Evidence map›Paper›PMID 34494147›Full record

ArticleSurgical endoscopy2022

Influence of hospital volume on bleeding after endoscopic submucosal dissection for early gastric cancer in Japan: a multicenter propensity score-matched analysis.

Yohei Yabuuchi, Waku Hatta, Yosuke Tsuji, Toshiyuki Yoshio, Naomi Kakushima, Shu Hoteya, Hisashi Doyama, Yasuaki Nagami, Takuto Hikichi, Masakuni Kobayashi and 27 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

37 authors.

Yohei YabuuchiDivision of Endoscopy, Shizuoka Cancer Center, 1007 Shimonagakubo, Nagaizumi, Suntogun, Shizuoka, 411-8777, Japan. buchidess@gmail.com.ORCID http://orcid.org/0000-0003-0491-2579
Waku HattaDivision of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Yosuke TsujiDepartment of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Toshiyuki YoshioDepartment of Gastroenterology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan.
Naomi KakushimaDivision of Endoscopy, Shizuoka Cancer Center, 1007 Shimonagakubo, Nagaizumi, Suntogun, Shizuoka, 411-8777, Japan.
Shu HoteyaDepartment of Gastroenterology, Toranomon Hospital, Tokyo, Japan.
Hisashi DoyamaDepartment of Gastroenterology, Ishikawa Prefectural Central Hospital, Kanazawa, Japan.
Yasuaki NagamiDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Takuto HikichiDepartment of Endoscopy, Fukushima Medical University Hospital, Fukushima, Japan.
Masakuni KobayashiDepartment of Endoscopy, The Jikei University School of Medicine, Tokyo, Japan.
Yoshinori MoritaDepartment of Gastroenterology, Kobe University International Clinical Cancer Research Center, Kobe, Japan.
Tetsuya SumiyoshiDepartment of Gastroenterology, Tonan Hospital, Sapporo, Japan.
Mikitaka IguchiSecond Department of Internal Medicine, Wakayama Medical University, Wakayama, Japan.
Hideomi TomidaGastroenterology Center, Ehime Prefectural Central Hospital, Matsuyama, Japan.
Takuya InoueDivision of Gastroenterology and Hepatology, Osaka General Medical Center, Osaka, Japan.
Tatsuya MikamiDivision of Endoscopy, Hirosaki University Hospital, Hirosaki, Japan.
Kenkei HasataniDepartment of Gastroenterology, Fukui Prefectural Hospital, Fukui, Japan.
Jun NishikawaFaculty of Laboratory Science, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Tomoaki MatsumuraDepartment of Gastroenterology, Chiba University Graduate School of Medicine, Chiba, Japan.
Hiroko NebikiDepartment of Gastroenterology, Osaka City General Hospital, Osaka, Japan.
Dai NakamatsuDepartment of Gastroenterology, Toyonaka Municipal Hospital, Toyonaka, Japan.
Ken OhnitaDepartment of Gastroenterology and Hepatology, Nagasaki University Hospital, Nagasaki, Japan.
Haruhisa SuzukiEndoscopy Division, National Cancer Center Hospital, Tokyo, Japan.
Hiroya UeyamaDepartment of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan.
Yoshito HayashiDepartment of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine, Osaka, Japan.
Mitsushige SugimotoDivision of Digestive Endoscopy, Shiga University of Medical Science Hospital, Shiga, Japan.
Shinjiro YamaguchiDepartment of Gastroenterology and Hepatology, Kansai Rosai Hospital, Amagasaki, Japan.
Tomoki MichidaDepartment of Gastroenterology and Hepatology, Saitama Medical Center, Saitama, Japan.
Tomoyuki YadaDivision of Gastroenterology and Hepatology, Kohnodai Hospital, National Center for Global Health and Medicine, Chiba, Japan.
Yoshiro AsahinaDepartment of Gastroenterology, Kanazawa University Hospital, Kanazawa, Japan.
Toshiaki NarasakaDivision of Endoscopic Center, University of Tsukuba Hospital, Tsukuba, Japan.
Shiko KuribayashiDepartment of Gastroenterology and Hepatology, Gunma University Graduate School of Medicine, Maebashi, Japan.
Shu KiyotokiDepartment of Gastroenterology, Shuto General Hospital, Yamaguchi, Japan.
Katsuhiro MabeDepartment of Gastroenterology, National Hospital Organization Hakodate National Hospital, Hakodate, Japan.
Mitsuhiro FujishiroDepartment of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Atsushi MasamuneDivision of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Hiroyuki OnoDivision of Endoscopy, Shizuoka Cancer Center, 1007 Shimonagakubo, Nagaizumi, Suntogun, Shizuoka, 411-8777, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInformation on whether there is a relationship between hospital volume and bleeding after endoscopic submucosal dissection (ESD) for early gastric cancer (EGC) is limited. This study aimed to compare the bleeding rates after ESD for EGC according to the hospital volume.

methodsPatients who underwent ESD for EGC at 33 institutions in Japan between November 2013 and October 2016 were included in this multicenter retrospective study. Hospital volume was categorized into three groups, based on the average annual number of ESD procedures: low- and medium-volume group (LMVG), high-volume group (HVG), and very high-volume group (VHVG). The bleeding rate after ESD for EGC was compared between the three hospital volume groups after propensity score matching.

resultsA total of 10,320 patients, including 2797 patients in the LMVG, 4646 patients in the HVG, and 2877 patients in the VHVG, were identified. Propensity score matching yielded 2002 patients in each hospital volume group, with an improved balance of confounding variables between the three groups. The bleeding rates in the LMVG, HVG, and VHVG were 4.3%, 3.7%, and 4.9%, respectively, and no significant difference was noted between the three groups.

conclusionsThe bleeding rate after ESD for EGC did not differ between hospitals in Japan. The finding indicated that ESD for EGC is equally feasible across Japanese hospitals of different volumes regarding bleeding after ESD.

Indexed as

Endoscopic Mucosal ResectionStomach NeoplasmsGastric MucosaHemorrhageHospitalsHumansJapanPropensity ScoreRetrospective StudiesTreatment OutcomeBleedingEarly gastric cancerEndoscopic submucosal dissectionHospital volume

Identifiers

PMID34494147

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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.