We aimed to estimate the proportion of PEEC within the first year after BE diagnosis.

methodsMultiple databases (Medline, Embase, Scopus, and Cochrane databases) were searched until September 2020 for original studies with at least 1-year follow-up evaluation that reported EAC and/or high-grade dysplasia (HGD) in the first year after index endoscopy in nondysplastic BE, low-grade dysplasia, or indefinite dysplasia. The proportions of PEEC defined using EAC alone and EAC+HGD were calculated by dividing EAC or EAC+HGD in the first year over the total number of EAC or EAC+HGD, respectively.

resultsWe included 52 studies with 145,726 patients and a median follow-up period of 4.8 years. The proportion of PEEC (EAC) was 21% (95% CI, 13-31) and PEEC (EAC+HGD) was 26% (95% CI, 19-34). Among studies with nondysplastic BE only, the PEEC (EAC) proportion was 17% (95% CI, 11-23) and PEEC (EAC+HGD) was 14% (95% CI, 8-19). Among studies with 5 or more years of follow-up evaluation, the PEEC (EAC) proportion was 10% and PEEC (EAC+HGD) was 19%. Meta-regression analysis showed a strong inverse relationship between PEEC and incident EAC (P < .001). The PEEC (EAC) proportion increased from 5% in studies published before 2000 to 30% after 2015. Substantial heterogeneity was observed for most analyses.

conclusionsPEEC accounts for a high proportion of HGD/EACs and is proportional to reduction in incident EAC. Using best endoscopic techniques now and performing future research on improving neoplasia detection through implementation of quality measures and educational tools is needed to reduce PEEC.

Indexed as

AdenocarcinomaBarrett EsophagusEsophageal NeoplasmsPrecancerous ConditionsDisease ProgressionEndoscopyHumansHyperplasiaEndoscopyMissed Esophageal AdenocarcinomaQualitySurveillance

Identifiers

PMID33901662
PMCPMC9799241
OpenAlexW3157340302

What OpenQuestion holds

Textmetadata
LicenceTDM
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.