Evidence map›Paper›PMID 33982138›Full record

ArticleInternational journal of colorectal disease2021

False-positive fecal immunochemical test results in colorectal cancer screening and gastrointestinal drug use.

M J Domper Arnal, S García Mateo, S Hermoso-Durán, D Abad, P Carrera-Lasfuentes, A Velazquez-Campoy, O Abian Franco, A Lanas

Erratum issuedAbstract read
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In one paragraph

Article in International journal of colorectal disease, 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 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 29% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Observational
  7. Review
  8. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

M J Domper ArnalDepartment of Gastroenterology, Lozano Blesa Clinic University Hospital, 50009, Zaragoza, Spain.
S García MateoDepartment of Gastroenterology, Lozano Blesa Clinic University Hospital, 50009, Zaragoza, Spain. sgarciamateo7@gmail.com.
S Hermoso-DuránAragón Health Research Institute (IIS Aragón), 50009, Zaragoza, Spain.
D AbadAragón Health Research Institute (IIS Aragón), 50009, Zaragoza, Spain.
P Carrera-LasfuentesAragón Health Research Institute (IIS Aragón), 50009, Zaragoza, Spain.
A Velazquez-CampoyAragón Health Research Institute (IIS Aragón), 50009, Zaragoza, Spain.
O Abian FrancoAragón Health Research Institute (IIS Aragón), 50009, Zaragoza, Spain.
A LanasDepartment of Gastroenterology, Lozano Blesa Clinic University Hospital, 50009, Zaragoza, Spain.
Instituto de Investigación Sanitaria Aragón · ESMSD (Spain) · ESFundacion Agencia Aragonesa para la Investigacion y el Desarrollo · ESHospital Clínico Universitario Lozano Blesa · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe study aimed to determine the influence of drug treatments (proton pump inhibitors [PPIs] combined with other drugs) on the false-positive (FP) rate in the fecal immunochemical test (FIT).

methodsPatients undergoing colonoscopy in the setting of a CRC screening program due to a positive FIT result were included prospectively. Demographic data and drug intake of PPIs, antiplatelet therapy (APA), anticoagulants, selective serotonin reuptake inhibitors (SSRIs), and nonsteroidal anti-inflammatory drugs (NSAIDs) were collected. An FP FIT result was considered normal colonoscopy or with nonneoplastic pathology (NNP). Logistic regression models were used to evaluate the effect of these drugs on the rate of FP FIT results.

resultsWe included 515 patients, and 59% (304/515) were males. The rate of FP FIT results was 48% (249/515). Study drug use was higher in patients > 60 years old and females than in those < 60 years old and males (p < 0.001 and p = 0.049, respectively). Multivariate logistic regression revealed that female sex (OR = 2.7 95% CI 1.9-3.9), NNP (OR = 1.5 95% CI 1.1-2.2), and the use of any of the study drugs (OR = 1.4 95% CI 0.9-2.0) were independent risk factors for FP FIT results. The risk of FP FIT results was significantly higher in PPI users than in nonusers (OR = 1.8 95% CI 1.1-2.9), specifically when PPIs were combined with other drugs (OR = 2.01 95% CI 1.1-3.6) only in men.

conclusionFemale sex, NNP, and PPIs combined with other drugs in males were identified as independent risk factors for FP FIT results.

Indexed as

Colorectal NeoplasmsEarly Detection of CancerColonoscopyFemaleGastrointestinal AgentsHumansMaleMass ScreeningMiddle AgedOccult BloodGastrointestinal AgentsColorectal cancerDrugsFalse-positiveFecal immunochemical test

Identifiers

PMID33982138
OpenAlexW3162649928

What OpenQuestion holds

Textmetadata
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.