Evidence map›Paper›PMID 33934197›Full record

Observational studyJournal of gastroenterology2021

Composite detection rate as an upper gastrointestinal endoscopy quality measure correlating with detection of neoplasia.

Marcin Romańczyk, Bartosz Ostrowski, Tomasz Marek, Tomasz Romańczyk, Małgorzata Błaszczyńska, Krzysztof Budzyń, Maciej Bugajski, Mateusz Koziej, Maciej Kajor, Krzysztof Januszewski and 3 more

Erratum issuedOpen access · hybridAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 25% 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, 9 citations in OpenAlex.

  1. Article
  2. Review
  3. Observational
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 1 country.

Marcin RomańczykChair and department of Gastroenterology and Hepatology, School of Medicine in Katowice, Medical University of Silesia, Medyków 14 Street, 40-752, Katowice, Poland. mromanczyk@sum.edu.pl.ORCID http://orcid.org/0000-0002-5369-8161
Bartosz OstrowskiChair and department of Gastroenterology and Hepatology, School of Medicine in Katowice, Medical University of Silesia, Medyków 14 Street, 40-752, Katowice, Poland.
Tomasz MarekChair and department of Gastroenterology and Hepatology, School of Medicine in Katowice, Medical University of Silesia, Medyków 14 Street, 40-752, Katowice, Poland.
Tomasz RomańczykEndoterapia, H-T. Centrum Medyczne, Tychy, Poland.
Małgorzata BłaszczyńskaEndoscopy Unit, District Hospitals of Chorzów Trust, Chorzów, Poland.
Krzysztof BudzyńChair and department of Gastroenterology and Hepatology, School of Medicine in Katowice, Medical University of Silesia, Medyków 14 Street, 40-752, Katowice, Poland.
Maciej BugajskiChair and department of Gastroenterology and Hepatology, School of Medicine in Katowice, Medical University of Silesia, Medyków 14 Street, 40-752, Katowice, Poland.
Mateusz KoziejDepartment of Anatomy, Jagiellonian University Medical College, Cracow, Poland.
Maciej KajorDepartment of Pathomophology and Molecular Diagnostic, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland.
Krzysztof JanuszewskiDepartment of Pathomophology, Zakład Diagnostyki Mikroskopowej, Dr Krzysztof Januszewski, Ruda Śląska, Poland.
Wojciech ZajęckiDepartment of Pathomophology, District Hospitals of Chorzów Trust, Chorzów, Poland.
Marek WalugaChair and department of Gastroenterology and Hepatology, School of Medicine in Katowice, Medical University of Silesia, Medyków 14 Street, 40-752, Katowice, Poland.
Marek HartlebChair and department of Gastroenterology and Hepatology, School of Medicine in Katowice, Medical University of Silesia, Medyków 14 Street, 40-752, Katowice, Poland.
Medical University of Silesia · PLCentrum Medyczne iMed24 · PLJagiellonian University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEsophagogastroduodenoscopy (EGD) is commonly used diagnostic method with no widely accepted quality measure. We assessed quality indicator-composite detection rate (CDR)-consisting of detection of at least one of the following: cervical inlet patch, gastric polyp and post-ulcer duodenal bulb deformation. The aim of the study was to validate CDR according to detection rate of upper gastrointestinal neoplasms (UGN).

methodsIt was a multicenter, prospective, observational study conducted from January 2019 to October 2019. The endoscopic reports from 2896 symptomatic patients who underwent diagnostic EGD were analyzed. The EGDs were performed in three endoscopy units located in tertiary university hospital, private outpatient clinic and local hospital.

results64 UGNs were detected. The mean CDR was 21.9%. The CDR correlated with UGN detection rate (R = 0.49, p = 0.045). Based on CDR quartiles, operators were divided into group 1 with CDR < 10%, group 2 with CDR 10-17%, group 3 with CDR 17.1-26%, and group 4 with CDR > 26%. Detection rate of UGN was significantly higher in the group 4 in comparison to group 1 (OR 4.4; 95% CI 2.2 - 9.0). In the multivariate regression model, patient age, male gender and operator's CDR > 26% were independent risk factors of UGN detection (OR 1.03; 95% CI 1.01 - 1.05, OR 2; 95% CI 1.2 - 3.5, and OR 5.7 95% CI 1.5 - 22.3, respectively).

conclusionsThe CDR is associated with the detection of upper gastrointestinal neoplasms. This parameter may be a useful quality measure of EGD to be applied in general setting.

Indexed as

AdultAgedEndoscopy, Digestive SystemFemaleHumansMaleMiddle AgedNeoplasmsProspective StudiesQuality Indicators, Health CareRetrospective StudiesRisk FactorsUpper Gastrointestinal TractEsophagogastroduodenoscopyGastrointestinal neoplasmQuality indicatorUpper gastrointestinal tract

Identifiers

PMID33934197
PMCPMC8280029
OpenAlexW3159783960

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.